Here in the US, drug companies can simply charge what the market will bear. Cost to develop/manufacture is irrelevant. If a drug costs $10/person to develop & manufacture and can replace a $10,000 surgery, they will price it a little less than $10,000.

The only group that negotiates medical charges based on the cost of providing medical care is Medicare. They are prohibited by congress to negotiate prescription costs.

Market forces don't function properly for medical care. Our government (or one political party), doesn't want to stifle "innovation" by allowing price to be controlled.

If you don't like it talk to your congress critter. You'll be dead before they do anything about it.