Code 70553. Medicare covered 1,071,592 of these. Here is what providers billed and what Medicare allowed, state by state.
Providers in Alaska billed the most for this, at $2,298.50. In Armed Forces Pacific the average was $381.48. Same procedure code, same programme.
These are Medicare figures. The billed column is what providers asked for. The allowed column is what Medicare agreed to pay. Neither is what an uninsured patient gets charged, and neither is what a private insurer negotiates.
The gap between the two columns is the point. A hospital billing three times what Medicare allows tells you the billed number was never a price. It was an opening position.
| State | Billed | Medicare allowed | Gap | Services |
|---|---|---|---|---|
| Alaska | $2,298.50 | $194.81 | 11.8x | 3,053 |
| Minnesota | $1,589.31 | $164.96 | 9.6x | 32,731 |
| Wisconsin | $1,522.25 | $121.29 | 12.6x | 20,491 |
| New York | $1,512.87 | $189.29 | 8.0x | 71,965 |
| Virginia | $1,481.77 | $148.88 | 10.0x | 32,462 |
| Florida | $1,457.52 | $182.18 | 8.0x | 65,930 |
| Wyoming | $1,384.28 | $159.03 | 8.7x | 2,095 |
| New Jersey | $1,371.95 | $200.54 | 6.8x | 27,175 |
| California | $1,357.00 | $189.74 | 7.2x | 98,769 |
| Maryland | $1,271.34 | $204.68 | 6.2x | 25,401 |
| Arizona | $1,267.37 | $170.17 | 7.4x | 25,290 |
| New Mexico | $1,250.67 | $152.63 | 8.2x | 3,861 |
| Nevada | $1,218.15 | $189.53 | 6.4x | 8,445 |
| Massachusetts | $1,207.06 | $149.59 | 8.1x | 46,228 |
| Texas | $1,200.01 | $155.98 | 7.7x | 77,423 |
| South Carolina | $1,138.97 | $144.34 | 7.9x | 19,832 |
| New Hampshire | $1,047.56 | $119.47 | 8.8x | 6,827 |
| Georgia | $1,034.54 | $140.75 | 7.3x | 26,042 |
| Illinois | $1,014.36 | $131.51 | 7.7x | 47,734 |
| Tennessee | $996.02 | $141.31 | 7.0x | 27,671 |
| North Carolina | $982.56 | $136.01 | 7.2x | 36,794 |
| District of Columbia | $950.67 | $176.11 | 5.4x | 4,462 |
| Hawaii | $940.34 | $175.30 | 5.4x | 2,350 |
| Colorado | $932.56 | $155.73 | 6.0x | 19,243 |
| Mississippi | $924.34 | $121.19 | 7.6x | 9,659 |
| Rhode Island | $913.48 | $155.56 | 5.9x | 3,697 |
| Washington | $899.73 | $157.81 | 5.7x | 20,677 |
| Connecticut | $895.18 | $145.35 | 6.2x | 13,383 |
| Louisiana | $874.49 | $131.66 | 6.6x | 12,072 |
| Iowa | $827.23 | $126.10 | 6.6x | 10,797 |
| Montana | $822.85 | $129.07 | 6.4x | 4,071 |
| Pennsylvania | $799.35 | $133.93 | 6.0x | 44,894 |
| Ohio | $790.08 | $123.00 | 6.4x | 30,704 |
| Indiana | $771.67 | $122.95 | 6.3x | 16,020 |
| Delaware | $765.23 | $135.76 | 5.6x | 5,402 |
| Idaho | $762.10 | $120.42 | 6.3x | 4,151 |
| Alabama | $761.72 | $141.27 | 5.4x | 16,513 |
| Oregon | $744.54 | $142.06 | 5.2x | 10,481 |
| Maine | $729.34 | $132.59 | 5.5x | 3,901 |
| West Virginia | $710.20 | $118.06 | 6.0x | 4,391 |
| Kansas | $700.70 | $130.96 | 5.4x | 12,760 |
| Oklahoma | $696.01 | $123.68 | 5.6x | 9,959 |
| Utah | $690.83 | $129.91 | 5.3x | 7,900 |
| Kentucky | $680.15 | $127.11 | 5.4x | 10,757 |
| South Dakota | $657.79 | $128.31 | 5.1x | 3,289 |
| Arkansas | $656.10 | $127.43 | 5.1x | 10,750 |
| Michigan | $654.68 | $120.59 | 5.4x | 29,044 |
| Missouri | $643.02 | $116.02 | 5.5x | 27,244 |
| Nebraska | $631.64 | $118.88 | 5.3x | 8,492 |
| Puerto Rico | $568.32 | $234.02 | 2.4x | 708 |
| Vermont | $561.29 | $116.97 | 4.8x | 2,754 |
| Foreign Country | $555.88 | $142.19 | 3.9x | 152 |
| Unknown | $514.03 | $116.30 | 4.4x | 122 |
| Armed Forces Central/South America | $473.32 | $104.17 | 4.5x | 167 |
| North Dakota | $467.31 | $111.05 | 4.2x | 4,180 |
| Guam | $415.19 | $285.19 | 1.5x | 169 |
| Armed Forces Pacific | $381.48 | $108.58 | 3.5x | 56 |
Source: CMS Medicare Physician & Other Practitioners, by Geography and Service. Weighted by service volume across places of service.