An excellent way to control the cost, is to quit lying about the cost.
I had 3 stents put in about a year ago, the hospital billed my insurance $117.000.00 for the procedure. Blue Cross paid $6,200.00 it was my responsibility to pay nothing.
Over billing insurance holders has been common practice for over 60 years that I know of, for sure.
Anything that has 3rd party payers is bound to be a boondoggle.
Add goobermint rules and mandates to the mix and it’s guaranteed.