Code G0439. Medicare covered 10,304,868 of these. Here is what providers billed and what Medicare allowed, state by state.
Providers in Wisconsin billed the most for this, at $453.11. In Northern Mariana Islands the average was $134.32. 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 |
|---|---|---|---|---|
| Wisconsin | $453.11 | $118.50 | 3.8x | 188,918 |
| Minnesota | $392.32 | $122.01 | 3.2x | 141,088 |
| Alaska | $388.84 | $151.48 | 2.6x | 11,824 |
| Massachusetts | $374.10 | $120.67 | 3.1x | 342,186 |
| Armed Forces Europe | $346.99 | $149.34 | 2.3x | 322 |
| New York | $346.34 | $133.43 | 2.6x | 559,641 |
| Oregon | $342.54 | $102.45 | 3.3x | 78,171 |
| Washington | $327.39 | $130.17 | 2.5x | 181,006 |
| North Dakota | $318.12 | $102.96 | 3.1x | 22,555 |
| Connecticut | $313.93 | $134.34 | 2.3x | 116,274 |
| Foreign Country | $306.38 | $105.43 | 2.9x | 70 |
| New Hampshire | $302.57 | $117.57 | 2.6x | 54,963 |
| New Jersey | $301.07 | $118.40 | 2.5x | 356,328 |
| California | $297.26 | $130.15 | 2.3x | 761,430 |
| Georgia | $290.07 | $121.06 | 2.4x | 315,493 |
| Colorado | $286.39 | $91.21 | 3.1x | 162,356 |
| District of Columbia | $284.06 | $142.39 | 2.0x | 21,173 |
| Utah | $281.07 | $119.91 | 2.3x | 91,414 |
| Illinois | $280.64 | $129.90 | 2.2x | 435,553 |
| Rhode Island | $276.85 | $97.96 | 2.8x | 38,443 |
| Florida | $276.19 | $121.07 | 2.3x | 856,046 |
| Montana | $274.81 | $90.71 | 3.0x | 46,245 |
| Maryland | $271.79 | $131.03 | 2.1x | 297,137 |
| Iowa | $266.16 | $115.19 | 2.3x | 124,798 |
| Vermont | $263.43 | $120.26 | 2.2x | 17,847 |
| West Virginia | $263.05 | $118.31 | 2.2x | 46,340 |
| Maine | $261.21 | $74.93 | 3.5x | 42,242 |
| Arizona | $260.66 | $120.50 | 2.2x | 253,680 |
| Ohio | $260.63 | $92.29 | 2.8x | 407,917 |
| Nevada | $258.28 | $121.36 | 2.1x | 61,246 |
| Oklahoma | $257.61 | $96.36 | 2.7x | 132,243 |
| North Carolina | $257.11 | $117.94 | 2.2x | 370,153 |
| Kansas | $256.68 | $94.44 | 2.7x | 112,933 |
| Pennsylvania | $254.77 | $111.85 | 2.3x | 483,194 |
| Tennessee | $252.65 | $112.54 | 2.2x | 275,860 |
| South Carolina | $250.44 | $119.73 | 2.1x | 247,860 |
| Missouri | $249.73 | $104.14 | 2.4x | 178,179 |
| Virgin Islands | $249.62 | $120.03 | 2.1x | 1,507 |
| Virginia | $249.53 | $123.06 | 2.0x | 372,690 |
| Kentucky | $249.15 | $107.70 | 2.3x | 143,670 |
| Nebraska | $248.96 | $91.90 | 2.7x | 86,556 |
| Texas | $247.45 | $122.14 | 2.0x | 653,537 |
| Hawaii | $246.87 | $111.39 | 2.2x | 22,763 |
| Delaware | $243.88 | $116.80 | 2.1x | 76,391 |
| Indiana | $234.63 | $116.77 | 2.0x | 220,618 |
| Michigan | $233.49 | $107.53 | 2.2x | 275,085 |
| Wyoming | $232.84 | $119.39 | 2.0x | 18,847 |
| New Mexico | $232.77 | $113.85 | 2.0x | 41,631 |
| Idaho | $224.55 | $114.50 | 2.0x | 43,815 |
| Louisiana | $224.11 | $116.28 | 1.9x | 110,654 |
| Unknown | $217.66 | $131.96 | 1.6x | 389 |
| South Dakota | $213.11 | $120.29 | 1.8x | 26,295 |
| Armed Forces Pacific | $210.35 | $115.39 | 1.8x | 483 |
| Arkansas | $205.34 | $94.47 | 2.2x | 120,617 |
| Alabama | $203.17 | $114.55 | 1.8x | 149,916 |
| Puerto Rico | $196.64 | $125.70 | 1.6x | 707 |
| Mississippi | $196.36 | $114.15 | 1.7x | 104,440 |
| Guam | $179.90 | $129.77 | 1.4x | 1,069 |
| Northern Mariana Islands | $134.32 | $130.01 | 1.0x | 52 |
Source: CMS Medicare Physician & Other Practitioners, by Geography and Service. Weighted by service volume across places of service.