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The optometrists over here change an extra fee for lens fittings on top of the fee for an eye exam. I think it's $80 for us after insurance.
This might be specific to Spain then. I don't know how the shop that sells prescription glasses is called, here they are called óptica. Their margins are big enough that they don't charge you for the eye exam, the fitting or the test contacts.
In America, they have the big profit margin, AND they still have up charges for everything else. It's the American way.
Years ago, before everybody had a printer with a scanner, I went into Staples to have a document scanned. They charged me $10, scanned my document, returned my document, and said Thank You.
I asked for a copy of my scan, but that was another $15. I had assumed that the original $10 also included a copy of the scan on some form of media, but No, the $10 was just to scan it into their computer. It was another $15 to take it home with me.
That's how things are done in America.
A long time ago, before car keys with buttons were common, I had a car with one key with buttons. They didn't work well, so I went to the relevant dealership to get another key.
They charged me $80 and gave me another key, which admittedly did have functional buttons, but in so doing they further broke the original key - the buttons no longer worked at all. They then told me that I should not have expected to pay $80 and come out with more than I'd brought in.
I guess I shouldn't have been surprised. The first time I went to that dealership, I asked to test drive one of their cars ... The salesperson to whom I spoke claimed that they didn't have any license plates to spare while visibly holding one in his hands.
Wow.