The thing is the "paying for it to be delivered by a nurse" is covered by other things. There will be a line-item for the ibuprofen itself, there will then (ge

The thing is the "paying for it to be delivered by a nurse" is covered by other things. There will be a line-item for the ibuprofen itself, there will then (generally) be a separate line item for staff time spent helping you, and there will almost always be another line item for the facility fee. The nurse's overhead is theoretically included in those latter two line items, so shouldn't _also_ be charged in the ibuprofen line item. Now, there are logistical concerns that will make the ibuprofen marginally more expensive at an ER than at a clinic, but definitely not $60. I accept the logic of high drug prices including staffing costs when those staffings costs aren't included in other line items. In most hospital bills, it seems, those staffing costs are already included.