Medicare spending on breast cancer by state 

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Average traditional Medicare costs per beneficiary with breast cancer ranged from $13,811 in Vermont to $23,232 in California in 2023, according to CMS’ Mapping Medicare Disparities tool.

Total cost per beneficiary with breast cancer was highest in California, Maryland and Washington, D.C., ranging from $22,198 to $23,232. Vermont, Hawaii and Iowa had the lowest total cost per beneficiary, ranging from $13,811 to $15,929.

Principal cost was highest in Maryland at $2,767 per beneficiary, followed by California at $2,715 and Nevada at $2,703. Principal cost was lowest in Kentucky and Massachusetts at $1,452 and $1,461, respectively. 

Total cost reflects all Medicare spending on beneficiaries with breast cancer, including care unrelated to the disease, while principal cost counts only claims for which breast cancer is the primary diagnosis. Read more about how CMS calculates the spending measures here.

Here is average traditional Medicare spending per beneficiary with breast cancer in 2023, by state:

Traditional Medicare spending per beneficiary with breast cancer (2023)
StateTotal costPrincipal cost
Alabama$17,665$2,029
Alaska$19,319$2,461
Arizona$18,475$1,985
Arkansas$17,681$2,028
California$23,232$2,715
Colorado$18,764$2,260
Connecticut$21,222$1,742
Delaware$18,767$2,101
District of Columbia$22,198$2,313
Florida$19,558$2,105
Georgia$17,959$2,117
Hawaii$14,914$2,035
Idaho$17,125$1,816
Illinois$19,437$1,849
Indiana$18,343$1,815
Iowa$15,929$2,004
Kansas$18,231$2,429
Kentucky$18,312$1,452
Louisiana$18,760$1,845
Maine$17,646$2,137
Maryland$22,409$2,767
Massachusetts$19,364$1,461
Michigan$18,733$1,929
Minnesota$19,188$2,105
Mississippi$18,905$1,967
Missouri$17,646$1,653
Montana$17,313$1,672
Nebraska$18,463$2,525
Nevada$21,604$2,703
New Hampshire$17,668$1,521
New Jersey$21,099$2,330
New Mexico$17,085$2,295
New York$21,990$2,137
North Carolina$17,214$1,732
North Dakota$16,799$1,885
Ohio$17,949$1,794
Oklahoma$19,819$1,829
Oregon$17,820$1,884
Pennsylvania$18,105$2,070
Rhode Island$17,556$1,494
South Carolina$16,751$1,869
South Dakota$18,732$2,197
Tennessee$16,930$2,007
Texas$20,816$2,165
Utah$17,422$1,826
Vermont$13,811$1,513
Virginia$17,079$1,993
Washington$18,254$1,910
West Virginia$18,409$1,716
Wisconsin$17,363$1,678
Wyoming$19,245$2,157

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