It's not only that. Our local hospitals can't give us prices for procedures that other places can.
We tried price shopping an hsg test because we had to out of pocket it. Hospitals took hours on the phone and multiple call backs. Other places could give us a quote in minutes.
We chose a hospital based on price. The morning of the procedure they told us it doesn't include everything. But they said we were wrong and our insurance covered it, so we didn't worry. But it got denied, and then we had to pay their shitty insurance inflated price.