AVG

Free Speech Data

Act Two

EP07

The Price Is Wrong

5X TO 10X PRICE VARIANCE

Act 2 · Episode 7

The Price Is Wrong

The same procedure billed at 5x to 10x different rates in the same state. In any normal market, this triggers antitrust investigations. In Medicaid, it is invisible.

February 26, 2026~11 min

In any normal market, this much price variation would trigger antitrust investigations. In Medicaid, it's invisible.

Key Findings

1T1015 ranges from $12-$189/unit in the same state
2High-concentration states show low price variation
3No correlation between price paid and care quality

Data Points

Data

Some states show 8x price variation

Data

Top 3 providers can suppress price transparency

Data

Market dysfunction invisible without data analysis

People & Entities

State Medicaid ProgramsFTCCMS

Locations

TexasCaliforniaNew YorkOhio