CostGrade

Hospitals With the Largest Gap Between Charges and Payments

Ranked by how much a hospital bills in list charges for every dollar of care actually paid for, across 2,617 graded hospitals. Only hospitals with at least ten priced procedures appear, so a single unusual case cannot put a hospital at either end.

This is not a ranking of cheap care. A low markup means a hospital's list prices sit close to what its care is actually paid for. It does not mean your treatment there will cost less than somewhere else — that depends on your insurance and your case.

  1. 1001
  2. 1002
    C

    Lubbock Heart Hospital Lp

    Lubbock, TX

    5.3x — bills about $5.29 in charges for every $1 of care actually paid for

    36 procedures priced CMS quality 2/5 Government - Hospital District or Authority
  3. 1003
  4. 1004
  5. 1005
    C

    Oaklawn Hospital

    Marshall, MI

    5.3x — bills about $5.29 in charges for every $1 of care actually paid for

    32 procedures priced CMS quality 4/5 Voluntary non-profit - Other
  6. 1006
    C

    Community Hospital North

    Indianapolis, IN

    5.3x — bills about $5.28 in charges for every $1 of care actually paid for

    101 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  7. 1007
  8. 1008
  9. 1009
    C

    Memorial Healthcare

    Owosso, MI

    5.3x — bills about $5.27 in charges for every $1 of care actually paid for

    34 procedures priced CMS quality 3/5 Voluntary non-profit - Other
  10. 1010
    C

    St Vincent's Birmingham

    Birmingham, AL

    5.3x — bills about $5.27 in charges for every $1 of care actually paid for

    113 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  11. 1011
  12. 1012
  13. 1013
    C

    Catholic Medical Center

    Manchester, NH

    5.3x — bills about $5.27 in charges for every $1 of care actually paid for

    115 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  14. 1014
  15. 1015
  16. 1016
  17. 1017
    C

    Community Medical Center

    Missoula, MT

    5.3x — bills about $5.25 in charges for every $1 of care actually paid for

    42 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  18. 1018
    D

    Mount Sinai West

    New York, NY

    5.3x — bills about $5.25 in charges for every $1 of care actually paid for

    183 procedures priced CMS quality 4/5 Voluntary non-profit - Church
  19. 1019
  20. 1020
    C

    Riverview Health

    Noblesville, IN

    5.2x — bills about $5.25 in charges for every $1 of care actually paid for

    48 procedures priced CMS quality 4/5 Government - Local
  21. 1021
  22. 1022
  23. 1023
    C

    Atrium Medical Center

    Franklin, OH

    5.2x — bills about $5.24 in charges for every $1 of care actually paid for

    79 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  24. 1024
  25. 1025
    C

    Liberty Hospital

    Liberty, MO

    5.2x — bills about $5.24 in charges for every $1 of care actually paid for

    76 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  26. 1026
    C

    St. Vincent's East

    Birmingham, AL

    5.2x — bills about $5.24 in charges for every $1 of care actually paid for

    72 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  27. 1027
    D

    St Rose Hospital

    Hayward, CA

    5.2x — bills about $5.23 in charges for every $1 of care actually paid for

    24 procedures priced CMS quality 1/5 Voluntary non-profit - Church
  28. 1028
    D

    Coast Plaza Hospital

    Norwalk, CA

    5.2x — bills about $5.23 in charges for every $1 of care actually paid for

    15 procedures priced CMS quality 1/5 Proprietary
  29. 1029
  30. 1030
  31. 1031
    C

    Fhn Memorial Hospital

    Freeport, IL

    5.2x — bills about $5.22 in charges for every $1 of care actually paid for

    34 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  32. 1032
    C

    Valley Hospital

    Paramus, NJ

    5.2x — bills about $5.22 in charges for every $1 of care actually paid for

    225 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  33. 1033
    C

    Cox Medical Center Branson

    Branson, MO

    5.2x — bills about $5.22 in charges for every $1 of care actually paid for

    55 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  34. 1034
  35. 1035
  36. 1036
  37. 1037
    C

    Deaconess Medical Center

    Spokane, WA

    5.2x — bills about $5.21 in charges for every $1 of care actually paid for

    94 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  38. 1038
  39. 1039
    D

    Swedish Medical Center

    Seattle, WA

    5.2x — bills about $5.21 in charges for every $1 of care actually paid for

    127 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  40. 1040
  41. 1041
  42. 1042
    D

    Eden Medical Center

    Castro Valley, CA

    5.2x — bills about $5.21 in charges for every $1 of care actually paid for

    72 procedures priced CMS quality 4/5 Voluntary non-profit - Other
  43. 1043
    C

    Mercy Hospital Southeast

    Cape Girardeau, MO

    5.2x — bills about $5.21 in charges for every $1 of care actually paid for

    80 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  44. 1044
    D

    Lenox Hill Hospital

    New York, NY

    5.2x — bills about $5.21 in charges for every $1 of care actually paid for

    178 procedures priced CMS quality 5/5 Voluntary non-profit - Private
  45. 1045
  46. 1046
    C

    Adventhealth Deland

    Deland, FL

    5.2x — bills about $5.20 in charges for every $1 of care actually paid for

    73 procedures priced CMS quality 4/5 Voluntary non-profit - Church
  47. 1047
  48. 1048
  49. 1049
  50. 1050