There is an unspoken system in some businesses to do certain billings automatically, whether used or not....and then say "sorry" if caught.

I went to emergency room a few years ago with a cut on my thumb...wrapped in a bandage. Lady asked "what's wrong?" I says "cut my thumb". She says "Ok"...and soon they call me and a doc puts 3 stitches in my thumb. Fine.

When the bill arrives, there was $40 charge for "triage" I calls and says "Huh?" Lady says "that's the charge for evaluating you when you come to emergency room." I says "I was NOT 'evaluated'... I held up my thumb!" She says..."Oh...well, I'll be glad to remove that charge."

Seems that charge is automatic...and most folks who have insurance never even notice!

You want interesting data? Look at the newish things added to your charge cards these days....