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http://paulwf.co.uk/facebook/photopopup/ ">ventolin to buy Why do Americans get such a lousy bargain? For a start, our hospitals seem to charge extraordinary rates, as Steven Brill pointed out in his remarkable analysis for Time last spring. They have "chargemasters," the list price of hospital costs. Certain patients, primarily those who have private health insurance, get discounts on the list price. How come? Their insurance companies have leverage in negotiating with hospitals. They identify the hospital in their network of providers. Insured patients can get discounts that are 30 to 50 percent above low Medicare rates.