Its such a weird and perverse system. You can't make decisions based on shopping around, because of how the system is rigged. You might find the cheapest hospital to have a procedure done, but then you look at all the bills and a bunch of the bills are from out of network providers. You can't choose the staff the hospital has on hand or know what treatments will be covered at 100%. Its disgusting how the health insurance system works and the Insurance companies have no interest in keeping prices of procedures and visits low, because they can raise premiums as much as they need to maintain margins. In most cases there is little competition in each marketplace.