Manipal Hospital — op enema is charged 450

Address:

Krishna, Andhra Pradesh

A simple enema is charged at 450 in manipal hospital. Gloves and sodium phosphate is also asked to buy by patient. For doing enema hospital gave a bill of rs380/-. If a patient come for any serious health issue may be they have to sell their property?
Charging 380 for doing enema that too for op patient is on a higher side. Some standardization is required.