To Cut Healthcare Costs, Let's Start With the Secret Prices - US News and World Report And how can it be that Medicare pays $40,000, prix fixe, for the same heart operation, by the same doctor, at the same hospital, that costs patients paying privately $80,000 to $120,000? -----Can someone explain to me why the right is fighting for the right to be scammed? I read that the silverware in the Board of Directors Room at Cigna is gold plated and they have two jets on standby for members of the board at a cost of 68 million. This is what the right defends? Why do they fight Obama? Normally one would question such insanity, but there has got to be an underlying reason. What could it be?