CMS Data · Spending by area

Is your area expensive because it does more, or charges more?

Spending per person on health care varies wildly depending on where someone lives, and the numbers are public. But a single per-person figure hides the thing that actually matters: is an expensive area expensive because it delivers more care, or because the same care simply costs more there? Sorting that out used to be slow, expensive work. Now you just ask, and in seconds you can tell the two apart.

Spending per personMore care or higher pricesBy state and countyAnswer in seconds
Oshri Cohen, CMS healthcare data made useful
Oshri CohenDigital products delivered
The problem

One number hides two different causes.

A plain spending-per-person figure tells you an area is expensive, but not why. The information actually carries two versions: the real spending, and a version with local price differences stripped out, so what's left reflects how much care was delivered rather than what it cost. Reading the two together is the only way to separate an area that does more care from one that simply charges more, and that comparison is exactly what gets lost when people quote a single number.

Put both versions side by side and the cost breaks apart cleanly. You can rank states and counties on real spending, then re-rank them with prices stripped out and watch the order change. The areas that fall are paying high prices; the ones that stay high are genuinely using more care. For a payer, an employer, or a policymaker, that's the whole point, because the two causes call for completely different responses, and now the answer takes seconds instead of weeks.

What it answers

Questions you can finally ask.

Each is a question you simply ask and get an answer to, not a three-week analysis project.

Which areas spend the most per person?

Rank states and counties on real spending per person to see the headline cost map at a glance.

Is it more care, or higher prices?

Compare real spending against the price-stripped version to separate areas that deliver more care from areas that simply charge more.

Which areas drop once price is removed?

Find the places whose cost ranking falls once prices are stripped out, the high-price areas hiding behind a big number.

Where is more care genuinely delivered?

Surface the areas that stay expensive even after prices are leveled out, the ones truly using more care.

How wide is the gap within a state?

Drill from state down to county to see how much spending varies inside a single state's borders.

Which counties are the outliers?

Flag counties whose spending sits far above or below their neighbors, on either the real or the price-stripped measure.

What goes into it

What the answer pulls together.

What's actually spent per person

Real spending per person by state and county, the raw cost figure before any adjustment.

The same spending with prices leveled

The same spending with local price differences removed, so what's left shows how much care was actually delivered.

How fine you can zoom

State and county breakdowns in the same picture, so you can go from national patterns down to local outliers.

A high spending-per-person number is a symptom, not a diagnosis. Strip out price and the expensive areas sort into two very different problems. Only then can you treat either one.

Oshri Cohen · On CMS data
Common questions

What people ask about this.

What does leveling out prices actually mean?

There's a version of the spending figures with local price differences removed, so what's left reflects the amount of care delivered rather than what it costs in that place. Comparing it against the real figure is how you tell an area that does more care from one that just charges more. That split is the single most useful thing here.

Can I go below the state level?

Yes. The information carries county breakdowns alongside the state totals, so you can drill from a national view down to local outliers. That matters because the gap inside a single state is often as wide as the gap between states, and a state average can completely mask it.

How current is the answer?

It stays current on its own. When new information is published, it's already in there, so you're asking against today's picture, not a year-old extract.

Want your area
split into price and care?

Whether you're a payer, an employer, or a policymaker, I can get you the exact regional-spending answer you care about, real and price-leveled.