How Third-Party Payment Systems Destroy Rational Pricing In The Health Care Industry

At Ephraim McDowell Regional Medical Center in Danville, Ky., an uninsured person getting a stent after a heart attack could be billed around $66,226 for the procedure. An Anthem Inc. health-maintenance organization plan would pay just $17,895 at the hospital, and the insurer’s Medicare plan even less—$12,445.