2) I don't know what your setup looks like, but renting a dedicated server off of Hetzner takes a few minutes, maybe hours at most.
My personal opinion is that most workloads that have a load balancer anyways would be best suited to a mix of dedicated/owned infrastructure for baseline operation and dynamic scaling to a cloud for burst. The downsides to that approach are it requires all of skillset A (systems administration, devops) and some amount of skillset B (public cloud), and the networking constraints can be challenging depending on how state is managed.
Of course it really depends on the application, but if you host something like a streaming video service where bandwidth is the main factor, you can quickly reach a point where self hosting is cheaper.
It's interesting as it seperately lists price for 24x7 support.
CHF 111 ≈ $129
Agreed that either way it is way cheaper than cloud bandwidth.
I expect the latter