Code 77067. Medicare covered 6,050,448 of these. Here is what providers billed and what Medicare allowed, state by state.
Providers in Virgin Islands billed the most for this, at $800.00. In Armed Forces Central/South America the average was $113.00. 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 |
|---|---|---|---|---|
| Virgin Islands | $800.00 | $105.05 | 7.6x | 547 |
| Alaska | $490.96 | $82.17 | 6.0x | 13,967 |
| Arizona | $439.39 | $90.74 | 4.8x | 116,829 |
| New Mexico | $340.79 | $73.16 | 4.7x | 34,992 |
| California | $332.67 | $86.70 | 3.8x | 526,295 |
| Armed Forces Pacific | $329.38 | $81.98 | 4.0x | 1,186 |
| New York | $326.68 | $87.98 | 3.7x | 358,505 |
| Florida | $325.62 | $86.01 | 3.8x | 375,585 |
| Nevada | $324.83 | $88.22 | 3.7x | 41,402 |
| Wyoming | $323.02 | $79.39 | 4.1x | 11,652 |
| New Jersey | $321.87 | $96.15 | 3.3x | 169,572 |
| Wisconsin | $317.86 | $55.50 | 5.7x | 122,511 |
| Colorado | $293.61 | $74.69 | 3.9x | 87,375 |
| Rhode Island | $283.68 | $76.03 | 3.7x | 35,146 |
| North Carolina | $282.08 | $68.10 | 4.1x | 237,647 |
| District of Columbia | $280.18 | $83.17 | 3.4x | 28,300 |
| Texas | $272.15 | $61.10 | 4.5x | 364,329 |
| Hawaii | $271.79 | $78.05 | 3.5x | 18,062 |
| Maryland | $264.10 | $104.60 | 2.5x | 142,040 |
| Connecticut | $256.22 | $73.92 | 3.5x | 64,984 |
| Washington | $250.18 | $70.58 | 3.5x | 145,533 |
| Minnesota | $242.78 | $63.19 | 3.8x | 141,481 |
| New Hampshire | $239.83 | $50.41 | 4.8x | 34,726 |
| Tennessee | $226.65 | $57.41 | 3.9x | 142,894 |
| Iowa | $222.49 | $61.00 | 3.6x | 82,308 |
| Georgia | $220.88 | $51.70 | 4.3x | 154,275 |
| Illinois | $219.47 | $51.03 | 4.3x | 252,929 |
| Virginia | $209.39 | $56.53 | 3.7x | 221,362 |
| Delaware | $205.27 | $76.49 | 2.7x | 32,056 |
| South Carolina | $204.64 | $46.31 | 4.4x | 116,141 |
| Massachusetts | $198.12 | $53.67 | 3.7x | 208,429 |
| Oregon | $197.76 | $59.19 | 3.3x | 65,632 |
| Idaho | $192.31 | $45.52 | 4.2x | 27,811 |
| Mississippi | $186.25 | $54.46 | 3.4x | 61,844 |
| Oklahoma | $182.68 | $41.23 | 4.4x | 71,721 |
| Arkansas | $182.55 | $53.70 | 3.4x | 59,135 |
| South Dakota | $179.84 | $59.68 | 3.0x | 28,895 |
| Ohio | $173.12 | $43.44 | 4.0x | 204,803 |
| North Dakota | $173.02 | $47.36 | 3.7x | 32,280 |
| Nebraska | $172.78 | $48.62 | 3.6x | 62,518 |
| Indiana | $172.45 | $47.29 | 3.6x | 125,139 |
| Vermont | $171.52 | $34.95 | 4.9x | 18,082 |
| Louisiana | $169.62 | $48.35 | 3.5x | 74,460 |
| Missouri | $168.12 | $45.48 | 3.7x | 153,027 |
| Kansas | $166.44 | $60.21 | 2.8x | 78,863 |
| Michigan | $166.34 | $45.92 | 3.6x | 150,801 |
| West Virginia | $165.71 | $39.70 | 4.2x | 26,727 |
| Pennsylvania | $160.97 | $47.63 | 3.4x | 295,806 |
| Maine | $152.12 | $41.75 | 3.6x | 26,771 |
| Alabama | $152.12 | $55.51 | 2.7x | 73,801 |
| Kentucky | $144.49 | $45.47 | 3.2x | 74,430 |
| Utah | $144.37 | $48.09 | 3.0x | 31,338 |
| Montana | $144.20 | $50.02 | 2.9x | 20,055 |
| Guam | $138.25 | $99.36 | 1.4x | 1,124 |
| Puerto Rico | $116.16 | $95.38 | 1.2x | 1,831 |
| Armed Forces Central/South America | $113.00 | $34.75 | 3.3x | 494 |
Source: CMS Medicare Physician & Other Practitioners, by Geography and Service. Weighted by service volume across places of service.