Huh? Over here in Germany, every single step of a treatment is documented and has country-wide standard rates. The actual cost depends on the specifics of the treatment, expressed in various parameters like required personell and their working time, goods used, complexity etc. In the end of course the insurance company pays for everything, but you still get to see how much everything costs - insurers are of course very keen to keep costs down. On the other hand, I know a few MDs which constantly complain how much of a hassle it is to document everything, but live over here in „liberarian dream land“ is very much real and a joy as the patient.

They could offer a flat rate based on the length of the procedure...