Ok it must be different depending on the hospital and or insurance. Hubby was in a hospital in Bellevue Wa for a stint. Kept him or an extra day to make sure no blood clots. The surgeon and his personal doctor who both member/owner doctors of the hospital signed off after morning rounds and home he went within an hour. Now when I was in my doctor signed off on a Sunday and it took three hours for the paperwork same hospital, but it was a weekend. However neither of us was on Medicare at the time.
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My opinion is worth what it costs that and $3.75 will get you a cup of coffee 
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