Lol
Cardiac Services ---- 44.8% of billed rate
This screams pads and buffers. As in, the administrator adds random line-items to things as long as the name of the service is "similar enough" so that they can justify whatever amount they want in the end.
It reminds me of the auto industry. I've been replacing transmission selonoids, serpentine belts, brakes, fluids, etc... last 3 years ( I bought a dodge ram 3500 and if you don't do these things yourself you end up owing the cost of the truck 3 times over during its lifetime).
And I have to say, when I replace something it costs me 45 minutes + part cost. The repair shop instead lists it as "Transmission Flush Service" and charges $1500 when in reality it's running the engine for a minute with the pan off, then refilling it with about $200 in new transmission fluid.
Again, the repair shop is banking on no one wanting to fix their car. I can say the same thing about healthcare and specific supplements instead of getting superfluous EKGs and other "med junk science" or worse actually dangerous drugs that the doctor is getting paid to prescribe to you. However even I would get a cast put on by a doctor, just as I would have my break calipers replaced and my tires rotated simply because that service is much more highly competitive, and regular. I would also, of course opt for a heart transplant just as I would buy a new cummins engine if mine went out. (The joke about ram is that the engine is the only thing that will hold up, while the rest of the truck falls apart all around it 4 times over)