Right, that's the part that most consumers don't understand about inpatient bills and insurance claims. They hear stories about a "$100 Tylenol" or whatever but those line items often don't actually impact the amount charged to the patient's health plan. Many of the numbers are completely artificial and essentially only serve as placeholders for the accounting and ERP systems. I'm not trying to defend that system but for complex path dependency reasons it's difficult for anyone to reform.