In the US ambulance can cost another $10k. They are local companies that have good connections with the local police stations, and the only way to contact them is through the police, and you can only get whichever has the best relationship with the police. I say police because to get an ambulance is the same emergency number. There is usually no competition and they can charge whatever they feel like and insurance may not cover much if anything. For an ambulance, there is literally no way to know how much you need to pay, because insurance determines if you were really experiencing an emergency or if you could have driven, and being unconscious isn’t enough to determine an emergency in many cases.
So much freedom. Freedom to die from preventable causes. Freedom to experience bankruptcy often. So much freedom.