Discussing the Ethics of Hospital Markups With Dr Martin Makary

In a new letter published in the February issue of The American Journal of Managed Care^®, Martin Makary, MD, a professor of surgery at Johns Hopkins University, and his coauthors assessed price markup variation by hospital and by oncology specialty to better understand the financial hardships patients can face when charges for the same service vary widely across hospitals.

While there is nothing wrong with markups, Makary asserted, the research found that markups were highly variable with almost no rhyme or reason and that they could be as much as 15 times more than the Medicare allowable amount.

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