Imagine. You have this pain. You don't know what it is. You go to the hospital, and there, the doctor tells you he has to run some tests. You go through a CAT scan, get an MRI, EKG, EEG, They shoot you with radiation to check your bloodflow. You would expect a steep bill for that, and rightly so. Those tests cost a lot of money. The equipment, the personnel, the facility, the time there, makes sense.
Now. Imagine you go to the hospital and the doctor clips your toenail to do some tests. Would you be happy if they charged you $1,133? Why would someone spend time at a hospital for foot work be billed $1200 for their visit and rationally believe that $1138 of it was "facilities fees?"
Billing is outrageous, and this is just ridiculous.