If you’re looking for a cheap but reliable alternative, Hetzner offers i7 64GB Ram servers for as low as 37.45€/month.
Of course you’re not in AWS, forget about all the managed services, but we’re talking about 95%~98% cheaper egress costs, with 20TB included in most machines.
We have no egress fees but you're right about Hetzner. They're cheap. We aim to offer more value-added software to make up for it. Also that machine is in Europe, Americans don't like the latency (at least I don't), they have been known to shut people down (within reason).
Also I'm seeing that the most they can go RAM-wise for a dedicated US location is 192G. We go to 512 and will soon go beyond. I'm sure they'll get there soon but that's a consideration as well.