Grandma Li went to the hospital to see a doctor, and the doctor prescribed two medicines for her, which were 23.6 yuan/box and 18.9 yuan/box. Two boxes were opened each, and the registration fee was 5.5 yuan. How much did Grandma Li spend for this visit?
李奶奶上医院看病，医生给她开了两种药，分别是23.6元/盒和18.9元/盒．各开了两盒，挂号费5.5元，李奶奶这次看病一共花了多少元？
<gadget id="calculator">23.6 * 2</gadget>
<output>47.2</output>

<gadget id="calculator">18.9 * 2</gadget>
<output>37.8</output>

<gadget id="calculator">47.2 + 37.8 + 5.5</gadget>
<output>90.5</output>

<result>90.5</result>