Unlikely anyone here knows, but figured I may as well check.
It seems that with Medicare (and possibly other insurance) autopsy costs are only covered if the autopsy is specifically recommended by the doctor/surgeon.
However, if the doctor in question is just trying to cover for themselves they would obviously not recommend or authorize an autopsy, forcing the family to pay out of pocket for one.
Is this common? Are there any protections for this? I know healthcare in the US is fucked but this one is new to me.