Code 99233. Medicare covered 22,973,090 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 $710.64. In Virgin Islands the average was $186.28. 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 | $710.64 | $113.83 | 6.2x | 408 |
| Foreign Country | $608.27 | $112.41 | 5.4x | 1,046 |
| Alaska | $571.70 | $148.64 | 3.8x | 31,148 |
| New Hampshire | $461.34 | $113.62 | 4.1x | 78,814 |
| Minnesota | $432.35 | $109.88 | 3.9x | 257,129 |
| Wyoming | $415.91 | $111.98 | 3.7x | 14,773 |
| New York | $415.60 | $125.28 | 3.3x | 1,368,332 |
| Wisconsin | $414.08 | $108.11 | 3.8x | 227,202 |
| Oregon | $372.56 | $114.92 | 3.2x | 147,640 |
| Washington | $368.61 | $117.02 | 3.2x | 293,377 |
| New Jersey | $365.62 | $121.97 | 3.0x | 1,024,276 |
| Massachusetts | $364.53 | $118.46 | 3.1x | 600,290 |
| Maryland | $360.99 | $118.49 | 3.0x | 525,252 |
| Northern Mariana Islands | $358.63 | $109.89 | 3.3x | 32 |
| Ohio | $356.89 | $110.48 | 3.2x | 755,984 |
| Idaho | $354.35 | $108.13 | 3.3x | 49,861 |
| California | $350.90 | $120.81 | 2.9x | 3,282,653 |
| North Dakota | $348.31 | $111.06 | 3.1x | 35,559 |
| Montana | $348.25 | $112.86 | 3.1x | 41,988 |
| District of Columbia | $331.13 | $125.16 | 2.6x | 118,004 |
| New Mexico | $323.35 | $109.94 | 2.9x | 71,236 |
| Georgia | $323.04 | $112.60 | 2.9x | 618,503 |
| Vermont | $322.01 | $111.82 | 2.9x | 24,242 |
| West Virginia | $319.85 | $112.36 | 2.8x | 94,353 |
| Armed Forces Pacific | $319.56 | $125.17 | 2.6x | 533 |
| Virginia | $319.09 | $115.14 | 2.8x | 524,705 |
| Oklahoma | $317.92 | $108.57 | 2.9x | 281,924 |
| Nevada | $317.90 | $111.53 | 2.9x | 372,444 |
| Iowa | $317.67 | $108.52 | 2.9x | 117,082 |
| Tennessee | $316.99 | $107.95 | 2.9x | 422,536 |
| Colorado | $315.61 | $114.34 | 2.8x | 240,970 |
| Utah | $315.22 | $110.41 | 2.9x | 73,374 |
| Connecticut | $315.12 | $119.70 | 2.6x | 184,440 |
| North Carolina | $314.97 | $109.49 | 2.9x | 534,525 |
| Texas | $313.84 | $112.43 | 2.8x | 1,995,804 |
| Rhode Island | $311.40 | $116.21 | 2.7x | 52,738 |
| Florida | $309.07 | $116.20 | 2.7x | 2,204,073 |
| South Carolina | $307.11 | $110.73 | 2.8x | 250,268 |
| Kansas | $304.86 | $109.16 | 2.8x | 223,812 |
| Louisiana | $301.40 | $109.78 | 2.7x | 285,746 |
| Guam | $300.32 | $113.14 | 2.7x | 6,104 |
| Maine | $297.15 | $113.33 | 2.6x | 55,317 |
| Illinois | $291.67 | $118.60 | 2.5x | 1,226,378 |
| Missouri | $287.78 | $111.31 | 2.6x | 365,456 |
| Armed Forces Europe | $284.18 | $112.26 | 2.5x | 92 |
| Kentucky | $281.86 | $110.92 | 2.5x | 306,274 |
| Michigan | $279.53 | $115.53 | 2.4x | 572,633 |
| Nebraska | $279.04 | $106.71 | 2.6x | 113,180 |
| Pennsylvania | $272.80 | $113.69 | 2.4x | 915,905 |
| Hawaii | $267.32 | $115.52 | 2.3x | 60,715 |
| Delaware | $259.39 | $114.30 | 2.3x | 85,357 |
| Indiana | $259.19 | $108.35 | 2.4x | 420,976 |
| Arizona | $256.76 | $112.03 | 2.3x | 629,747 |
| South Dakota | $244.50 | $110.26 | 2.2x | 38,043 |
| Mississippi | $242.24 | $107.86 | 2.2x | 234,856 |
| $240.00 | $118.75 | 2.0x | 238 | |
| Alabama | $233.86 | $107.32 | 2.2x | 288,649 |
| Arkansas | $220.85 | $106.76 | 2.1x | 201,574 |
| Puerto Rico | $190.31 | $110.17 | 1.7x | 23,232 |
| Virgin Islands | $186.28 | $111.48 | 1.7x | 1,238 |
Source: CMS Medicare Physician & Other Practitioners, by Geography and Service. Weighted by service volume across places of service.