My routine blood work done via my doctor bills something like $1600 to my insurance every other year or so - but it do it on my own outside of the medical system for about $180 every six months.
No one should have to do this for necessary care - but once you get into things not typically covered by insurance like plastic surgery or LASIK the true costs are generally rather reasonable.
A whole shadow ecosystem for “health hackers” or whatever you might want to call it exists where standard medical stuff is 10% of the cost if paid out of pocket and through alternative prescribers. It’s a small subset of all available medical items, but the difference in true cost is illuminating.
It really is two separate questions how much basic procedures should cost. But I see no reason why non-urgent even important care shouldn't operate like real market. Open prices where competition is either on those prices or quality of care.
There is no universe in which it doesn't cost around $10,000. None. It is simply impossible for me to get out of paying that. My options are:
1. Use insurance, and hopefully it's covered.
2. Pay out of pocket.
3. Skip it and hope I don't die.
That's it, those are my options. I can't "shop around" for this, and I shouldn't have to. This is basic medical care available to everyone in a developed nation. Ours is the only one for whom this is apparently an intractable problem, and I am, frankly, tired of being gaslit about it.