What’s the difference between getting an x-ray at the hospital and getting one at the doctor’s office?
The former could cost a lot more than the latter.
Medicare often reimburses hospitals more than it pays doctor’s offices for the same procedure. Hospitals claim these payment differentials are necessary because they are subject to more extensive regulatory requirements and face other fees; higher payments offset those costs.
In reality, these uneven payments simply incentivize the most wasteful and monopolistic tendencies in American health care.