On average, Wisconsin hospitals have the highest commercial payer mix in the country (78.1 percent), while Washington, D.C., hospitals have the lowest (47.9 percent), according to an April analysis from Definitive Healthcare.
Hospital payer mix is the percentage of revenue facilities make from primarily commercial insurance plans, Medicare and Medicaid.
Definitive calculated the average hospital payer mix in every state using payer data on revenue, charges, discharges and patient days. The final figures were aggregated from the most recent 12-month interval in the company's database and updated using data from October 2022. In total, the data reflects more than 5,900 U.S. hospitals.
Maryland has the highest Medicare mix (29.6 percent) and Hawaii has the lowest (10.7 percent). Washington, D.C., has the highest Medicaid mix (31.3 percent) while South Dakota has the lowest (5.4 percent).
Average hospital payer mix in each state:
Alabama
Medicare: 23.4 percent
Medicaid: 15.8 percent
Commercial/Self-pay/Other: 63.4 percent
Alaska
Medicare: 15.9 percent
Medicaid: 23.7 percent
Commercial/Self-pay/Other: 60.4 percent
Arizona
Medicare: 18.5 percent
Medicaid: 16.6 percent
Commercial/Self-pay/Other: 67.9 percent
Arkansas
Medicare: 21.2 percent
Medicaid: 11.2 percent
Commercial/Self-pay/Other: 68.1 percent
California
Medicare: 17 percent
Medicaid: 21.7 percent
Commercial/Self-pay/Other: 62.9 percent
Colorado
Medicare: 14.4 percent
Medicaid: 12.7 percent
Commercial/Self-pay/Other: 73.6 percent
Connecticut
Medicare: 16.8 percent
Medicaid: 16.9 percent
Commercial/Self-pay/Other: 66.9 percent
Delaware
Medicare: 29.5 percent
Medicaid: 11.9 percent
Commercial/Self-pay/Other: 63.3 percent
Florida
Medicare: 20.2 percent
Medicaid: 6.7 percent
Commercial/Self-pay/Other: 74.4 percent
Georgia
Medicare: 14.2 percent
Medicaid: 11 percent
Commercial/Self-pay/Other: 75.6 percent
Hawaii
Medicare: 10.7 percent
Medicaid: 23.2 percent
Commercial/Self-pay/Other: 66 percent
Idaho
Medicare: 16.3 percent
Medicaid: 13.1 percent
Commercial/Self-pay/Other: 70.5 percent
Illinois
Medicare: 17.7 percent
Medicaid: 16.5 percent
Commercial/Self-pay/Other: 66 percent
Indiana
Medicare: 15.8 percent
Medicaid: 10.6 percent
Commercial/Self-pay/Other: 74.1 percent
Iowa
Medicare: 22.2 percent
Medicaid: 12.3 percent
Commercial/Self-pay/Other: 65.8 percent
Kansas
Medicare: 26 percent
Medicaid: 6.3 percent
Commercial/Self-pay/Other: 68.1 percent
Kentucky
Medicare: 14.6 percent
Medicaid: 25.4 percent
Commercial/Self-pay/Other: 60.6 percent
Louisiana
Medicare: 19.6 percent
Medicaid: 24.4 percent
Commercial/Self-pay/Other: 60.7 percent
Maine
Medicare: 14.9 percent
Medicaid: 12.5 percent
Commercial/Self-pay/Other: 72.7 percent
Maryland
Medicare: 29.6 percent
Medicaid: 14.8 percent
Commercial/Self-pay/Other: 53.3 percent
Massachusetts
Medicare: 23.7 percent
Medicaid: 14.8 percent
Commercial/Self-pay/Other: 62.1 percent
Michigan
Medicare: 15.5 percent
Medicaid: 12 percent
Commercial/Self-pay/Other: 73.7 percent
Minnesota
Medicare: 14.8 percent
Medicaid: 9.1 percent
Commercial/Self-pay/Other: 76.1 percent
Mississippi
Medicare: 20.1 percent
Medicaid: 16.5 percent
Commercial/Self-pay/Other: 64.4 percent
Missouri
Medicare: 16.9 percent
Medicaid: 11.2 percent
Commercial/Self-pay/Other: 72.1 percent
Montana
Medicare: 17.1 percent
Medicaid: 17.1 percent
Commercial/Self-pay/Other: 66.1 percent
Nebraska
Medicare: 23.6 percent
Medicaid: 7.4 percent
Commercial/Self-pay/Other: 69.3 percent
Nevada
Medicare: 17.7 percent
Medicaid: 11.7 percent
Commercial/Self-pay/Other: 71.6 percent
New Hampshire
Medicare: 17.7 percent
Medicaid: 8.3 percent
Commercial/Self-pay/Other: 74.3 percent
New Jersey
Medicare: 23.2 percent
Medicaid: 13.2 percent
Commercial/Self-pay/Other: 64.9 percent
New Mexico
Medicare: 15.9 percent
Medicaid: 23.1 percent
Commercial/Self-pay/Other: 63.4 percent
New York
Medicare: 16.7 percent
Medicaid: 17 percent
Commercial/Self-pay/Other: 66.6 percent
North Carolina
Medicare: 17.1 percent
Medicaid: 10.9 percent
Commercial/Self-pay/Other: 72.6 percent
North Dakota
Medicare: 22.4 percent
Medicaid: 11.8 percent
Commercial/Self-pay/Other: 69.6 percent
Ohio
Medicare: 15.2 percent
Medicaid: 11.8 percent
Commercial/Self-pay/Other: 73.4 percent
Oklahoma
Medicare: 20.2 percent
Medicaid: 12.9 percent
Commercial/Self-pay/Other: 67.1 percent
Oregon
Medicare: 16.1 percent
Medicaid: 14.8 percent
Commercial/Self-pay/Other: 69.4 percent
Pennsylvania
Medicare: 17.5 percent
Medicaid: 11 percent
Commercial/Self-pay/Other: 72.4 percent
Rhode Island
Medicare: 15.5 percent
Medicaid: 19.4 percent
Commercial/Self-pay/Other: 65.1 percent
South Carolina
Medicare: 26.6 percent
Medicaid: 10.9 percent
Commercial/Self-pay/Other: 64.7 percent
South Dakota
Medicare: 19.2 percent
Medicaid: 5.4 percent
Commercial/Self-pay/Other: 75.4 percent
Tennessee
Medicare: 22.6 percent
Medicaid: 10.8 percent
Commercial/Self-pay/Other: 69.2 percent
Texas
Medicare: 25.2 percent
Medicaid: 11 percent
Commercial/Self-pay/Other: 66.9 percent
Utah
Medicare: 12.2 percent
Medicaid: 11.4 percent
Commercial/Self-pay/Other: 77.3 percent
Vermont
Medicare: 14.4 percent
Medicaid: 10.1 percent
Commercial/Self-pay/Other: 76.3 percent
Virginia
Medicare: 18.2 percent
Medicaid: 14.7 percent
Commercial/Self-pay/Other: 67.9 percent
Washington
Medicare: 17.3 percent
Medicaid: 13.7 percent
Commercial/Self-pay/Other: 69.1 percent
Washington, D.C.
Medicare: 20.8 percent
Medicaid: 31.3 percent
Commercial/Self-pay/Other: 47.9 percent
West Virginia
Medicare: 16.4 percent
Medicaid: 16.9 percent
Commercial/Self-pay/Other: 67.3 percent
Wisconsin
Medicare: 13.9 percent
Medicaid: 7.9 percent
Commercial/Self-pay/Other: 78.1 percent
Wyoming
Medicare: 20.1 percent
Medicaid: 5.7 percent
Commercial/Self-pay/Other: 74.4 percent