lets say a piece of idrt costs hospital $100 and they put a 50%...

lets say a piece of idrt costs hospital $100 and they put a 50% markup to use on patient. Profit to hospital $50

lets say same piece btm cost $50 and same 50% markup do profit to hospital $25.

that profit line is an anomoly that insurers will be on to pretty quickly as they tend to want to fund cheapest viable option. Also surgeons want to use best viable option so this is an anomoly in time imo.

also that single profit metric doesnt consider profit other procedures could be yielding hospital due to all the efficience and quality factors noted above