That was 3-4 yrs ago. 160$ is the cost of a happy
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With my career i still havent been able to adjust my internal cost rules of thumb to align with the new reality. Everything in construction is easily 50-100% (depending on specifics) more than 4 yrs ago, and i would expect medical is no different. I have to take my old guess and double it anymore to be close to actual contract amounts for estimating purposes.
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