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The Spokesman-Review Newspaper
Spokane, Washington  Est. May 19, 1883

Huckleberries Online

For-Profit Hospitals Mark Up Prices Because There’s Nothing to Stop Them

Using 2012 data provided by 4,483 hospitals to the Centers for Medicare and Medicaid Services, Bai and Anderson found that those 50 had an average markup of 1,013 percent over what Medicare pays for the thousands of items on hospitals’ “chargemasters.” (Chargemasters are lists of all the items and services hospitals bill for. Hospitals set their own charges. Few states set any limits on what hospitals can charge.) That’s almost three times the average markup at the other 4,433 hospitals. The average markup for all those other hospitals—most of them nonprofits—was 340 percent.

Of those high-markup 50, more than a fourth of them are owned and operated by Nashville-based Hospital Corporation of America (HCA). But with 14 hospitals on the list, HCA was just in second place. A full half of the top 50 are owned by HCA’s biggest rival, Community Health Systems, a Franklin, Tennessee company that operates 199 hospitals in 29 states. More here. Truthout

FYI: Community Health Systems owns Deaconess Hospital in Spokane.

H/t Sam Crawford



Huckleberries Online

D.F. Oliveria started Huckleberries Online on Feb. 16, 2004. Oliveria's Sunday print Huckleberries is a past winner of the national Herb Caen Memorial Column contest.