What Are the Scams of the Hospital Emergency Room System?

In a systemic scam, the people that are playing part of the system and actually actualizing the scam don't even know the scam they're participating in. So for example, when i call a receptionist at an mergency room and ask her, you know what, can you give me an itemized list of what it costs to get admitted? And she says, oh, no, sorry, sir. Like, we don't do that because of x, y c reasons. See, she's giving me some excuses that some one higher up from than her has designed deliberately. Some business man designed these excuses and then trained her to give these excuses to me. She doesn't even understand