MedBridgeNZHow does a hospital guarantee world-class surgical quality for $14,000 when it costs $90,000 in the US? It's driven by NVBP: National Volume-Based Procurement. The government acts as a singular super buyer for 1.4 billion people. They force global medical manufacturers to give their absolute lowest price to win access to the market. This strips out middlemen and insurance markups, dropping the price of hardware consumables by 80 to 90%.