I'm not from the US, but I've heard someone from there explain the system.
When you go to hospital, and get a bill of $250.000 your insurance company will cover let say $50.000. You will get a bill for $1.200 and the rest will be declared by the hospital to their insurance company as damages.
It's super weird, I still don't get it but apparently this is how it works in most cases, or as I'm told.
Can I register your bet for 27 dollars or euros?