3,015
Hospitals
5.0M
Discharges
2.5B
Physician services
103
Specialties
9.9M
Total records

State map: Medicare markup ratio Inpatient

Volume-weighted mean markup ratio (submitted charges / Medicare payment) by state. Click any state to filter the panels below to that state's top procedures and providers.

Top procedures US

Top procedures ranked by selected metric. DRGs for inpatient, HCPCS codes for physician.

Top specialties / hospitals US

Provider types ranked by total service volume.

Markup vs volume across states

Each point is one state. X-axis is total volume; Y-axis is volume-weighted mean markup. Points in the upper-right represent both high spend and high markup — the best targets for payer benchmarking conversations.
Source: CMS Medicare Inpatient Hospital PUF (145,742 provider-DRG records) and Medicare Physician & Other Practitioners PUF (9.76M provider-HCPCS records), 2022.
Markup ratio = average submitted charges / average Medicare payment. State and procedure aggregates use volume weighting.
Built with Plotly.js. Sridharan Gopalsamy Ramaswamy, MPH/MBA · Washington University in St. Louis.
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