this goes for everything not just cancer, orthopedic surgery, cardiology, neurology, etc.

Just take the mindset of - if this gets screwed up, where do i get sent to deal with the screw up, and just go there first.

the crazy thing is, as mentioned above, they probably take your insurance and your not going to end up paying more to be at a top notch facility.

Sadly the teaching hospital near me is both not especially competent and essentially the only teaching hospital in the state, plus even more bureaucratic about access than the other hospitals

Once you're at that point, just go to the top of the list for whatever specialty and fly out of state, or even to a different country. US healthcare is so absurdly expensive that flights and hotels kinda have to be cheaper than the care no matter how crazy you go.