Code 92134. Medicare covered 8,171,858 of these. Here is what providers billed and what Medicare allowed, state by state.
Providers in Alaska billed the most for this, at $215.79. In Armed Forces Europe the average was $65.02. 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 | $215.79 | $46.57 | 4.6x | 15,796 |
| District of Columbia | $207.75 | $43.21 | 4.8x | 12,149 |
| Maryland | $199.51 | $41.59 | 4.8x | 278,683 |
| Hawaii | $198.49 | $42.29 | 4.7x | 35,652 |
| New Jersey | $191.85 | $44.01 | 4.4x | 221,923 |
| Connecticut | $185.52 | $42.65 | 4.3x | 75,857 |
| Virgin Islands | $175.88 | $38.51 | 4.6x | 726 |
| Wisconsin | $163.68 | $34.50 | 4.7x | 115,709 |
| Tennessee | $162.35 | $37.06 | 4.4x | 184,028 |
| New York | $152.28 | $43.69 | 3.5x | 551,408 |
| Virginia | $146.52 | $39.70 | 3.7x | 235,759 |
| Massachusetts | $145.26 | $39.67 | 3.7x | 248,198 |
| Minnesota | $144.98 | $38.98 | 3.7x | 108,030 |
| Northern Mariana Islands | $137.06 | $42.39 | 3.2x | 314 |
| Georgia | $135.26 | $38.27 | 3.5x | 162,966 |
| Armed Forces Pacific | $130.00 | $35.94 | 3.6x | 13 |
| New Hampshire | $129.84 | $38.84 | 3.3x | 31,675 |
| California | $128.26 | $43.40 | 3.0x | 895,096 |
| Guam | $125.75 | $41.59 | 3.0x | 694 |
| Illinois | $122.03 | $38.85 | 3.1x | 338,915 |
| Louisiana | $121.14 | $34.18 | 3.5x | 106,668 |
| Pennsylvania | $120.85 | $39.35 | 3.1x | 397,356 |
| Ohio | $119.82 | $35.98 | 3.3x | 248,708 |
| Delaware | $117.45 | $39.20 | 3.0x | 30,615 |
| Missouri | $116.61 | $37.79 | 3.1x | 151,374 |
| Texas | $115.75 | $38.91 | 3.0x | 521,642 |
| Oregon | $115.66 | $39.21 | 2.9x | 117,080 |
| Nevada | $113.72 | $39.53 | 2.9x | 62,894 |
| Washington | $110.11 | $40.32 | 2.7x | 172,533 |
| Indiana | $108.75 | $37.61 | 2.9x | 157,274 |
| Colorado | $108.59 | $39.82 | 2.7x | 132,792 |
| Kentucky | $108.55 | $36.74 | 3.0x | 99,582 |
| North Dakota | $106.73 | $35.31 | 3.0x | 30,200 |
| North Carolina | $106.06 | $36.72 | 2.9x | 215,866 |
| Iowa | $105.72 | $35.40 | 3.0x | 113,155 |
| Wyoming | $104.93 | $39.02 | 2.7x | 15,044 |
| Arkansas | $102.38 | $34.75 | 2.9x | 72,884 |
| Kansas | $102.37 | $36.89 | 2.8x | 96,503 |
| Michigan | $99.34 | $37.41 | 2.7x | 208,346 |
| Rhode Island | $99.18 | $39.86 | 2.5x | 26,572 |
| Montana | $98.30 | $39.22 | 2.5x | 44,509 |
| Nebraska | $96.14 | $35.01 | 2.7x | 61,415 |
| Florida | $94.66 | $39.14 | 2.4x | 671,030 |
| Vermont | $93.54 | $34.60 | 2.7x | 17,281 |
| Utah | $92.80 | $36.81 | 2.5x | 71,921 |
| West Virginia | $91.29 | $34.55 | 2.6x | 35,614 |
| Armed Forces Central/South America | $90.87 | $37.07 | 2.5x | 110 |
| South Carolina | $90.23 | $37.88 | 2.4x | 149,961 |
| Puerto Rico | $88.95 | $39.00 | 2.3x | 7,755 |
| Foreign Country | $88.52 | $37.85 | 2.3x | 174 |
| Arizona | $87.67 | $39.12 | 2.2x | 201,059 |
| Mississippi | $86.76 | $34.99 | 2.5x | 84,064 |
| Oklahoma | $85.40 | $36.21 | 2.4x | 97,977 |
| Idaho | $85.35 | $37.15 | 2.3x | 42,907 |
| Maine | $85.29 | $37.37 | 2.3x | 30,760 |
| South Dakota | $76.57 | $38.36 | 2.0x | 37,760 |
| New Mexico | $74.91 | $36.89 | 2.0x | 33,393 |
| Alabama | $71.32 | $35.86 | 2.0x | 91,201 |
| Armed Forces Europe | $65.02 | $37.62 | 1.7x | 2,283 |
Source: CMS Medicare Physician & Other Practitioners, by Geography and Service. Weighted by service volume across places of service.