Average hospital payer mix in every state

By Jakob Emerson / May 25, 2023

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