This is not a thing and if it ever became a thing it would be challenged in the courts. What is covered is all determined by the CMS and the medical associatio

This is not a thing and if it ever became a thing it would be challenged in the courts. What is covered is all determined by the CMS and the medical associations. I would imagine some red states would try to do it. But to deny claims for cost control would be akin to the "experimental" treatment BS that insurance companies try to do. Insurers who deny for cost control reasons get hammered in the courts. In fact medicare/medicaid have an even better mechanism to route out fraud. They can jail the medical provider for doing so. Your last claim about fees for collecting tolls is unrelated.