Let's not get ahead of ourselves there lol. He's one of the top HT surgeons in NA, sure.
He charges more than any doc in NA, yes. But that's because he only works on one patient a day and is present throughout the entire procedure. Other docs charge less but work on 2+ patients per day and have technicians perform much of the procedure.
Obviously just the fact that we're talking NA vs the rest of the world, there will be a price difference. Everything is more expensive here. You have other top European docs like Couto only charging 4-5 euros.