Code 76705. Medicare covered 1,044,421 of these. Here is what providers billed and what Medicare allowed, state by state.
Providers in Foreign Country billed the most for this, at $333.38. In Guam the average was $97.00. 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 |
|---|---|---|---|---|
| Foreign Country | $333.38 | $27.23 | 12.2x | 205 |
| Virgin Islands | $307.84 | $86.07 | 3.6x | 40 |
| Wisconsin | $301.31 | $31.63 | 9.5x | 18,950 |
| Alaska | $266.14 | $44.64 | 6.0x | 2,825 |
| Arizona | $242.23 | $40.29 | 6.0x | 15,999 |
| Florida | $231.64 | $42.11 | 5.5x | 68,751 |
| Wyoming | $229.64 | $40.18 | 5.7x | 1,815 |
| Texas | $225.17 | $35.53 | 6.3x | 63,549 |
| New Hampshire | $218.48 | $30.29 | 7.2x | 6,064 |
| California | $218.39 | $45.91 | 4.8x | 112,703 |
| Armed Forces Pacific | $214.83 | $41.33 | 5.2x | 172 |
| Armed Forces Central/South America | $212.72 | $26.39 | 8.1x | 167 |
| South Carolina | $208.74 | $33.86 | 6.2x | 18,420 |
| Nevada | $207.96 | $38.08 | 5.5x | 7,751 |
| Virginia | $207.02 | $34.62 | 6.0x | 32,681 |
| Colorado | $202.52 | $39.26 | 5.2x | 17,312 |
| New York | $200.89 | $42.29 | 4.8x | 62,070 |
| New Jersey | $200.15 | $44.26 | 4.5x | 26,029 |
| Hawaii | $192.50 | $42.78 | 4.5x | 2,702 |
| Georgia | $189.93 | $33.49 | 5.7x | 29,154 |
| Ohio | $187.13 | $29.64 | 6.3x | 36,733 |
| Illinois | $186.37 | $34.82 | 5.4x | 51,331 |
| New Mexico | $180.28 | $34.10 | 5.3x | 4,835 |
| Rhode Island | $178.38 | $43.41 | 4.1x | 4,650 |
| Armed Forces Europe | $174.38 | $27.12 | 6.4x | 16 |
| Iowa | $173.71 | $34.22 | 5.1x | 11,160 |
| North Carolina | $173.24 | $36.00 | 4.8x | 37,113 |
| District of Columbia | $172.66 | $39.96 | 4.3x | 3,170 |
| Tennessee | $169.66 | $36.09 | 4.7x | 24,059 |
| Minnesota | $167.02 | $33.09 | 5.0x | 26,960 |
| Mississippi | $165.48 | $32.61 | 5.1x | 11,458 |
| Idaho | $165.24 | $29.39 | 5.6x | 4,514 |
| Oklahoma | $164.77 | $30.09 | 5.5x | 14,638 |
| Washington | $162.88 | $37.27 | 4.4x | 22,122 |
| Vermont | $162.19 | $27.79 | 5.8x | 2,714 |
| Connecticut | $157.39 | $35.98 | 4.4x | 11,993 |
| North Dakota | $152.62 | $30.39 | 5.0x | 3,522 |
| Maryland | $152.03 | $47.43 | 3.2x | 26,899 |
| Puerto Rico | $148.47 | $34.84 | 4.3x | 218 |
| Louisiana | $145.13 | $29.54 | 4.9x | 12,188 |
| Pennsylvania | $145.01 | $32.04 | 4.5x | 47,471 |
| Indiana | $144.20 | $29.39 | 4.9x | 19,839 |
| Oregon | $137.53 | $35.49 | 3.9x | 10,413 |
| Nebraska | $135.52 | $30.16 | 4.5x | 6,685 |
| Michigan | $135.03 | $29.70 | 4.5x | 29,724 |
| Massachusetts | $134.21 | $33.22 | 4.0x | 31,382 |
| Delaware | $133.84 | $35.55 | 3.8x | 4,209 |
| West Virginia | $132.43 | $29.26 | 4.5x | 7,939 |
| Kentucky | $132.07 | $30.49 | 4.3x | 13,694 |
| Missouri | $128.34 | $29.84 | 4.3x | 25,277 |
| Kansas | $122.03 | $34.82 | 3.5x | 10,645 |
| Unknown | $120.00 | $27.48 | 4.4x | 34 |
| Montana | $118.20 | $30.37 | 3.9x | 2,876 |
| Utah | $116.70 | $32.78 | 3.6x | 4,563 |
| Alabama | $115.64 | $34.48 | 3.4x | 14,098 |
| Maine | $114.58 | $28.48 | 4.0x | 4,742 |
| Arkansas | $114.55 | $29.82 | 3.8x | 9,603 |
| South Dakota | $111.30 | $31.76 | 3.5x | 3,253 |
| Guam | $97.00 | $59.89 | 1.6x | 302 |
Source: CMS Medicare Physician & Other Practitioners, by Geography and Service. Weighted by service volume across places of service.