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Medicare prices nationwide for covered procedures
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G0438 PPPS, initial visit

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Medicare Prices

PPPS, initial visit
Region Price
Alabama $163
Alaska $226
Arizona $171
Arkansas $162
Anaheim/Santa Ana, CA $194
Los Angeles, CA $188
Marin/Napa/Solano, CA $196
Oakland/Berkeley, CA $197
Rest of California $181
San Francisco, CA $207
San Mateo, CA $207
Santa Clara, CA $206
Ventura, CA $191
Colorado $176
Connecticut $187
DC + MD/VA Suburbs $196
Delaware $177
Fort Lauderdale, FL $180
Miami, FL $186
Rest of Florida $173
Atlanta, GA $175
Rest of Georgia $167
Hawaii/Guam $185
Idaho $164
Chicago, IL $183
East St. Louis, IL $174
Rest of Illinois $169
Suburban Chicago, IL $183
Indiana $164
Iowa $164
Kansas $165
Kentucky $164
New Orleans, LA $173
Rest of Louisiana $166
Rest of Maine $166
Southern Maine $173
Baltimore/Surr. Cntys, MD $186
Rest of Maryland $178
Metropolitan Boston $187
Rest of Massachusetts $182
Detroit, MI $178
Rest of Michigan $168
Minnesota $172
Mississippi $160
Metropolitan Kansas City, MO $172
Metropolitan St Louis, MO $171
Rest of Missouri $163
Montana $178
Nebraska $163
Nevada $175
New Hampshire $178
Northern NJ $192
Rest of New Jersey $186
New Mexico $169
Manhattan, NY $197
NYC Suburbs/Long I., NY $201
Poughkpsie/N NYC Suburbs, NY $183
Queens, NY $202
Rest of New York $168
North Carolina $167
North Dakota $172
Ohio $168
Oklahoma $165
Portland, OR $178
Rest of Oregon $170
Metropolitan Philadelphia, PA $185
Rest of Pennsylvania $169
Puerto Rico $175
Rhode Island $181
South Carolina $165
South Dakota $171
Tennessee $164
Austin, TX $175
Beaumont, TX $167
Brazoria, TX $175
Dallas, TX $175
Fort Worth, TX $172
Galveston, TX $176
Houston, TX $177
Rest of Texas $168
Utah $169
Vermont $173
Virgin Islands $175
Virginia $173
Rest of Washington $175
Seattle (King Cnty), WA $188
West Virginia $165
Wisconsin $167
Wyoming $174
Bakersfield, CA $180
Chico, CA $180
El Centro, CA $180
Fresno, CA $180
Hanford-Corcoran, CA $180
Los Angeles-Long Beach-Anaheim (Los Angeles Cnty), CA $191
Los Angeles-Long Beach-Anaheim (Orange Cnty), CA $191
Madera, CA $180
Merced, CA $180
Modesto, CA $180
Napa, CA $197
Oxnard-Thousand Oaks-Ventura, CA $189
Redding, CA $180
Riverside-San Bernardino-Ontario, CA $181
Sacramento--Roseville--Arden-Arcade, CA $182
Salinas, CA $182
San Diego-Carlsbad, CA $183
San Francisco-Oakland-Hayward (Alameda/Contra Costa Cnty), CA $204
San Francisco-Oakland-Hayward (Marin Cnty), CA $201
San Francisco-Oakland-Hayward (San Francisco Cnty), CA $204
San Francisco-Oakland-Hayward (San Mateo Cnty), CA $204
San Jose-Sunnyvale-Santa Clara (San Benito Cnty), CA $194
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty), CA $207
San Luis Obispo-Paso Robles-Arroyo Grande, CA $180
Santa Cruz-Watsonville, CA $188
Santa Maria-Santa Barbara, CA $185
Santa Rosa, CA $185
Stockton-Lodi, CA $180
Vallejo-Fairfield, CA $197
Visalia-Porterville, CA $180
Yuba City, CA $180
Rest Of California, CA $180
Hawaii, GUam $184
Metropolitan Boston, MA $192