In your example, it actually works the way you want. The most likely reason why it does not work with your real image is that your image is of type uint8 (or uint16). The range of uint8 is limited to [0, 255], any value below or above these values are clamped to 0 or 255.
The fix is simple, convert your image to double:
temp = uint8([5 10; 10 15])
temp(1,1) - temp(1, 2)
temp = double(temp);
temp(1,1) - temp(1, 2)
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