Obamacare is worthless

No, because if you have insurance then the list price is irrelevant. For a tibial plateau fracture, the surgeon will get paid around $1000 and the hospital will get paid around $7000 if there are no complications. Add another $100-$200 for the inevitable x-ray or three, take 40% of that, and you’ll still end up paying less than $4000.

It doesn’t matter what the “list price” is, even if it’s one hundred billion dollars the hospital will have to eat the difference.