The study analyzed the average allowed amount paid by a commercial insurance plan compared to what Medicare would have paid for the same services by state. It includes inpatient and outpatient facilities, as well as inpatient and outpatient physician/professional services.
This data is included in a new dashboard called Sage Transparency, which was launched by the Employers’ Forum of Indiana.
Prices paid by commercial health insurance plans relative to Medicare by state:
Note: Data for Maryland is unavailable.
1. South Carolina: 321 percent
2. West Virginia: 317 percent
3. Florida: 309 percent
4. Wisconsin: 307 percent
5. Wyoming: 305 percent
6. Minnesota: 297 percent
7. Indiana: 292 percent (tie)
7. Arizona: 292 percent (tie)
9. Kansas: 290 percent
10. Georgia: 288 percent (tie)
10. New Mexico: 288 percent (tie)
10. Colorado: 288 percent (tie)
13. California: 286 percent
14. Delaware: 284 percent
15. Nebraska: 282 percent
16. Virginia: 279 percent
17. Alaska: 278 percent (tie)
17. Ohio: 278 percent (tie)
19. Maine: 275 percent
20. North Carolina: 266 percent
21. New York: 263 percent
22. Nevada: 260 percent
23. Missouri: 255 percent
24. Illinois: 253 percent
25. Texas: 252 percent
26. Idaho: 240 percent
27. Montana: 239 percent
28. Alabama: 235 percent (tie)
28. Pennsylvania: 235 percent (tie)
30. Louisiana: 230 percent
31. Oregon: 221 percent
32. Tennessee: 219 percent (tie)
32. Connecticut: 219 percent (tie)
34. South Dakota: 218 percent (tie)
34. New Hampshire: 218 percent (tie)
36. New Jersey: 217 percent
37. Vermont: 215 percent
38. Kentucky: 212 percent
39. North Dakota: 211 percent
40. Iowa: 198 percent (tie)
40. Utah: 198 percent (tie)
42. Oklahoma: 195 percent
43. Rhode Island: 194 percent
44. Mississippi: 193 percent (tie)
44. Michigan: 193 percent (tie)
46. Massachusetts: 179 percent
47. Washington: 174 percent
48. Arkansas: 149 percent
49. Hawaii: 147 percent
