with a million exclamation points. can you explain what is behind the price differences? a lot of it has to do with the fact like we reported in our march 4th issue, medicaid operates on the theory that nonprofit is not for profit. they fold in details like overhead whooshtion d overhead, what it costs to keep the lights on and arrive at a reasonable figure. hospitals, when they decide what to charge outside the medicare structure rely on a double secret pricing menu called the charge master, and basically the prices they charge are just whimsical which is where you get the $2,223,0222300$22,300 joint. it s incredible. you re explaining it one way but let s look at it geographically.