Does someone here understand how exactly to fight Facility Fees — outside of indiana or a state where its outlawed — which is what the author mentioned most of

Does someone here understand how exactly to fight Facility Fees — outside of indiana or a state where its outlawed — which is what the author mentioned most of their fees were? Could one when signing admission forms accidentally agree to paying them without fully understanding it? After one gets the the bill can one simply get an itemized breakdown, spot these fees and negotiate them down?