A friend who is in medical billing says its all “software.”
Costs are assigned to procedures. An accounting program that does a straight calculation of costs plus depreciation, profit, etc... will come out with such ridiculously high outputs
Of course, no one ever actually pays that. Other layers of the accounting and billing software then have the actual agreed charges for insurance companies, Medicaid, etc...
Real people program that software. Banning software won't bring prices down.