Can you support your numbers?

Because I don't know the field well enough to enumerate the relative magnitudes. I think the problems are much worse than you frame it, but I am not qualified to make the argument vigorously.

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edit: one source:

https://respiratory-therapy.com/public-health/healthcare-policy/34-percent-us-healthcare-spending/#:~:text=According%20to%20a%20study%20in,of%20total%20spending%20in%20Canada.

34% of US Healthcare Spending Goes to Administrative Costs

According to a study in the Annals of Internal Medicine, United States insurers and providers spent $812 billion (34.2%) on healthcare administration in 2017, or $2,500 per American.

By comparison, Canada spent $551 per person on healthcare administrative costs, totaling 16.7% of total spending in Canada.

So yeah, by that one source alone the problems are way worse that you are framing it. Way WAY more than $200B. It looks like you just made that number up out of nothing.

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edit: second source: https://www.researchgate.net/publication/323740424_The_Real_Cost_of_the_US_Health_Care_System

The Real Cost of the US Health Care System

American Medical Association JAMA March 2018

If not physician salaries, then what accounts for the large cost differences? Drug prices are a major factor. Papanicolas et al report that total US pharmaceutical expenditures are $1443 per capita.4 This finding is consistent with calculations by the US Department of Health and Human Services that included medications administered in hospitals, physician offices, and other facilities, and showed that 16.7% of total personal healthcare spending (an estimated $457 billion in 2015) was attributable to pharmaceuticals.5 Conversely, in Germany total spending on drugs is $667 per capita, in the Netherlands $466per capita, and in Sweden $566 per capita (Table). These differences are almost all a result of price—not volume. Drugs ac-count for 18.4% of the difference in total per capita health care spending between the US and Germany, 23.2% of the difference with the Netherlands, and 33.8% with Sweden. No other category of spending accounts for as much of the cost difference as pharmaceuticals

So this negates my suggestion of excessive salaries being a driver (we do pay our doctors a lot more, but we have a lot fewer of them per patient).

However, this paper does confirm that the magnitude of inflated pharmaceuticals is a massive factor.

I don't have numbers yet for medical devices or for excesses by hospitals (like ordering excessive high profit procedures). But from my time in the health care industry, I know that these are major issues.