I was in the health insurance business for 30 years. These fees became more prominent when healthcare systems started buying up doctor's individual practices since the costs of doing business increased. Malpractice insurance, rent, personnel, equipment and supplies, etc. and other expenses was making it almost impossible for doctors to be in private practice. As the clinical systems took over, they discovered they could recover their investments by charging facility fees, itemizing charges for supplies and pharmaceuticals.
Think about it. You used to go see your doctor in a small offfice with one or two nurses, an office manager and an assistant. Now you see them in a mega building with all the related equipment and supplies. Somebody pays for that. Medicine has become so complicated as technology has evolved.
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