I'm not sure why the costs are so high, it may be a patented technology, there isn't anything terribly exotic in it though.
If you can legitimately get in the 40-45mpg range, it's still a pretty good deal. A Lexus RX hybrid still only can get like 30mpg.
There are diesels that get even better millage, like the Audi A2 with a mileage on it's diesel model ranging from 80 to 120 mpg. I never understand why car manufacturers don't make aerodynamic body designs for their cars. A honda insight with a diesel engine gets similar mileage.
Edit: reference http://en.wikipedia.org/wiki/Diesel_engine#Emissions
Diesel fuel used to be in some sense a waste product and thus historically was cheaper than gasoline. It's only been within last 5 years or so that diesel has been consistently more expensive than gasoline, at least in the US.