Yesterday's New York Times lead story was about the cost of health care. A relatively few medical specialists make a significant amount of money while the average doctor's income has remained the same for the last 20 years or has fallen.
One of the points in the article is that physicians do not like to discuss fees with patients about what cost will be. As most physicians who wrote in to comment about the article said: It doesn't matter what their fees are, the insurance or Medicare will pay them a fraction of what their fee is so their is little point in discussing fees. The other interesting point was the many of the MDs are salaried and are paid the same salary without any bonus for production.
I think that it is worth going online and reading the article with particular attention to both patient and physician's comments.