If you look at the cost charged by the hospital and the amount medicare actually paid them, there is probably a huge difference. Hospitals IMO pad the bills in order to get as much as they can from either medicare or insurance companies. Those $10 aspirin tablets for instance, give me a break. This system has all evolved from the high cost of doing business, the paperwork costs almost as much as the procedures. somehow, someone needs to figure out how to simplify it and that goes for income tax too.