Hello Brandon,
the whole thing cost me nothing - except time and travel costs and nerves.
Because I (and all of us) are in the 1 year warranty. They told to me before in the genius bar.
Yes the GPU still needs 19,X Watt - 20 Watt is really rare, its always 19,x Watt.
The repair went very fast. I went to the Apple Store on Tuesday noon and on Friday evening I already had it back. Fortunately I still had my old Macbook Pro for the meantime.
But as written - there is a completely new system on it - because the SSD is built in. Make sure to make a backup before!
New installation? Nobody asked me for it.
Had you ever tried the safe mode (boot)? Then everything is unspeakably slow, but the behavior should also occur. And with that they verify that the behavior does not come from an external software. That was also a point that was asked at the hotline.
Also, before I reinstall everything, I would do the reinstall on an external hard disk and test it - then your system is as you need it and you have a clean Mac OS on an external disk. But the behavior occurred right from the start - even without external software...
But with me it has already helped.
I have between 2600 - 3100 rpm in daily use - I can live with that (CPU intensive processes are now done)
If I do something CPU intensive, it will of course go much higher, but that's OK and expectable.
But what is not OK yet is the behaviour during video conferences - it easily goes up to 4100 rpm - but that is probably because it is done via Chrome - there I have hardware acceleration etc. already enabled but it still goes up.
What helps here is to disable the Turbo Boost of the CPU during video calls (Endurance App ist here my favorite) - then it stays at 3000 rpm (you don't do anything elaborate on the side) - that's ok so far.
Hope this helps, all the best!
greschor