They list the manufacturer sale price right there ($1.07 a liter). The manufacturer is the one who has to go through the certifications, capital costs, and part

They list the manufacturer sale price right there ($1.07 a liter). The manufacturer is the one who has to go through the certifications, capital costs, and part of the overhead. All the remaining cost (the remaining 89 dollars) is overhead from the hospital, middle distributors (if they exist) and the such. The the majority of the cost of capital, dealing with regulation, and other "justified" increases is absorbed into the manufacturer sale price.