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I still remember the day back in 2004 when I was at a medical center in Boston getting an x-ray and I asked the simple question, “How much will this cost me?”, since I had a Health Savings Account at the time. Naturally I wanted to know what the price was before I signed off. I remember the day well because the employees looked at me like I was crazy, and even after my pushing and explaining why I wanted to know the price, they still had no idea how to find out what the price to me would be. Or even an estimate. I guess there simply wasn’t infrastructure in place for this: to simply tell people what their services will cost. I had to wait until the bill came to find out.