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Figure 5-2: Hospital Cost-Shifting Index, Metropolitan Areas, 1999 (Text Description)

The figure is a graph showing the extent to which hospitals shift costs to paying patients to cover the cost of treating nonpaying patients, by regions of the Nation. In the Northeast, the cost-shifting index was highest in Jersey City, close to 0.42. In New York and Newark, the index was between 0.20 and 0.25. In Trenton, Portland, and Syracuse, the index was between 0.10 and 0.15. In Lancaster, Springfield, and Philadelphia, the index was between 0.05 and 0.10. In Worcester and Scranton, the index was less than 0.05. In the South, the cost-shifting index was highest in Pensacola, roughly 0.35, followed by Sarasota, approximately 0.32. In Lakeland and Fort Myers, the index was between 0.20 and 0.25. In Melbourne and Atlanta, the index was between 0.15 and 0.20. In Greenville, Baltimore, and Norfolk, the index was between 0.10 and 0.15. In Columbia and Nashville, the index was between 0.05 and 0.10. In Raleigh and Greensboro, the index was less than 0.05. In the Midwest, the highest cost-shifting index was in Des Moines, approximately 0.15. In Chicago, the index was just more than 0.10. In St. Louis, Wichita, and Madison, the index was between 0.05 and 0.10. In the West, Tucson had the highest cost-shifting index, approximately 0.21. In Seattle and Los Angeles, the index was between 0.10 and 0.15. In Phoenix, Oakland, and Tacoma, the index was between 0.05 and 0.10. The smallest index was in Modesto, roughly 0.03.

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