Medicare Assignment Rate by City
Highest and lowest assignment rates among 118 cities with at least 50 supplier listings.
Which cities have the highest assignment rate?
Among the 118 cities with at least 50 listings, Madison, WI has the highest share of suppliers that accept Medicare assignment at 79.0%. The national rate is 51.2%.
| Rank | City | Suppliers | Accept assignment | vs state |
|---|---|---|---|---|
| 1 | Madison, WI | 62 | 79.0% | +12.0 pts |
| 2 | Staten Island, NY | 109 | 78.9% | +14.3 pts |
| 3 | Buffalo, NY | 51 | 78.4% | +13.9 pts |
| 4 | Chicago, IL | 291 | 75.3% | +11.5 pts |
| 5 | Portland, OR | 107 | 72.9% | +18.2 pts |
| 6 | Rochester, NY | 92 | 72.8% | +8.3 pts |
| 7 | Salt Lake City, UT | 61 | 70.5% | +13.7 pts |
| 8 | Detroit, MI | 52 | 69.2% | +8.4 pts |
| 9 | Milwaukee, WI | 59 | 67.8% | +0.7 pts |
| 10 | Gilbert, AZ | 51 | 66.7% | +14.4 pts |
| 11 | Nashville, TN | 109 | 66.1% | +8.1 pts |
| 12 | Yonkers, NY | 53 | 66.0% | +1.5 pts |
| 13 | Memphis, TN | 107 | 65.4% | +7.5 pts |
| 14 | Sioux Falls, SD | 66 | 65.2% | +3.7 pts |
| 15 | Jamaica, NY | 60 | 65.0% | +0.4 pts |
| 16 | Wichita, KS | 101 | 64.4% | +10.5 pts |
| 17 | Louisville, KY | 158 | 63.9% | +7.5 pts |
| 18 | Lexington, KY | 81 | 63.0% | +6.6 pts |
| 19 | New York, NY | 471 | 62.4% | -2.1 pts |
| 20 | Glendale, AZ | 59 | 61.0% | +8.8 pts |
| 21 | Knoxville, TN | 114 | 60.5% | +2.6 pts |
| 22 | Atlanta, GA | 131 | 60.3% | +9.5 pts |
| 23 | Raleigh, NC | 110 | 60.0% | +8.7 pts |
| 24 | Boca Raton, FL | 50 | 60.0% | +4.4 pts |
| 25 | Spring, TX | 54 | 59.3% | +13.6 pts |
Which cities have the lowest assignment rate?
Lubbock, TX has the lowest rate among large cities at 24.2%. In these places it is worth using the assignment filter on the city page and asking each supplier about total cost.
| Rank | City | Suppliers | Accept assignment | vs state |
|---|---|---|---|---|
| 1 | Lubbock, TX | 62 | 24.2% | -21.4 pts |
| 2 | McAllen, TX | 52 | 25.0% | -20.6 pts |
| 3 | Amarillo, TX | 52 | 28.8% | -16.8 pts |
| 4 | Pittsburgh, PA | 94 | 33.0% | -10.2 pts |
| 5 | San Diego, CA | 147 | 36.1% | -2.3 pts |
| 6 | Kansas City, MO | 69 | 36.2% | -10.3 pts |
| 7 | Washington, DC | 96 | 36.5% | -0.7 pts |
| 8 | Baton Rouge, LA | 78 | 37.2% | -6.8 pts |
| 9 | El Paso, TX | 119 | 37.8% | -7.8 pts |
| 10 | Dallas, TX | 201 | 39.3% | -6.3 pts |
| 11 | Chattanooga, TN | 61 | 39.3% | -18.6 pts |
| 12 | Philadelphia, PA | 164 | 39.6% | -3.6 pts |
| 13 | Tulsa, OK | 90 | 40.0% | -7.5 pts |
| 14 | Anaheim, CA | 57 | 40.4% | +2.0 pts |
| 15 | Fort Worth, TX | 116 | 40.5% | -5.1 pts |
| 16 | Winston Salem, NC | 54 | 40.7% | -10.5 pts |
| 17 | Sacramento, CA | 93 | 40.9% | +2.5 pts |
| 18 | Fresno, CA | 86 | 41.9% | +3.5 pts |
| 19 | Reno, NV | 57 | 42.1% | -11.4 pts |
| 20 | Plano, TX | 71 | 42.3% | -3.4 pts |
| 21 | Tallahassee, FL | 52 | 42.3% | -13.3 pts |
| 22 | San Jose, CA | 85 | 42.4% | +4.0 pts |
| 23 | Savannah, GA | 54 | 42.6% | -8.2 pts |
| 24 | Los Angeles, CA | 208 | 43.3% | +4.9 pts |
| 25 | Greensboro, NC | 64 | 43.8% | -7.5 pts |
How should you use this list?
A high rate means more suppliers have agreed to take the Medicare-approved amount as payment in full. It does not guarantee the price of a specific item or that a supplier carries it. Use it to decide how hard you need to filter, then confirm by phone. Read Medicare assignment explained for what the flag means.
Data: public Medicare medical equipment supplier file, snapshot November 2026. Cities with at least 50 listings are ranked so that percentages are not driven by one or two suppliers. See the methodology.
Frequently asked questions
Which large city has the highest Medicare assignment rate?
Madison, WI at 79.0% among cities with at least 50 listings.
What is the national assignment rate?
51.2% of listed suppliers accept Medicare assignment in the current snapshot.