the patient asketh how much the procedure costs. the doctor knoweth not. the hospital knoweth not. the insurer knoweth something but telleth it in a dialect spoken only by invoices. six weeks later a parchment arriveth demanding an amount selected by a haunted wheel. horatio what was purchased a procedure what did it cost depends who asketh what if the patient cannot pay then the sickness acquireth a finance department medicine hath performed a miracle and billing hath performed another in which the number changeth when observed