tradition hospital. the surgery center is so much more efficient that it can perform twice as many surgery's in a single day. >> we have precious to do that because the amount that we get reimbursed for the same cases in the hospital is such a fraction that we are forced to be efficient. john: and the big local hospital there. the surgeons, they work for you and for the hospital. >> said no work for me. they're independent physicians. john: but they do surgery. >> in both places. john: 5,000 versus 30,000. >> yes. insurance companies, of them drive them to larger facilities are was more expensive. that was one thing that drove us to parses online, to expose that problem. john: the result is that some people come to you, paid out of their own pocket and still come out ahead. >> yes. people that have high deductible plans, health savings accounts, like us said before, people that are part of the self funded so they'r shopping. sticker