> At this point I genuinely consider the medical system about as bad as the service department at a car dealership. They'll sell you anything technically legal just to keep their stats high.

No, the service department has a bad reputation for a reason. They tried to tell me a wiper blade would cost me USD 80 with a straight face. Not even the whole set, a single wiper blade. It costs under USD 15 anywhere else other than the dealership.

My guess is they are counting on people not looking at the itemized bill.