Code 92014. Medicare covered 9,207,151 of these. Here is what providers billed and what Medicare allowed, state by state.
Providers in Virgin Islands billed the most for this, at $346.43. In Armed Forces Europe the average was $112.75. 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 | $346.43 | $122.95 | 2.8x | 1,238 |
| Massachusetts | $318.27 | $129.40 | 2.5x | 366,515 |
| District of Columbia | $293.71 | $134.37 | 2.2x | 13,655 |
| Alaska | $280.32 | $143.18 | 2.0x | 12,676 |
| New York | $276.80 | $135.28 | 2.0x | 672,255 |
| Minnesota | $268.46 | $120.41 | 2.2x | 130,047 |
| Maryland | $264.14 | $132.05 | 2.0x | 279,161 |
| Connecticut | $254.58 | $131.94 | 1.9x | 116,929 |
| New Jersey | $253.23 | $137.44 | 1.8x | 403,822 |
| California | $248.95 | $138.40 | 1.8x | 868,655 |
| Oregon | $247.13 | $124.53 | 2.0x | 92,179 |
| Nevada | $243.36 | $122.68 | 2.0x | 54,141 |
| Georgia | $239.67 | $119.14 | 2.0x | 211,800 |
| Wisconsin | $238.34 | $111.68 | 2.1x | 129,365 |
| Colorado | $236.75 | $123.03 | 1.9x | 124,387 |
| New Hampshire | $234.11 | $122.85 | 1.9x | 58,960 |
| Iowa | $230.13 | $115.19 | 2.0x | 131,654 |
| Guam | $229.43 | $131.34 | 1.7x | 2,662 |
| Foreign Country | $229.40 | $118.52 | 1.9x | 163 |
| North Dakota | $229.40 | $116.01 | 2.0x | 36,577 |
| Texas | $226.85 | $121.35 | 1.9x | 681,149 |
| Washington | $226.81 | $128.18 | 1.8x | 156,026 |
| Nebraska | $224.63 | $114.09 | 2.0x | 72,451 |
| Ohio | $223.78 | $112.80 | 2.0x | 236,349 |
| Virginia | $220.65 | $125.13 | 1.8x | 338,766 |
| Hawaii | $220.04 | $131.70 | 1.7x | 56,443 |
| Illinois | $218.78 | $122.29 | 1.8x | 408,319 |
| Vermont | $214.54 | $121.99 | 1.8x | 26,474 |
| Florida | $214.37 | $122.07 | 1.8x | 709,798 |
| Rhode Island | $213.00 | $124.83 | 1.7x | 35,201 |
| Utah | $212.91 | $113.73 | 1.9x | 69,646 |
| Tennessee | $208.70 | $115.54 | 1.8x | 205,068 |
| New Mexico | $204.31 | $114.63 | 1.8x | 47,328 |
| Arizona | $202.88 | $121.48 | 1.7x | 180,454 |
| South Carolina | $200.31 | $117.51 | 1.7x | 167,366 |
| Pennsylvania | $196.65 | $120.87 | 1.6x | 388,875 |
| Arkansas | $195.61 | $110.96 | 1.8x | 95,354 |
| North Carolina | $194.29 | $117.90 | 1.6x | 186,292 |
| Northern Mariana Islands | $194.14 | $133.98 | 1.4x | 562 |
| Louisiana | $192.38 | $112.76 | 1.7x | 145,114 |
| Idaho | $192.16 | $116.01 | 1.7x | 49,470 |
| Missouri | $190.36 | $117.31 | 1.6x | 166,005 |
| Oklahoma | $183.09 | $112.85 | 1.6x | 121,508 |
| Michigan | $180.80 | $117.88 | 1.5x | 197,065 |
| West Virginia | $180.52 | $113.42 | 1.6x | 39,728 |
| South Dakota | $179.05 | $120.39 | 1.5x | 43,480 |
| Montana | $176.67 | $122.68 | 1.4x | 49,437 |
| Maine | $175.68 | $118.95 | 1.5x | 46,285 |
| Wyoming | $174.74 | $123.08 | 1.4x | 23,688 |
| Kansas | $173.87 | $115.36 | 1.5x | 134,078 |
| Mississippi | $170.98 | $110.62 | 1.5x | 107,048 |
| Delaware | $167.35 | $123.92 | 1.4x | 37,435 |
| Armed Forces Central/South America | $166.10 | $116.18 | 1.4x | 323 |
| Kentucky | $160.18 | $114.26 | 1.4x | 75,762 |
| Alabama | $158.31 | $112.21 | 1.4x | 71,638 |
| Indiana | $154.38 | $115.72 | 1.3x | 124,541 |
| Puerto Rico | $141.82 | $122.61 | 1.2x | 5,648 |
| Armed Forces Pacific | $120.59 | $116.08 | 1.0x | 113 |
| Armed Forces Europe | $112.75 | $80.34 | 1.4x | 16 |
Source: CMS Medicare Physician & Other Practitioners, by Geography and Service. Weighted by service volume across places of service.