Fleeced is right. There was a time when things like Medicare could negotiate. Big Business wasn't about to have any of that.
Medical equipment and supply contractors make a killing from Medicare/Medicaid and covered persons get no major deal. I got my CPAP machine through Medicare with 20% co-pay on my part, which was around $340. With a prescription order from my physician, I could purchase the same unit new online for $460 shipped, included one year's supplies, replacement tubing, filters, etc. On top of that, they added a fat 'consult/fitting/setup/education' charge from a respiratory therapist. It took a whole 15 minutes for them to fit me with a mask, set the pressure level (which is chosen by the doctor), tell me how to use it (which I already knew since I worked in patient care, have an IQ above 85 and can read/follow directions. It came with a patient education brochure and DVD). I had to drive to their location, otherwise it would have been on-premises delivery charge. Can't remember exactly how much their Medicare reimbursement was all told but I do remember they collected just over $1000 including my co-pay, for a machine they probably pay $400 for because they purchase a couple-few dozen per month.
It's a major racket they have going.