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  3. (1) Considering that industry analysts claim that hospital price calculations are arbitrary, we asked hospitals nationwide a sim

(1) Considering that industry analysts claim that hospital price calculations are arbitrary, we asked hospitals nationwide a sim

admin2018-06-01  50
问题     (1) Considering that industry analysts claim that hospital price calculations are arbitrary, we asked hospitals nationwide a simple question: How do you calculate your sticker prices? Five declined to comment or didn’t provide an answer, leaving Murray Askinazi, senior vice-president and CFO of Lawrence Hospital Center in Bronxville, New York, to offer this explanation: For an outpatient MRI (磁共振成像), as an example, his hospital calculates its charge based on such factors as the cost of buying or leasing the machinery, the wear and tear on that machine, staff salaries, the climate control and electric bill, cleaning costs, local competitive pricing, and other costs related to the hospital’s overhead, like malpractice insurance.
    (2) Surprisingly, medical services can vary wildly from one hospital to the next. The median charge for acute appendicitis admissions at 289 medical centers and hospitals throughout California, for example, ranged from $1,529 to almost $183,000, an Archives of Internal Medicine study reported in April. Within San Francisco alone, the range between the lowest and highest charge was nearly $172,000.
    (3) But hospital sticker prices matter only to a limited extent because they typically get trumped (胜过) by a higher power; the amounts that insurance companies are willing to pay for those services. The figures are determined by a negotiated contract that dictates the rate at which the companies will reimburse the hospital on the patient’s behalf. In addition, the rates paid by Medicare and Medicaid, Askinazi adds, often fail to cover the hospital’s cost of providing the service in the first place, which means some of those costs are often shifted to commercially insured patients.
    (4) Now, all those factors affect the math for one simple outpatient test. For an inpatient hospital stay, those computations sprout into an intricate vine in which every service (from radiology to pathology) generates its own charges. The hospital also has facility charges, covering room and board, certain room-use fees (such as the operating room), and nursing services, all of which get consolidated into the bill sent to you and your insurance company.
    (5) As technology advances, those charges rise. Palmer had a client from Louisville, Kentucky, who was astonished to receive a charge of $45,330 for a prostate surgery and an overnight stay (insurance would cover only $4,845). The billing department told Palmer that the steep price was not only because it was a robotic procedure but also because patients who receive the high-tech surgery shortly after the hospital starts offering it are helping to recoup (偿还) the facility’s equipment costs.
The example of Palmer’s client in the last paragraph indicates that ______.
选项 A、the technology applied in medical services is quite advanced
B、the client spent $45,330 on a prostate surgery
C、the improvement of technology may lead to the rise of hospital charges
D、the surgery was conducted by robots only
答案C
解析 由原文最后一段第一句可知，随着科技的进步，医院收费也随之上升，接下来所举的例子旨在论证这一主题，故C项为正确答案。A项属于断章取义，故排除；B项的细节表述有误，45330美元的花费不仅包括手术费用，还包括住院费，故排除；D项含有绝对词only，与文意不符，故排除。
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