Medpac Regional Spending Disparities

State FL LA TX LA MS MS LA TX LA LA OK OK TX TX LA TX TX TX LA PA AL AL FL LA NV OK FL MS TX TX FL MS MS TX TX AL TX TX TX AL AL CO FL FL IL TX TX TX WV AL

MSA Service Use Miami-Fort Lauderdale-Pompano Beach, FL 139 Monroe, LA 128 Lubbock, TX 127 New Orleans-Metairie-Kenner, LA 125 Pascagoula, MS 124 Gulfport-Biloxi, MS 124 LA, nonmetro areas 123 Houston-Sugar Land-Baytown, TX 122 Shreveport-Bossier City, LA 121 Alexandria, LA 120 Oklahoma City, OK 120 Tulsa, OK 118 Odessa, TX 118 McAllen-Edinburg-Mission, TX 118 Lafayette, LA 117 Dallas-Fort Worth-Arlington, TX 117 Victoria, TX 116 Tyler, TX 115 Baton Rouge, LA 114 Pittsburgh, PA 114 Birmingham-Hoover, AL 113 Mobile, AL 113 Palm Bay-Melbourne-Titusville, FL 113 Lake Charles, LA 113 Las Vegas-Paradise, NV 113 OK, nonmetro areas 113 Tampa-St. Petersburg-Clearwater, FL 112 Jackson, MS 112 Austin-Round Rock, TX 112 Amarillo, TX 112 Jacksonville, FL 111 Hattiesburg, MS 111 MS, nonmetro areas 111 TX, nonmetro areas 111 Beaumont-Port Arthur, TX 111 Gadsden, AL 110 Corpus Christi, TX 110 Texarkana, TX-Texarkana, AR 110 Longview, TX 110 Tuscaloosa, AL 109 Montgomery, AL 109 Boulder, CO 109 Orlando-Kissimmee, FL 109 Punta Gorda, FL 109 Chicago-Naperville-Joliet, IL-IN-WI 109 Sherman-Denison, TX 109 Midland, TX 109 San Antonio, TX 109 Weirton-Steubenville, WV-OH 109 Anniston-Oxford, AL 108

AR IN MA TX AZ CA FL FL FL IL IN MI TN TX AL FL FL TN FL MI SC TN AL AL AL FL MI PA SC TX AL AR CO FL FL FL IN KS KS KY MO OH OH SC TX TX FL GA IN KS LA

Little Rock-North Little Rock-Conway, AR Kokomo, IN MA, nonmetro areas College Station-Bryan, TX Phoenix-Mesa-Scottsdale, AZ Los Angeles-Long Beach-Santa Ana, CA Port St. Lucie, FL Panama City-Lynn Haven, FL Naples-Marco Island, FL Kankakee-Bradley, IL Terre Haute, IN Bay City, MI Memphis, TN-MS-AR Wichita Falls, TX AL, nonmetro areas Cape Coral-Fort Myers, FL Lakeland, FL Nashville-Davidson--Murfreesboro--Franklin, TN Sarasota-Bradenton-Venice, FL Saginaw-Saginaw Township North, MI Florence, SC Chattanooga, TN-GA Florence-Muscle Shoals, AL Decatur, AL Dothan, AL Fort Walton Beach-Crestview-Destin, FL Detroit-Warren-Livonia, MI Johnstown, PA Charleston-North Charleston, SC Abilene, TX Huntsville, AL Fort Smith, AR-OK Denver-Aurora, CO Sebastian-Vero Beach, FL Deltona-Daytona Beach-Ormond Beach, FL Tallahassee, FL Indianapolis-Carmel, IN Kansas City, MO-KS KS, nonmetro areas Louisville-Jefferson County, KY St. Louis, MO-IL Lima, OH Toledo, OH Columbia, SC Brownsville-Harlingen, TX San Angelo, TX FL, nonmetro areas Warner Robins, GA Evansville, IN-KY Wichita, KS Houma-Bayou Cane-Thibodaux, LA

108 108 108 108 107 107 107 107 107 107 107 107 107 107 106 106 106 106 105 105 105 105 104 104 104 104 104 104 104 104 103 103 103 103 103 103 103 103 103 103 103 103 103 103 103 103 102 102 102 102 102

OH OH OH OH OH PA WV WY AR CO KS NE NE OH OH OH PA TN UT VA WV AR AR CT FL MA MA MI NC NJ NV OH PA TN TX UT WV AZ CA FL GA GA IL KY KY MI MI MI NC NC NC

Mansfield, OH Columbus, OH Youngstown-Warren-Boardman, OH-PA Akron, OH Cleveland-Elyria-Mentor, OH Altoona, PA Morgantown, WV Cheyenne, WY AR, nonmetro areas Colorado Springs, CO Topeka, KS Lincoln, NE Omaha-Council Bluffs, NE-IA Canton-Massillon, OH Cincinnati-Middletown, OH-KY-IN Sandusky, OH Harrisburg-Carlisle, PA Johnson City, TN Provo-Orem, UT Washington-Arlington-Alexandria, DC-VA-MD-WV Wheeling, WV-OH Jonesboro, AR Hot Springs, AR New Haven-Milford, CT Ocala, FL Barnstable Town, MA Boston-Cambridge-Quincy, MA-NH Flint, MI Winston-Salem, NC Ocean City, NJ NV, nonmetro areas Dayton, OH Scranton--Wilkes-Barre, PA TN, nonmetro areas Laredo, TX Salt Lake City, UT Parkersburg-Marietta-Vienna, WV Tucson, AZ Riverside-San Bernardino-Ontario, CA Gainesville, FL Macon, GA Atlanta-Sandy Springs-Marietta, GA Danville, IL Bowling Green, KY KY, nonmetro areas Jackson, MI Lansing-East Lansing, MI Battle Creek, MI Rocky Mount, NC Fayetteville, NC Goldsboro, NC

102 102 102 102 102 102 102 102 101 101 101 101 101 101 101 101 101 101 101 101 101 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 99 99 99 99 99 99 99 99 99 99 99 99 99 99

NC NJ NV PA PA SC TN UT WI WV CO CT DE FL FL IN IN IN MI NC NC NY OH SC TN TN AR CA CO GA IL IL IN IN KY MA MI MI MO NC NC OH OK PA PA TX WI CA GA IA IL

Raleigh-Cary, NC Trenton-Ewing, NJ Carson City, NV Philadelphia-Camden-Wilmington, PA-NJ-DE-MD Reading, PA Myrtle Beach-North Myrtle Beach-Conway, SC Knoxville, TN Ogden-Clearfield, UT Milwaukee-Waukesha-West Allis, WI Huntington-Ashland, WV-KY-OH Greeley, CO Bridgeport-Stamford-Norwalk, CT DE, nonmetro areas Pensacola-Ferry Pass-Brent, FL Palm Coast, FL South Bend-Mishawaka, IN-MI Anderson, IN Lafayette, IN Niles-Benton Harbor, MI Charlotte-Gastonia-Concord, NC-SC Wilmington, NC New York-Northern New Jersey-Long Island, NY-NJ-PA OH, nonmetro areas SC, nonmetro areas Morristown, TN Cleveland, TN Fayetteville-Springdale-Rogers, AR San Diego-Carlsbad-San Marcos, CA Fort Collins-Loveland, CO Rome, GA Davenport-Moline-Rock Island, IA-IL IL, nonmetro areas Bloomington, IN Michigan City-La Porte, IN Owensboro, KY Worcester, MA Monroe, MI Kalamazoo-Portage, MI MO, nonmetro areas Jacksonville, NC Greenville, NC Springfield, OH Lawton, OK Erie, PA York-Hanover, PA Waco, TX Racine, WI Oxnard-Thousand Oaks-Ventura, CA Savannah, GA Waterloo-Cedar Falls, IA Decatur, IL

99 99 99 99 99 99 99 99 99 99 98 98 98 98 98 98 98 98 98 98 98 98 98 98 98 98 97 97 97 97 97 97 97 97 97 97 97 97 97 97 97 97 97 97 97 97 97 96 96 96 96

IL IN KY MI NC NE NV NY PA PA SC CA GA IN IN MA MI MT NJ TN TN TX AR CA GA IL IN MI MI MN MO MO NC NC NC SC SC TN UT WA WY AL CT CT CT DE GA GA GA GA IL

Rockford, IL IN, nonmetro areas Lexington-Fayette, KY Ann Arbor, MI NC, nonmetro areas NE, nonmetro areas Reno-Sparks, NV Poughkeepsie-Newburgh-Middletown, NY Allentown-Bethlehem-Easton, PA-NJ PA, nonmetro areas Anderson, SC Bakersfield, CA GA, nonmetro areas Elkhart-Goshen, IN Fort Wayne, IN Pittsfield, MA Muskegon-Norton Shores, MI Billings, MT Atlantic City, NJ Clarksville, TN-KY Kingsport-Bristol-Bristol, TN-VA Killeen-Temple-Fort Hood, TX Pine Bluff, AR Salinas, CA Columbus, GA-AL Peoria, IL Muncie, IN MI, nonmetro areas Grand Rapids-Wyoming, MI Minneapolis-St. Paul-Bloomington, MN-WI St. Joseph, MO-KS Jefferson City, MO Asheville, NC Hickory-Lenoir-Morganton, NC Greensboro-High Point, NC Spartanburg, SC Greenville-Mauldin-Easley, SC Jackson, TN St. George, UT Mount Vernon-Anacortes, WA WY, nonmetro areas Auburn-Opelika, AL Norwich-New London, CT Hartford-West Hartford-East Hartford, CT CT, nonmetro areas Dover, DE Dalton, GA Gainesville, GA Hinesville-Fort Stewart, GA Augusta-Richmond County, GA-SC Champaign-Urbana, IL

96 96 96 96 96 96 96 96 96 96 96 95 95 95 95 95 95 95 95 95 95 95 94 94 94 94 94 94 94 94 94 94 94 94 94 94 94 94 94 94 94 93 93 93 93 93 93 93 93 93 93

KS ME MN MO NC RI SC SD UT VA WV AZ ID IL IN MI MN MO MO MT NH NY VA WI CA CO GA ID IL KY MA MT ND NH PA PA TX UT VA WI AZ GA IA ID ID MN MT NC ND ND NY

Lawrence, KS Bangor, ME Duluth, MN-WI Joplin, MO Durham, NC Providence-New Bedford-Fall River, RI-MA Sumter, SC Sioux Falls, SD Logan, UT-ID Richmond, VA Charleston, WV Lake Havasu City-Kingman, AZ ID, nonmetro areas Springfield, IL Columbus, IN Holland-Grand Haven, MI MN, nonmetro areas Springfield, MO Columbia, MO Missoula, MT Manchester-Nashua, NH Utica-Rome, NY Virginia Beach-Norfolk-Newport News, VA-NC Eau Claire, WI Napa, CA CO, nonmetro areas Valdosta, GA Pocatello, ID Bloomington-Normal, IL Elizabethtown, KY Springfield, MA Great Falls, MT ND, nonmetro areas NH, nonmetro areas State College, PA Lancaster, PA El Paso, TX UT, nonmetro areas Blacksburg-Christiansburg-Radford, VA Green Bay, WI AZ, nonmetro areas Athens-Clarke County, GA Des Moines-West Des Moines, IA Coeur d’Alene, ID Boise City-Nampa, ID St. Cloud, MN MT, nonmetro areas Burlington, NC Fargo, ND-MN Bismarck, ND Syracuse, NY

93 93 93 93 93 93 93 93 93 93 93 92 92 92 92 92 92 92 92 92 92 92 92 92 91 91 91 91 91 91 91 91 91 91 91 91 91 91 91 91 90 90 90 90 90 90 90 90 90 90 90

NY SD SD VA WI WI WI WV CA CA IA IA ME MN ND NJ NY NY OR VA WI WI WI WI AZ CA IA IA ME ME NM NY WA WA WA AZ CA CA CO GA ID NM OR VA VA VA CA IA ID NM OR

Buffalo-Niagara Falls, NY SD, nonmetro areas Rapid City, SD Roanoke, VA Janesville, WI Wausau, WI Appleton, WI WV, nonmetro areas Redding, CA Chico, CA Sioux City, IA-NE-SD IA, nonmetro areas Lewiston-Auburn, ME Rochester, MN Grand Forks, ND-MN Vineland-Millville-Bridgeton, NJ Rochester, NY Kingston, NY Eugene-Springfield, OR VA, nonmetro areas Oshkosh-Neenah, WI Madison, WI WI, nonmetro areas Sheboygan, WI Flagstaff, AZ Hanford-Corcoran, CA Ames, IA Cedar Rapids, IA ME, nonmetro areas Portland-South Portland-Biddeford, ME Albuquerque, NM Albany-Schenectady-Troy, NY WA, nonmetro areas Seattle-Tacoma-Bellevue, WA Spokane, WA Prescott, AZ San Francisco-Oakland-Fremont, CA San Luis Obispo-Paso Robles, CA Pueblo, CO Albany, GA Lewiston, ID-WA Las Cruces, NM Bend, OR Charlottesville, VA Winchester, VA-WV Lynchburg, VA Fresno, CA Dubuque, IA Idaho Falls, ID NM, nonmetro areas Portland-Vancouver-Beaverton, OR-WA

90 90 90 90 90 90 90 90 89 89 89 89 89 89 89 89 89 89 89 89 89 89 89 89 88 88 88 88 88 88 88 88 88 88 88 87 87 87 87 87 87 87 87 87 87 87 86 86 86 86 86

CA CA CA CA GA NY OR PA VT WA CA CA CA NY NY OR WA WA WA WI CA NM NY VA VA AZ CA CA CA CA CA NY PA VT WA CO IA WY OR WA WA OR CA WI NM HI HI

CA, nonmetro areas Yuba City, CA Visalia-Porterville, CA Stockton, CA Brunswick, GA Glens Falls, NY OR, nonmetro areas Lebanon, PA VT, nonmetro areas Kennewick-Richland-Pasco, WA Santa Cruz-Watsonville, CA Santa Barbara-Santa Maria-Goleta, CA Santa Rosa-Petaluma, CA NY, nonmetro areas Binghamton, NY Medford, OR Longview, WA Wenatchee, WA Bellingham, WA Fond du Lac, WI El Centro, CA Santa Fe, NM Ithaca, NY Danville, VA Harrisonburg, VA Yuma, AZ Modesto, CA Madera, CA Sacramento--Arden-Arcade--Roseville, CA San Jose-Sunnyvale-Santa Clara, CA Vallejo-Fairfield, CA Elmira, NY Williamsport, PA Burlington-South Burlington, VT Yakima, WA Grand Junction, CO Iowa City, IA Casper, WY Salem, OR Olympia, WA Bremerton-Silverdale, WA Corvallis, OR Merced, CA La Crosse, WI-MN Farmington, NM Honolulu, HI HI, nonmetro areas

85 85 85 85 85 85 85 85 85 85 84 84 84 84 84 84 84 84 84 84 83 83 83 83 83 82 82 82 82 82 82 82 82 82 82 81 81 81 80 80 80 79 78 77 76 75 70

Average of Service Use State Total LA 118.1 MS 116.4 OK 112.0 TX 109.4 FL 106.7 AL 106.3 NV 102.0 OH 101.1 AR 100.4 KS 100.4 TN 99.8 NE 99.3 WV 99.1 IN 98.6 MA 98.5 SC 98.4 MI 98.4 KY 97.5 IL 97.4 PA 96.9 NC 96.5 UT 96.3 CO 95.9 NJ 95.8 DE 95.5 CT 95.4 MO 95.0 GA 93.8 RI 93.0 WY 92.3 AZ 92.1 MT 92.0 MN 91.6 NH 91.5 SD 91.0 ND 90.0 WI 89.7 ME 89.5 VA 89.4 ID 89.3 NY 88.5 IA 88.4 CA 87.7 WA 85.2 OR 84.3 NM 84.0 VT 83.5

HI Grand Total

72.5 96.8