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.
Thursday, February 26, 2026|~11 min
“In any normal market, this much price variation would trigger antitrust investigations. In Medicaid, it's invisible.”
Key Findings
- T1015 ranges from $12-$189/unit in the same state
- High-concentration states show low price variation
- No correlation between price paid and care quality
Data Points
Some states show 8x price variation
Top 3 providers can suppress price transparency
Market dysfunction invisible without data analysis