Oatmeal Healthoatmealhealth.com · public-data estimate, October 2026

ScionHealth

Lung screening gap across 168 counties in Alabama, Arizona, Arkansas, California, Colorado, Florida, Georgia, Idaho, Illinois, Indiana, Kentucky, Louisiana, Mississippi, Missouri, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Washington, West Virginia, Wisconsin and Wyoming

3.5Mto7Madults in its service area qualify for lung cancer screening and are not being screened

About 60,000 people here are diagnosed with lung cancer each year, and 64% are found at a late stage, when it is hardest to treat.

Explore the screening network
CANVUTAZ
168 counties17 acute care hospitalsService areaShowing the Arizona, California and Nevada region; all regions are mapped below.
4.3M to 8.4Madults likely qualify under USPSTF 2021 criteria (estimate)
35,000lung cancer deaths a year in these counties, 2020 to 2024
16.7%of eligible adults screened in these states, vs 18.2% nationally

Estimates from public data only; no patient information. Sources and method below.

Where the eligible adults live

The counties where most of ScionHealth's Medicare inpatients live. Darker areas hold more adults who likely qualify, which is where outreach would start. Hover or tap any area for its estimate.

Arizona, California and Nevada

Arkansas, Louisiana, Mississippi, Oklahoma and Texas

Florida

New Jersey, New York and Pennsylvania

Illinois and Wisconsin

Indiana, Kentucky, North Carolina, Ohio, South Carolina, Tennessee and West Virginia

Plus 11 smaller areas listed in the table.

Adults likely eligible, per county

0+2,200+4,900+16,100+35,600+56,500+96,000+

Acute care hospital in this system

Counties in the service area

CountyStateAdults likely eligibleLung cancer deaths per 100kMedicare screens billed locally, 2024
Los Angeles CountyCalifornia341,600 to 644,90019.75,864
Cook CountyIllinois177,400 to 380,40026.98,348
Maricopa CountyArizona154,600 to 342,70023.52,977
Harris CountyTexas169,600 to 333,40023.52,976
Miami-Dade CountyFlorida106,400 to 313,20021.71,434
San Diego CountyCalifornia99,700 to 208,80021.62,544
Orange CountyCalifornia96,000 to 202,70020.21,029
Dallas CountyTexas88,000 to 187,00026.52,029
Clark CountyNevada112,900 to 186,10029.01,127
Broward CountyFlorida82,900 to 180,90022.9830
Bexar CountyTexas71,700 to 164,90022.21,098
Kings CountyNew York89,700 to 161,20017.5689
Riverside CountyCalifornia89,200 to 152,70023.8181
Tarrant CountyTexas79,500 to 146,80027.7789
Palm Beach CountyFlorida65,200 to 145,20022.3965
King CountyWashington47,700 to 137,00021.51,484
San Bernardino CountyCalifornia77,900 to 132,20024.3219
Hillsborough CountyFlorida57,900 to 122,50028.31,024
Philadelphia CountyPennsylvania80,700 to 117,80035.12,930
Santa Clara CountyCalifornia46,700 to 110,40017.01,718
Orange CountyFlorida52,000 to 105,20024.61,512
Pinellas CountyFlorida49,700 to 101,80032.41,318
Alameda CountyCalifornia47,000 to 97,20019.6333
St. Louis CountyMissouri44,500 to 96,00032.61,889
Pima CountyArizona39,300 to 92,70022.81,678
Travis CountyTexas32,400 to 84,30018.51,171
Jefferson CountyKentucky41,600 to 81,60039.61,854
Marion CountyIndiana40,700 to 78,80043.51,967
El Paso CountyTexas30,100 to 75,50015.6162
Contra Costa CountyCalifornia36,300 to 75,20020.8941
Westchester CountyNew York31,800 to 73,90017.71,363
Montgomery CountyPennsylvania38,000 to 73,60025.0633
DuPage CountyIllinois29,700 to 72,70023.31,418
Fulton CountyGeorgia30,800 to 72,40024.21,448
Duval CountyFlorida45,900 to 71,90035.41,673
Hidalgo CountyTexas30,600 to 71,20014.596
Collin CountyTexas32,900 to 69,90020.4380
Milwaukee CountyWisconsin38,400 to 69,50034.33,468
Oklahoma CountyOklahoma33,200 to 67,80038.12,043
Jackson CountyMissouri34,900 to 63,30036.51,589
Polk CountyFlorida40,900 to 63,30034.6688
Brevard CountyFlorida33,600 to 61,70035.8955
Ventura CountyCalifornia29,200 to 60,50020.4399
Bucks CountyPennsylvania38,600 to 60,20027.5452
Middlesex CountyNew Jersey28,200 to 60,20022.41,452
Denton CountyTexas29,100 to 59,40023.769
Pierce CountyWashington32,700 to 57,30030.01,133
Tulsa CountyOklahoma29,800 to 56,50034.3784
Fort Bend CountyTexas28,000 to 56,50018.1None billed locally
Essex CountyNew Jersey32,500 to 55,20019.1402
Snohomish CountyWashington26,700 to 54,30029.01,403
Pasco CountyFlorida33,000 to 52,90036.4242
Kern CountyCalifornia34,900 to 52,10024.9239
Montgomery CountyOhio27,000 to 51,90038.5852
San Mateo CountyCalifornia19,700 to 48,80017.4623
Delaware CountyPennsylvania23,900 to 48,00031.0648
Denver CountyColorado18,200 to 46,60020.7333
Chester CountyPennsylvania20,200 to 46,40024.7492
Arapahoe CountyColorado20,300 to 46,00019.41,412
Montgomery CountyTexas26,800 to 45,70029.517
Guilford CountyNorth Carolina23,100 to 43,70032.71,285
Manatee CountyFlorida24,400 to 41,90026.6300
Cameron CountyTexas15,900 to 41,70017.2None billed locally
Union CountyNew Jersey21,000 to 41,20018.8349
Williamson CountyTexas19,700 to 40,60021.180
Morris CountyNew Jersey15,500 to 39,50020.6623
Passaic CountyNew Jersey20,200 to 38,20021.8816
Marion CountyFlorida27,000 to 38,00040.1392
Dane CountyWisconsin16,500 to 37,70023.41,467
Richmond CountyNew York20,900 to 36,70030.2597
Pulaski CountyArkansas17,300 to 36,40036.81,926
Waukesha CountyWisconsin16,100 to 35,60026.0493
Spokane CountyWashington20,800 to 35,40030.51,924
Forsyth CountyNorth Carolina17,600 to 32,60036.8380
St. Lucie CountyFlorida20,800 to 32,30031.9132
Osceola CountyFlorida16,600 to 31,20026.9158
Galveston CountyTexas15,100 to 28,50032.6197
Santa Barbara CountyCalifornia13,800 to 28,10020.2566
Brazoria CountyTexas14,200 to 27,50032.2171
Orange CountyNew York15,300 to 26,60031.0693
St. Johns CountyFlorida12,900 to 24,10024.9164
Mohave CountyArizona17,300 to 23,70039.1119
Caddo ParishLouisiana13,800 to 23,20037.3510
Cumberland CountyNorth Carolina13,500 to 22,90043.61,320
Winnebago CountyIllinois14,800 to 22,80037.4451
Bell CountyTexas13,900 to 22,40034.722
Warren CountyOhio10,500 to 21,80031.4110
Clay CountyMissouri11,500 to 21,40037.2512
Jefferson CountyTexas12,500 to 19,50033.1280
Montgomery CountyAlabama10,300 to 19,20033.4682
McLennan CountyTexas10,500 to 18,70032.2385
Calcasieu ParishLouisiana11,300 to 18,60041.6268
Clay CountyFlorida10,900 to 18,30036.922
Indian River CountyFlorida9,400 to 18,00031.3267
Monroe CountyPennsylvania10,300 to 17,30031.0196
Greene CountyOhio6,900 to 16,10034.033
Ouachita ParishLouisiana8,600 to 14,00035.8133
Ellis CountyTexas8,700 to 13,90032.1None billed locally
Johnson CountyTexas9,200 to 13,80036.6None billed locally
Muscogee CountyGeorgia9,200 to 13,60035.2248
Peoria CountyIllinois7,800 to 13,40042.118
Lee CountyAlabama6,800 to 12,40030.787
Imperial CountyCalifornia6,600 to 12,30018.3None billed locally
Sussex CountyNew Jersey6,300 to 12,30028.8356
Florence CountySouth Carolina7,000 to 12,30039.778
Parker CountyTexas7,800 to 11,50036.628
Bossier ParishLouisiana6,300 to 11,20041.7None billed locally
Allen CountyOhio5,800 to 10,00041.2802
Comanche CountyOklahoma6,000 to 9,60042.2None billed locally
Kaufman CountyTexas7,000 to 9,20042.7None billed locally
Dodge CountyWisconsin5,000 to 7,70032.4None billed locally
Putnam CountyTennessee4,700 to 7,40049.3267
Jefferson CountyWisconsin4,200 to 7,30025.9None billed locally
Pike CountyKentucky5,000 to 7,00065.4150
Kershaw CountySouth Carolina3,700 to 6,50047.832
Darlington CountySouth Carolina3,800 to 6,40041.8125
Muskogee CountyOklahoma4,500 to 6,30052.412
Russell CountyAlabama3,400 to 5,10049.8None billed locally
Autauga CountyAlabama2,900 to 5,10041.3None billed locally
Wayne CountyWest Virginia3,100 to 4,90053.5None billed locally
Chesterfield CountySouth Carolina2,900 to 4,50052.2None billed locally
Anderson CountyTexas3,400 to 4,50041.950
Highland CountyOhio3,000 to 4,40058.2None billed locally
Navarro CountyTexas3,000 to 4,20041.450
Washington CountyMississippi3,000 to 4,20051.7None billed locally
Clinton CountyOhio2,600 to 4,10047.5None billed locally
Covington CountyAlabama2,500 to 4,00046.3None billed locally
Logan CountyWest Virginia2,800 to 4,00046.5None billed locally
Fremont CountyWyoming2,300 to 3,90030.536
Dallas CountyAlabama2,600 to 3,80032.0None billed locally
Harris CountyGeorgia1,800 to 3,30030.0None billed locally
Nez Perce CountyIdaho2,000 to 3,20027.335
Logan CountyKentucky1,700 to 3,10051.1None billed locally
Mingo CountyWest Virginia2,300 to 2,90067.2None billed locally
Caddo CountyOklahoma1,800 to 2,90059.6None billed locally
Bolivar CountyMississippi1,900 to 2,70055.118
Boone CountyWest Virginia1,800 to 2,70059.6None billed locally
Wyoming CountyWest Virginia2,000 to 2,60056.8None billed locally
Lincoln CountyWest Virginia1,800 to 2,50087.6None billed locally
Barbour CountyAlabama1,900 to 2,40047.1None billed locally
Overton CountyTennessee2,100 to 2,40063.6None billed locally
Latah CountyIdaho1,100 to 2,40016.792
Whitman CountyWashington1,000 to 2,20029.9None billed locally
Limestone CountyTexas1,300 to 2,20039.9None billed locally
Houston CountyTexas1,500 to 2,10029.1None billed locally
Fentress CountyTennessee1,900 to 2,10059.8None billed locally
Sunflower CountyMississippi1,700 to 2,10039.2None billed locally
Butler CountyAlabama1,300 to 2,00039.5None billed locally
Meriwether CountyGeorgia1,600 to 2,00034.9None billed locally
Coahoma CountyMississippi1,300 to 1,90059.2None billed locally
Asotin CountyWashington1,200 to 1,90024.6None billed locally
Freestone CountyTexas1,200 to 1,70044.4None billed locally
Lee CountySouth Carolina1,200 to 1,70055.3None billed locally
Leon CountyTexas1,100 to 1,70036.0None billed locally
Idaho CountyIdaho1,000 to 1,70029.6None billed locally
Crenshaw CountyAlabama870 to 1,50041.7None billed locally
Jackson CountyTennessee1,200 to 1,50062.3None billed locally
Conecuh CountyAlabama940 to 1,40035.1None billed locally
Wilcox CountyAlabama820 to 1,10025.2None billed locally
Clay CountyTennessee780 to 92063.8None billed locally
Clearwater CountyIdaho570 to 90038.4None billed locally
Perry CountyAlabama610 to 88027.8None billed locally
Marion CountyGeorgia540 to 85040.1None billed locally
Taylor CountyGeorgia670 to 78046.9None billed locally
Talbot CountyGeorgia490 to 70039.5None billed locally
Pickett CountyTennessee560 to 67050.8None billed locally
Stewart CountyGeorgia330 to 470—None billed locally
Chattahoochee CountyGeorgia120 to 310—103

54 of the 168 counties had no Medicare lung screening reads billed from a local address in 2024. County names link to their Missing Millions page.

What closing the gap would mean

If screening in these counties rose from 16.7% to the national rate of 18.2%, about 63,400 to 125,700 more people would be screened each year.

In the National Lung Screening Trial, low-dose CT screening lowered lung cancer deaths by 20% compared with chest X-ray. Today about 64% of lung cancers here are found at a late stage.

Illustrative estimate: eligible adults (range) times the change in screening rate. Not a forecast or a guarantee.

Each year in these counties

60,000new lung cancers
38,300found at a late stage
35,100lung cancer deaths

NCI and CDC State Cancer Profiles, annual averages.

Screening at ScionHealth today

Clinicians at ScionHealth locations billed 261 low-dose CT lung screening reads to Medicare fee-for-service in 2024. Including Medicare Advantage and other insurers, we estimate about 580 to 1,700 screenings a year.

Most adults who qualify see a primary care clinician every year. We count 345 primary care clinicians, 17 pulmonologists and 9 thoracic surgeons practicing at ScionHealth locations. A 20 pack-year smoking history is often missing from structured EHR fields, so many eligible patients are never flagged.

CMS Medicare Physician and Other Practitioners 2024 (CPT 71271); clinicians matched to ScionHealth by practice address using the AHRQ Compendium of U.S. Health Systems 2023, so reads billed by outside radiology groups are not included. The all-payer estimate scales Medicare fee-for-service by the local Medicare Advantage share (55%, CMS) and, at the high end, by the share of eligible adults under 65 (65%).

17 acute care hospitals

  • St. Francis Hospital Inc.Columbus, GA
  • Bolivar Medical CenterCleveland, MS
  • Palestine Regional Medical CenterPalestine, TX
  • Sage West Health CareRiverton, WY
  • Logan Regional Medical CenterLogan, WV
  • Southwestern Medical CenterLawton, OK
  • Carolina Pines Regional Medical CenterHartsville, SC
  • St Joseph Regional Medical CenterLewiston, ID
  • Vaughan Regional Medical CenterSelma, AL
  • Livingston Regional HospitalLivingston, TN
  • Andalusia Regional HospitalAndalusia, AL
  • Watertown Regional Medical CenterWatertown, WI

And 5 more acute care hospitals.

Find them, reach them, give radiologists a second opinion

LungIQ Find

Reads clinical notes, diagnoses and medications in the EHR and returns a ranked list of patients likely eligible, including those whose pack-year history is missing. Start with a CSV export refreshed every 1, 3 or 6 months, or connect through FHIR or HL7.

LungNAV Reach

An AI patient navigator that texts and calls patients in 70+ languages, answers questions about the scan, and hands each patient to your scheduling team or nurse navigators with a call summary.

LungAI Second opinion

Gives radiologists a malignancy risk score for each nodule, factoring in change since the prior scan, inside the PACS and CADe software they already use. The radiologist makes the final call.

LungAI is an investigational medical device and has not been cleared by FDA. It is not commercially available in the United States.

How we estimate the gap

Modeled estimates from public data. They are not a count of ScionHealth patients and contain no patient information.

  • Service area: CMS Hospital Service Area File 2025 (counties within 120 miles of a system hospital holding 80% of its Medicare inpatients, plus any county with at least 1%); hospitals from the AHRQ Compendium of U.S. Health Systems, 2023.
  • Eligible adults, low estimate: Oatmeal Health Missing Millions (Census 2025 population, CDC PLACES smoking, USPSTF 2021).
  • Eligible adults, high estimate: University of Minnesota National Lung Cancer Screening Estimates (Haynes 2026), which also counts former smokers.
  • Screening rate: American Lung Association, State of Lung Cancer 2025.
  • Lung cancer cases and deaths: NCI and CDC State Cancer Profiles (incidence 2019 to 2023, deaths 2020 to 2024).
  • Screening volume: CMS Medicare Physician and Other Practitioners, 2024; CMS Medicare Advantage State/County Penetration, September 2026.

LungAI is an investigational medical device and has not been cleared by FDA. Oatmeal Health is preparing a 510(k) premarket notification. LungAI is not commercially available in the United States.

See ScionHealth's own numbers

In a 30 minute review we replace these public estimates with counts from your own records and agree on what a first program would look like.

Request a private screening review