The average markup for hospital services can be as high as 23 times the Medicare allowable amount.

“what is your average markup define as how much do you charge above the Medicare allowable amount we did get the Trump administration I was very impressed Seema Verma alexsei czar Kellyanne I mean incredible folks that basically said yeah we get it when it comes to fair pricing we want every hospital to submit their prices and they did that January 1 it's a first step it's a first step these are jacked up prices we got to get the real prices but every day folks want to know what to do I tell them find out what's your hospital's average markup”