PRICES PAID BY PRIVATE EMPLOYER-SPONSORED HEALTH PLANS

Relative price for inpatient and outpatient services versus Medicare allowed amount (100%), 2020
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  < 200%
  200% up to 230%
  231% up to 265%
  266% up to 288%
  > 288%
  No Data
[Chart]

Difference between private allowed amount and simulated Medicare allowed amount ($ in millions), total relative price and relative price for inpatient and outpatient services versus Medicare allowed amount (100%), by state
The list below is interactive: Sort by clicking on the column headings, or look for a state using the search box. You can also choose to view more at a time with the "Show entries" box.

State $ difference, private vs. Medicare allowed Relative price, all Relative price, inpatient Relative price, outpatient
Alabama 58.33 234.80% 249.82% 160.04%
Alaska 57.88 277.97% 224.21% 351.44%
Arizona 58.66 291.75% 269.53% 322.18%
Arkansas 367.03 149.47% 161.72% 136.48%
California 566.25 285.55% 244.58% 373.08%
Colorado 1,190.58 287.73% 270.11% 312.87%
Connecticut 345.89 218.84% 206.07% 239.23%
Delaware 188.33 284.24% 255.38% 315.07%
Florida 333.85 309.18% 281.91% 362.86%
Georgia 61.94 288.35% 272.22% 316.66%
Hawaii 28.35 147.07% 194.75% 119.69%
Idaho 29.48 239.86% 249.56% 232.83%
Illinois 94.60 253.47% 208.72% 307.59%
Indiana 609.31 292.09% 271.08% 326.79%
Iowa 16.71 198.40% 181.32% 225.40%
Kansas 40.99 289.60% 297.95% 278.28%
Kentucky 138.18 212.31% 206.19% 240.57%
Louisiana 37.41 229.66% 221.35% 241.43%
Maine 435.98 274.62% 247.77% 297.42%
Massachusetts 229.73 178.71% 177.77% 179.82%
Michigan 144.88 193.25% 207.77% 175.08%
Minnesota 60.65 297.42% 275.63% 345.26%
Mississippi 17.89 193.27% 160.24% 246.00%
Missouri 97.76 255.22% 230.04% 285.71%
Montana 39.77 239.43% 260.54% 222.73%
Nebraska 18.82 282.33% 246.11% 322.56%
Nevada 28.88 259.65% 248.13% 279.68%
New Hampshire 256.72 217.69% 183.13% 236.96%
New Jersey 115.60 217.41% 229.12% 209.20%
New Mexico 88.90 287.81% 236.88% 340.98%
New York 249.46 263.24% 264.75% 260.42%
North Carolina 805.93 266.36% 210.75% 330.62%
North Dakota 4.07 211.05% 237.24% 187.34%
Ohio 162.18 277.87% 267.79% 293.16%
Oklahoma 23.32 195.42% 176.09% 227.77%
Oregon 90.07 220.56% 224.49% 216.15%
Pennsylvania 175.84 234.80% 207.03% 258.80%
Rhode Island 109.21 194.18% 196.56% 191.43%
South Carolina 72.00 321.01% 272.23% 390.59%
South Dakota 6.19 218.26% 212.55% 225.53%
Tennessee 88.63 219.01% 213.49% 232.83%
Texas 214.78 252.29% 222.52% 310.89%
Utah 1,084.87 197.50% 173.00% 222.22%
Vermont 233.77 214.79% 164.54% 255.76%
Virginia 172.40 278.70% 262.22% 338.21%
Washington 1,066.68 173.81% 206.41% 153.07%
Washington D.C. 2.80 244.35% 242.50% 249.04%
West Virginia 23.67 317.43% 284.36% 356.26%
Wisconsin 245.49 307.08% 272.71% 336.62%
Wyoming 14.14 305.21% 225.49% 393.57%