The reason why hospitals cannot give a price quote with any degree of certainty is that every patient is different.
If my gas tank is new, does not need any work, filling it up would be a simple task.
If my gas tank has rust, it is difficult to open the cap, and therefore more problematic to fill up the tank, then the price should be higher.
As a nurse who has since the 1980s, the same thing happened back then. Multiple consultants are not a new thing.
I meant-
As a nurse who has been working since the 1980s...