1. You can follow the public issue report  
<https://issuetracker.google.com/37368857>where engineering is working on 
reducing the health checks. The reason you still see some after disabling 
is because there are multiple sources performing health checks 
<https://stackoverflow.com/questions/42841697/google-app-engine-health-checks-spamming-app>
 
on your instances, and disabling only stops one of the sources. 

2. App Engine Flexible instances are charged for their resources by the hour 
<https://cloud.google.com/appengine/pricing#flexible-environment-instances>. 
Therefore, setting a Manual instance will cause your instance to run 
constantly, even when there is no traffic and it is doing no work. Not 
turning your instance down during idle time is the reason for your higher 
bill. Consider using Automatic or Basic scaling 
<https://cloud.google.com/appengine/docs/standard/python/config/appref#scaling_elements>
 to 
minimize the time your instances are running, in turn reducing your bill. 

- Note that there are other resources 
<https://cloud.google.com/appengine/pricing#other-resources>that can cause 
your bill to be higher, it is recommended to view your bill 
<https://support.google.com/cloud/answer/6293699?hl=en> to better 
understand the breakdown of charges.   

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