I agree with you about the rate (price) quoted. However, the hidden professional fee billing routine is a time honored tradition. Anesthesiologists, CRNA's, Pathologists, Cardiologists, Radiologists, Consultants, folks you never see. Most of the billings and services are legitimate, but full disclosure about billing would prevent a lot of misunderstandings.
Anesthesiologists, CRNA’s, Pathologists, Cardiologists, Radiologist. the CRNA and the anesthesologis you will never remember form the operating room, same for a radiologist/cardiologist who is doing a reading.