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It might not affect the cost of a CT scan, but youre going to have healthier Hoosiers who are utilizing health services less, and thats going to bring down the impact to your bottom line, in a way that I think we all really want to see. According to Indiana State Department of Health, smoking costs Hoosiers $2.93 billion in medical expenses each year, and nearly $590 million of those costs are covered by Medicaid