Code 99204. Medicare covered 12,663,680 of these. Here is what providers billed and what Medicare allowed, state by state.
Providers in Alaska billed the most for this, at $589.50. In Puerto Rico the average was $203.05. 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 | $589.50 | $191.50 | 3.1x | 24,768 |
| New York | $584.71 | $176.36 | 3.3x | 794,453 |
| Wisconsin | $519.45 | $142.04 | 3.7x | 152,484 |
| Massachusetts | $510.73 | $159.43 | 3.2x | 322,197 |
| Minnesota | $502.25 | $150.39 | 3.3x | 142,057 |
| New Jersey | $468.04 | $174.60 | 2.7x | 406,939 |
| California | $466.54 | $171.06 | 2.7x | 1,289,825 |
| Foreign Country | $462.33 | $139.60 | 3.3x | 420 |
| Oregon | $458.65 | $152.77 | 3.0x | 132,422 |
| Nevada | $434.72 | $154.63 | 2.8x | 114,062 |
| Georgia | $431.87 | $154.23 | 2.8x | 366,313 |
| Florida | $418.47 | $160.81 | 2.6x | 1,232,453 |
| Connecticut | $411.26 | $164.64 | 2.5x | 119,051 |
| Colorado | $409.14 | $157.65 | 2.6x | 182,597 |
| Washington | $407.83 | $158.21 | 2.6x | 243,289 |
| Armed Forces Pacific | $400.87 | $151.97 | 2.6x | 263 |
| Maryland | $399.47 | $166.91 | 2.4x | 350,668 |
| Nebraska | $397.44 | $141.90 | 2.8x | 75,940 |
| Wyoming | $396.99 | $152.59 | 2.6x | 18,539 |
| New Hampshire | $396.91 | $145.64 | 2.7x | 68,535 |
| Rhode Island | $396.31 | $157.38 | 2.5x | 34,454 |
| Illinois | $395.83 | $159.18 | 2.5x | 478,629 |
| District of Columbia | $395.13 | $174.17 | 2.3x | 36,457 |
| Texas | $391.58 | $155.03 | 2.5x | 929,536 |
| Ohio | $386.41 | $145.35 | 2.7x | 406,742 |
| Arizona | $386.28 | $154.20 | 2.5x | 381,950 |
| North Carolina | $377.84 | $147.89 | 2.6x | 419,751 |
| Delaware | $373.78 | $154.64 | 2.4x | 61,014 |
| Tennessee | $367.96 | $145.29 | 2.5x | 310,281 |
| Virginia | $367.07 | $155.09 | 2.4x | 393,918 |
| Iowa | $365.05 | $141.42 | 2.6x | 102,107 |
| Pennsylvania | $364.78 | $155.35 | 2.3x | 510,353 |
| Virgin Islands | $359.94 | $158.39 | 2.3x | 1,863 |
| Utah | $358.52 | $148.56 | 2.4x | 84,415 |
| Maine | $345.24 | $139.93 | 2.5x | 37,680 |
| New Mexico | $344.57 | $144.03 | 2.4x | 62,575 |
| Missouri | $344.25 | $146.84 | 2.3x | 213,619 |
| Louisiana | $343.32 | $145.03 | 2.4x | 160,700 |
| Montana | $342.12 | $146.87 | 2.3x | 41,482 |
| Kentucky | $337.86 | $146.46 | 2.3x | 165,118 |
| Hawaii | $335.68 | $158.32 | 2.1x | 33,798 |
| Idaho | $334.56 | $137.00 | 2.4x | 58,753 |
| South Carolina | $333.39 | $149.41 | 2.2x | 289,120 |
| Oklahoma | $328.26 | $146.33 | 2.2x | 171,842 |
| Kansas | $323.44 | $144.27 | 2.2x | 123,504 |
| North Dakota | $319.04 | $134.81 | 2.4x | 28,697 |
| West Virginia | $318.93 | $138.05 | 2.3x | 53,534 |
| Indiana | $316.35 | $147.64 | 2.1x | 250,464 |
| Guam | $308.67 | $162.96 | 1.9x | 2,782 |
| Arkansas | $305.38 | $140.64 | 2.2x | 126,601 |
| Michigan | $303.38 | $151.66 | 2.0x | 277,913 |
| Armed Forces Europe | $301.69 | $155.22 | 1.9x | 469 |
| Mississippi | $290.29 | $141.72 | 2.0x | 131,284 |
| Alabama | $283.20 | $143.22 | 2.0x | 181,842 |
| Vermont | $283.09 | $136.24 | 2.1x | 16,745 |
| South Dakota | $270.15 | $137.80 | 2.0x | 39,100 |
| Armed Forces Central/South America | $262.77 | $156.78 | 1.7x | 39 |
| Unknown | $237.95 | $172.18 | 1.4x | 402 |
| Northern Mariana Islands | $217.70 | $163.25 | 1.3x | 25 |
| Puerto Rico | $203.05 | $160.02 | 1.3x | 6,837 |
Source: CMS Medicare Physician & Other Practitioners, by Geography and Service. Weighted by service volume across places of service.