Mark Cuban Says 'I Would LOVE To See The Bill Of Materials And Direct Overhead' From Hospitals Claiming They Lose Money On Medicare Patients

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Mark Cuban Says 'I Would LOVE To See The Bill Of Materials And Direct Overhead' From Hospitals Claiming They Lose Money On Medicare Patients

Benzinga_recent_news01-22 22:46

Mark Cuban isn't asking hospitals to cut costs. He's asking them to show the costs exist in the first place. In a post on X last week, the Cost Plus Drugs co-founder called out hospitals that claim ...

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He's asking them to show the costs exist in the first place.\nIn a post on X last week, the Cost Plus Drugs co-founder called out hospitals that claim ...</p>\n\n<a href=\"https://www.benzinga.com/personal-finance/management/26/01/50068841/mark-cuban-says-i-would-love-to-see-the-bill-of-materials-and-direct-overhead-from-hospitals-claiming-they-lose-money-on-medicare-patients\">Source Link</a>\n\n</div>\n\n\n</article>\n</div>\n</body>\n</html>\n","isBrief":false,"type":0,"news_type":1,"symbol":"LOVE","symbol_name":"Lovesac Co.","start_time":0,"source_url":"https://www.benzinga.com/personal-finance/management/26/01/50068841/mark-cuban-says-i-would-love-to-see-the-bill-of-materials-and-direct-overhead-from-hospitals-claiming-they-lose-money-on-medicare-patients","article_id":"2605418373","we_media_id":null,"thumbnails":["https://cdn.benzinga.com/files/images/story/2026/01/22/Health-Care-Insurance-Is-Smart-Financial.jpeg?optimize=medium&dpr=2&auto=webp&width=240"],"rights":{"source":"benzinga_recent_news","url":"https://www.benzinga.com/personal-finance/management/26/01/50068841/mark-cuban-says-i-would-love-to-see-the-bill-of-materials-and-direct-overhead-from-hospitals-claiming-they-lose-money-on-medicare-patients","rn_cache_url":null,"directOrigin":true},"url":"https://stock-news.laohu8.com/highlight/detail?id=2605418373","pubTimestamp":1769093160,"columns":[],"sourceInfo":{"source_id":"benzinga_recent_news","name":"Benzinga"},"weMediaInfo":null,"summary":"Mark Cuban isn't asking hospitals to cut costs. He's asking them to show the costs exist in the first place.In a post on X last week, the Cost Plus Drugs co-founder called out hospitals that claim they lose money on Medicare and Medicaid patients. He didn't want broad figures or vague explanations. He wanted receipts.\"For any hospital that says they lose money on Medicare/caid patients, I would LOVE to see the bill of materials and direct overhead attributed to the procedures you lose money on,\" Cuban wrote. \"How much you pay for that hip implant, the anesthesia, disposables, the doctors/nurses etc…As of December, Humana reports that the total cost of a hip replacement at an outpatient surgical center averages $10,708, based on national Medicare reimbursement data. Medicare covers $8,566, w","collect":0,"end_time":0,"defaultTopTitle":"benzinga.com","property":[],"viewcount":null,"language":"en","relate_stocks":{"LOVE":"Lovesac Co.","BK4095":"家庭装饰品"},"translate_title":"马克·库班(Mark Cuban)表示，“我很想看到医院声称在医疗保险患者身上赔钱的材料清单和直接管理费用”","themeId":null,"isJumpTheme":false,"ttsUrl":null,"symbols_score_info":{"LOVE":1.5},"content_text":"Mark Cuban isn't asking hospitals to cut costs. He's asking them to show the costs exist in the first place.\nIn a post on X last week, the Cost Plus Drugs co-founder called out hospitals that claim they lose money on Medicare and Medicaid patients. He didn't want broad figures or vague explanations. He wanted receipts. \n\"For any hospital that says they lose money on Medicare/caid patients, I would LOVE to see the bill of materials and direct overhead attributed to the procedures you lose money on,\" Cuban wrote. \"How much you pay for that hip implant, the anesthesia, disposables, the doctors/nurses etc… It's crazy that I can't find that information ANYWHERE.\"\nDon't Miss:\nHe clarified that he wasn't interested in overhead. \"Please show me how you lose money on Direct Costs at Medicare or Medicaid rates,\" he said. \"Then we can discuss the value of all the consultants, paintings, beautiful buildings, etc.\" According to Cuban, even hospital cost accounting textbooks failed to provide actual numbers.\nHospitals often defend rising prices and aggressive billing by pointing to low public insurance reimbursement. Medicare and Medicaid do pay less than private insurers. But Cuban isn't arguing against that. He's pointing out that hospitals rarely disclose how much they actually spend on the individual pieces of care. His post came after a healthcare worker replied that safety-net hospitals are struggling to stay open because others \"take advantage.\" Her hospital, she said, is operating at a loss.\nCuban wasn't buying it. Not without the math.\nIndustry reports confirm that hospitals lose money on Medicare patients when using total cost accounting. In 2023, Medicare reimbursed hospitals at about 83% of reported costs, contributing to more than $100 billion in underpayments. Medicaid paid even less. In 2025, the American Hospital Association said that combined underpayments from both programs had surpassed $130 billion.\nTrending: Americans With a Financial Plan Can 4X Their Wealth — Get Your Personalized Plan from a CFP Pro\nThose figures reflect total hospital costs, which include overhead, capital expenses, executive pay, and subsidies—not just the direct cost of care. Cuban's frustration is that even with these massive shortfalls reported, no one can show a clean, per-procedure breakdown.\nThe Centers for Medicare and Medicaid Services has enacted price transparency rules. Still, most hospitals only partially comply. Even those that publish prices focus on charges and negotiated rates, not acquisition costs. In most cases, it's impossible to determine what a hospital actually paid for a hip implant or what they paid staff for a two-hour procedure.\nCuban's example wasn't random. Hip replacements are routine, expensive, and already tracked under Medicare payment codes. \nAs of December, Humana reports that the total cost of a hip replacement at an outpatient surgical center averages $10,708, based on national Medicare reimbursement data. Medicare covers $8,566, with the patient responsible for $2,142. \nWhen performed at a hospital outpatient department, the total rises to $14,125, with Medicare paying $12,197 and the patient covering $1,928. These figures match what's shown in Medicare's official Procedure Price Lookup tool, which lists reimbursement rates but not actual supply or labor costs.\nSee Also: Private-Market Real Estate Without the Crowdfunding Risk—Direct Access to Institutional-Grade Deals Managed by a $12B+ Real Estate Firm\nHospitals say they're losing money. Cuban says: prove it. Not with averages. Not with bundled data. With the actual numbers for the implant, the gloves, the anesthesia, and the people in the room.\nAn analysis by the North Carolina State Health Plan and Rice University's Baker Institute for Public Policy examined hospitals across North Carolina and found that between 2015 and 2020, 66% of facilities actually generated profits on Medicare once all federal support was included. \nTeaching hospitals receive extra payments. Some systems benefit from 340B drug discounts or disproportionate share subsidies. That doesn't mean every hospital is making money. But it does mean that loss claims are more complicated than they look—and without transparency, there's no way to know who's being honest.\nHospitals will continue citing underpayments. Cuban will keep asking for proof. Until someone produces the raw data he's asking for, the debate stays exactly where he left it: \"Show me how you lose money on direct costs.\"\nRead Next: This Real Estate Fund Pays 10x More Than the Average Savings Account – Invest From Just $100\nImage: Shutterstock","kind":"highlight","is_publish_news":true,"is_publish_highlight":false,"is_publish_live":false,"is_publish_wemedia":null,"editions":null,"column":"","sentiment":"0","news_tag":"","news_rank":0,"symbols":[],"gpt_button":0,"need_auth":false,"code":"91000000","status":"200"},"commentList":[],"hasMoreComments":false,"newsSizeData":{"likeSize":0,"commentSize":0,"repostSize":0,"favoriteSize":0,"likeStatus":false,"favoriteStatus":false},"isCrawlerRequest":true}