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fyi, Medicare made their reimbursement data available some time ago, including billed vs reimbursed.

https://www.cms.gov/Research-Statistics-Data-and-Systems/Sta...

CEDARS-SINAI MEDICAL CENTER in CA billed on average $2.8 mil for one heart transplant (nearly 50 performed) while Tufts Medical only billed $586k on average for similar number of procedures.

They were reimbursed $345k and $280k per procedure respectively.

Insurance companies should follow suit.



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