The average cost of ASC care as compared to Medicare rates in 46 states

Sage Transparency, a healthcare transparency database from the Employee's Forum of Indiana, has determined the average facility price of ASCs in 46 states based on the Medicare reimbursement rate for services. 

Wyoming is the most costly state, with ASC services costing an average of 555 percent of the Medicare reimbursement rate. 

Sage's facility prices include the cost of inpatient and outpatient service fees but does not include physician fees. The numbers are based on data collected from over 2,000 ASCs nationwide. 

1. Wyoming: 555 percent
2. Alaska: 372 percent
3. Wisconsin: 323 percent
4. Iowa: 311 percent
5. Nebraska: 290 percent
6. South Dakota: 254 percent
7. Vermont: 243 percent
8. Indiana: 228 percent
9. Montana: 220 percent
10. New Jersey: 201 percent
11. Texas: 199 percent
12. Maine: 197 percent
13. Illinois: 191 percent
14. New Hampshire: 188 percent
15. California: 183 percent
16. Oregon: 183 percent
17. New York: 180 percent
18. Georgia: 177 percent
19. North Carolina: 174 percent
20. Massachusetts: 172 percent
21. Kansas: 170 percent
22. South Carolina: 170 percent
23. Alabama: 166 percent
24. Colorado: 163 percent
25. Minnesota: 162 percent
26. Connecticut: 161 percent
27. Virginia: 161 percent
28. Maryland: 158 percent
29. Idaho: 156 percent
30. New Mexico: 154 percent
31. Louisiana: 152 percent
32. Florida: 149 percent
33. Missouri: 149 percent
34. Utah: 145 percent
35. Tennessee: 142 percent
36. Oklahoma: 141 percent
37. Pennsylvania: 140 percent
38. Ohio: 140 percent
39. Arizona: 138 percent
40. Michigan: 135 percent
41. Kentucky: 128 percent
42. Washington: 126 percent
43. Delaware: 121 percent
44. Arkansas: 117 percent
45. Rhode Island: 116 percent
46. Nevada: 115 percent