When you see these costs it is no wonder that states are moving from fee-for-service to Medicaid Managed Care.
| State | Payment Per Enrollee |
| District of Columbia | $10,910 |
| Florida | $10,894 |
| Texas | $10,413 |
| Louisiana | $10,338 |
| New Jersey | $10,327 |
| Maryland | $10,322 |
| Michigan | $10,085 |
| New York | $10,014 |
| Massachusetts | $9,988 |
| Connecticut | $9,968 |
Source: Health, United States, 2011, National Center for Health Statistics