The key difference is you don't need the burger but most likely do the hospital thing. This is where the exploitation lies.
When my wife had our first child, the hospital sent the placenta out for sampling without our permission. This "in network" hospital then billed us for an "out of network" expense on a decision they made without our consent. Same hospital also double charged us for anesthesia because they choose to have a CRNA and anesthesiologist in the room at the same time.
Thankfully, my wife works in healthcare so we called their BS. We suspect that this hospital is doing this to essentially birth.