Analysis
The Geographic Lottery
Your ZIP code determines your healthcare cost more than anything else.
In a rational market, the same product costs roughly the same everywhere — adjusted for cost of living. Healthcare is not a rational market. The same knee replacement that costs $1,500 in one state costs $4,000 in another. Same CPT code, same quality metrics, wildly different prices.
This isn't about rural vs. urban or high-cost vs. low-cost states. The price variation is often random — driven by local market dynamics, hospital consolidation, and historical billing patterns rather than any measure of quality or efficiency.
Select a procedure below and see every state ranked from cheapest to most expensive. The ratios will surprise you.
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