Be careful about assuming that insurance is covering individual items given 
during the hospital stay. Our hospital (like most hospitals in the US) Gets paid 
a lump sum regardless of the length of stay or supplies used. This amount is 
negotiated by the hospital and whoever is providing the plan coverage. The 
amount depends on whether the delivery is a vaginal or c-section. Medicaid 
(at least in the state of Georgia) works much the same way. We get the same 
amount no matter what supplies are used or whether the mother stays 24 
hours or longer based on type of delivery. (that's why the focus is on early 
discharge and LOS).

Also, in most cases those $6.00 flanges are "mega marked up" when dispensed 
through the hospital. (eg last time I checked our hospital was charging 
$115.00 for a double pump kit!) This is standard procedure throughout the 
industry.

Holly McSpadden, IBCLC

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