Yes. Check out the pharmacy benefit management industry. That's a multi-billion dollar industry which does something that should be entirely unnecessary. Drug companies overcharge for prescription drugs, then pharmacy benefit management companies make bulk deals to negotiate them down while taking a cut.
Somebody is gouging us, but we will never know who, and everybody can point to somebody else, or to "society," but we just don't know.
Chances are, everybody who can make money while covering their tracks through a web of business entities, is gouging us.
One potential advantage of the government owning the whole system, is that it would facilitate figuring out what the costs actually are. This may be why other civilized countries pay half what we pay. It's a saying in business, that you can't manage what you can't measure.