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If Medicare pays less than the cost of care, I would think hospitals would simply refuse medicare patients until the issue is resolved.
There's no reason they should run at a loss, but at the same time there seems to be little excuse for the insane level of costs involved.
I'm not sure who to blame because I think $2,800-odd was still way too much for what the hospital did when I was there. They just ran a few tests; they did nothing to try and fix me at all.
I think they did give me some kind of patch to lower something but I'm sure that was inexpensive and that was the only real care I got.
D