For the report, the institute used its commercial claims database to examine about 620,000 in-network inpatient admissions and associated professional claims (both in- and out-of-network claims filed by the physician or other healthcare professional who provided care) in the 37 states and the district in 2016.
The states with the highest share of surprise out-of-network medical bills:
1. Florida — 26 percent
2. Kansas — 24 percent
3. New Jersey — 22 percent
4. California — 22 percent
5. Texas — 20 percent
6. Maryland — 20 percent
7. Nevada — 19 percent
8. Alabama — 19 percent
States with the lowest share of surprise out-of-network medical bills:
1. Minnesota — 2 percent
2. Iowa — 3 percent
3. Maine — 3 percent
4. Wisconsin — 4 percent
5. Oregon — 4 percent
6. Utah — 5 percent
7. Arkansas — 6 percent
8. Colorado — 6 percent
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