Hospital Monopoly Map
Where competition has disappeared — and prices have skyrocketed.
In states where fewer providers offer a procedure, prices are systematically higher. Our competition index shows that procedures with fewer than 10 providers in a state cost 30-50% more than in competitive markets.
Competition is supposed to keep prices in check. But across much of America, hospital consolidation has eliminated meaningful competition for many procedures. When only one or two providers offer a service in your state, they can charge whatever they want.
Research consistently shows that hospital mergers lead to price increases of 20-40% without corresponding quality improvements. The FTC has challenged some mergers, but many have slipped through, creating local monopolies that drive up costs for everyone.
Select a state below to see which procedures have the fewest providers — and therefore the least competitive pricing.