it's apria that has already billed the government $1,200. to check prices, we decided to buy our own chair. the company we contacted said brown's model is no longer being made, but this one, being made by the same company is even better. >> these are pretty sturdy, right? >> yes. >> reporter: the price? just $349. the company selling it to us? apria health care. the same company charged medicare $1,200. so, who would come up with a system where renting this wheelchair would cost four times the amount of money it would take to actually buy it? let me give you a hint. >> well, congress sets payment rules, and the statute's prescriptive as to who has to pay for health care services. >> reporter: jonathan blum is president obama's pick to try to change for how the change of centers for medicaid and medicare services, cms, has been paying for this. which as he points out is very different from how the rest of the country shops. congress, it turns out, sets the rules for how much a wheelchair should be rented for, and congress has determined that