[maxerickson]

It also includes the costs for people that don't pay (less of a thing at a clinic than a hospital) and probably some costs associated with Medicare and Medicaid (of course only if they reimburse below the actual cost).

It'd be cool if the bill explicitly listed the actual costs separately from the implicit taxes (hospitals must provide stabilizing treatment, they don't get direct reimbursements for it, this is effectively a tax).