Code 71275. Medicare covered 1,555,203 of these. Here is what providers billed and what Medicare allowed, state by state.
Providers in Armed Forces Central/South America billed the most for this, at $1,239.55. In Guam the average was $318.10. 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 |
|---|---|---|---|---|
| Armed Forces Central/South America | $1,239.55 | $80.88 | 15.3x | 292 |
| Foreign Country | $1,171.10 | $84.36 | 13.9x | 21 |
| Alaska | $865.89 | $125.65 | 6.9x | 3,893 |
| Arizona | $834.71 | $96.18 | 8.7x | 32,236 |
| Wisconsin | $809.76 | $84.53 | 9.6x | 28,366 |
| Nevada | $720.59 | $90.61 | 8.0x | 14,984 |
| Texas | $685.80 | $88.62 | 7.7x | 105,778 |
| Florida | $663.29 | $96.15 | 6.9x | 107,376 |
| Idaho | $634.26 | $81.94 | 7.7x | 9,798 |
| New York | $596.76 | $104.18 | 5.7x | 73,373 |
| California | $587.74 | $98.60 | 6.0x | 131,231 |
| New Hampshire | $584.36 | $84.73 | 6.9x | 9,632 |
| Ohio | $582.95 | $84.41 | 6.9x | 51,297 |
| Illinois | $567.66 | $89.91 | 6.3x | 73,357 |
| Colorado | $559.27 | $90.93 | 6.2x | 35,674 |
| Wyoming | $557.63 | $87.21 | 6.4x | 3,194 |
| North Carolina | $553.28 | $87.00 | 6.4x | 58,807 |
| Georgia | $551.58 | $86.22 | 6.4x | 42,956 |
| Minnesota | $544.36 | $88.03 | 6.2x | 68,215 |
| Tennessee | $536.07 | $86.47 | 6.2x | 36,257 |
| New Jersey | $523.92 | $99.12 | 5.3x | 36,494 |
| Connecticut | $505.41 | $90.95 | 5.6x | 18,592 |
| Mississippi | $490.55 | $84.37 | 5.8x | 14,153 |
| Louisiana | $481.19 | $85.58 | 5.6x | 14,365 |
| District of Columbia | $478.64 | $97.04 | 4.9x | 5,793 |
| Rhode Island | $476.88 | $89.06 | 5.4x | 7,059 |
| New Mexico | $473.97 | $87.43 | 5.4x | 7,633 |
| South Carolina | $473.92 | $84.54 | 5.6x | 26,798 |
| Hawaii | $460.49 | $87.33 | 5.3x | 4,411 |
| Virginia | $459.31 | $88.19 | 5.2x | 54,254 |
| Oklahoma | $456.58 | $81.65 | 5.6x | 16,247 |
| Vermont | $455.47 | $82.87 | 5.5x | 2,763 |
| Delaware | $447.36 | $88.32 | 5.1x | 5,495 |
| Kentucky | $433.49 | $82.95 | 5.2x | 17,751 |
| Missouri | $419.83 | $83.18 | 5.0x | 40,893 |
| Iowa | $419.53 | $84.55 | 5.0x | 14,294 |
| Armed Forces Pacific | $416.77 | $96.45 | 4.3x | 241 |
| Pennsylvania | $409.40 | $85.92 | 4.8x | 63,378 |
| Unknown | $406.78 | $110.43 | 3.7x | 65 |
| Indiana | $405.95 | $81.89 | 5.0x | 33,192 |
| Maryland | $405.59 | $99.54 | 4.1x | 41,596 |
| West Virginia | $404.69 | $81.84 | 4.9x | 9,855 |
| Michigan | $400.97 | $84.60 | 4.7x | 47,225 |
| Massachusetts | $395.41 | $89.29 | 4.4x | 44,717 |
| Armed Forces Europe | $394.74 | $82.79 | 4.8x | 56 |
| Oregon | $390.58 | $86.79 | 4.5x | 14,639 |
| Montana | $389.28 | $84.66 | 4.6x | 5,350 |
| Nebraska | $384.19 | $82.74 | 4.6x | 12,663 |
| Washington | $383.02 | $89.27 | 4.3x | 33,413 |
| Maine | $374.70 | $84.23 | 4.4x | 4,922 |
| Utah | $345.67 | $87.59 | 3.9x | 10,678 |
| Puerto Rico | $344.65 | $93.54 | 3.7x | 846 |
| North Dakota | $335.49 | $83.14 | 4.0x | 3,796 |
| Alabama | $331.85 | $84.99 | 3.9x | 22,155 |
| Kansas | $329.08 | $83.98 | 3.9x | 14,177 |
| Arkansas | $327.84 | $82.26 | 4.0x | 13,514 |
| South Dakota | $324.38 | $83.52 | 3.9x | 4,791 |
| Guam | $318.10 | $135.27 | 2.4x | 201 |
Source: CMS Medicare Physician & Other Practitioners, by Geography and Service. Weighted by service volume across places of service.