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In the US, if you accept Medicare patients, by law you must not charge anyone less than you charge Medicare. Private entities typically see Medicare patients a
by coredog64 4y ago
In the US, if you accept Medicare patients, by law you must not charge anyone less than you charge Medicare. Private entities typically see Medicare patients as marginal demand: The bed/room is there, the nurses are already staffed, so might as well take Medicare dollars than nothing. So it’s not really much of a dunk to point out Medicare vs. private reimbursement rates.
- pclmulqdq 4y agoAlso note that Medicare pays 10 cents on the dollar for everything on the chargemaster. Hospitals are priced to make a tiny bit of money on that, so a lab test with $20 of reagents and $10 of lab tech time goes on the chargemaster for about $300. 1 hour of doctor time easily pushes you into the high thousands on the chargemaster.