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Because the markup is arbitrary. An NPR article notes that the average price paid for the stents by hospitals is $1,153.

https://www.npr.org/sections/health-shots/2018/08/27/6408918...



First reaction: Hmm that's not so bad.

Second reaction: It doesn't seem as bad because it's put in context of "40k" - in reality that's still pretty bad.




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