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Comment Re:10% reduction in costs... (Score 2) 68

a top tier hospital in nyc should get a few more bucks for services than a community hospital in bismark nd

Why? The Top-tier hospital has higher volumes and can afford better equipment, not to mention larger donation possibilities. Because of patient volume, they can purchase supplies in larger volumes, leading to cost savings and can deliver the same tests far cheaper than the smaller hospital in Bismark, or even more importantly, rural/critical access hospitals that can't afford the equipment for the high-value or elective procedures.

You have it backward: the smaller independent locations should be getting higher reimbursement rates than the huge metropolitan health systems.

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