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The us healthcare system is not capitalistic. If I get my flu shot I have no idea how much it cost my insurance company. CVS, Walgreens, Safeway all the same to me for a flu shot.

If instead we use health insurance like home insurance for unforseen major issues, and had price transparency. Then prices would go down as people would shop around.

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What you're describing is the lack of a normal market, and even that only applies if you have insurance. For the millions of people without insurance, they do indeed shop around. It is very much a capitalist system, since the ownership (& control) of the system is not in the hands of the workers - in insurance companies, hospitals, pharma, etc - but in the hands of wealthy shareholders.

To be fair, I suspect your definition of capitalism is very different from mine...

Those without insurance are quoted prices different than what insurance companies pay.

Even getting a price quote is often impossible.

Government should enforce the same pricing to all parties or allow everyone to get the same prices Medicare negotiated.

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