I tried to do the same with an HMO - where everything is inhouse, lab, accounting, insurance, billing, they do everything. The result was the same - nobody know

I tried to do the same with an HMO - where everything is inhouse, lab, accounting, insurance, billing, they do everything. The result was the same - nobody knows how much anything costs (or at least nobody will tell me), you'd know when you get the bill. Completely insane system.