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. 1301
    C

    Cox Medical Centers

    Springfield, MO

    4.7x — bills about $4.74 in charges for every $1 of care actually paid for

    198 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  2. 1302
    C

    Mount Pleasant Hospital

    Mount Pleasant, SC

    4.7x — bills about $4.74 in charges for every $1 of care actually paid for

    41 procedures priced CMS quality 5/5 Voluntary non-profit - Private
  3. 1303
  4. 1304
  5. 1305
  6. 1306
    C

    Valley Medical Center

    Renton, WA

    4.7x — bills about $4.73 in charges for every $1 of care actually paid for

    115 procedures priced CMS quality 2/5 Government - Hospital District or Authority
  7. 1307
  8. 1308
  9. 1309
  10. 1310
  11. 1311
  12. 1312
  13. 1313
  14. 1314
  15. 1315
  16. 1316
    C

    Grant Medical Center

    Columbus, OH

    4.7x — bills about $4.71 in charges for every $1 of care actually paid for

    143 procedures priced CMS quality 2/5 Voluntary non-profit - Church
  17. 1317
  18. 1318
  19. 1319
    C

    Sentara Obici Hospital

    Suffolk, VA

    4.7x — bills about $4.71 in charges for every $1 of care actually paid for

    93 procedures priced CMS quality 4/5 Voluntary non-profit - Other
  20. 1320
  21. 1321
  22. 1322
  23. 1323
  24. 1324
    C

    Multicare Valley Hospital

    Spokane Valley, WA

    4.7x — bills about $4.71 in charges for every $1 of care actually paid for

    51 procedures priced CMS quality 5/5 Voluntary non-profit - Private
  25. 1325
    C

    St Joseph Medical Center

    Bloomington, IL

    4.7x — bills about $4.70 in charges for every $1 of care actually paid for

    77 procedures priced CMS quality 2/5 Voluntary non-profit - Church
  26. 1326
  27. 1327
    C

    Froedtert South Inc.

    Kenosha, WI

    4.7x — bills about $4.69 in charges for every $1 of care actually paid for

    75 procedures priced CMS quality 2/5 Government - Local
  28. 1328
  29. 1329
  30. 1330
    D

    Shands Jacksonville

    Jacksonville, FL

    4.7x — bills about $4.69 in charges for every $1 of care actually paid for

    132 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  31. 1331
  32. 1332
    C

    Fairview Hospital

    Cleveland, OH

    4.7x — bills about $4.68 in charges for every $1 of care actually paid for

    140 procedures priced CMS quality 5/5 Voluntary non-profit - Private
  33. 1333
  34. 1334
  35. 1335
  36. 1336
    C

    Skagit Valley Hospital

    Mount Vernon, WA

    4.7x — bills about $4.68 in charges for every $1 of care actually paid for

    87 procedures priced CMS quality 3/5 Government - Hospital District or Authority
  37. 1337
  38. 1338
    C

    Concord Hospital

    Concord, NH

    4.7x — bills about $4.67 in charges for every $1 of care actually paid for

    149 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  39. 1339
    C

    Adventhealth Hendersonville

    Hendersonville, NC

    4.7x — bills about $4.67 in charges for every $1 of care actually paid for

    61 procedures priced CMS quality 5/5 Voluntary non-profit - Private
  40. 1340
  41. 1341
    C

    Euclid Hospital

    Euclid, OH

    4.7x — bills about $4.67 in charges for every $1 of care actually paid for

    25 procedures priced CMS quality 4/5 Voluntary non-profit - Other
  42. 1342
    C

    Anderson Hospital

    Maryville, IL

    4.7x — bills about $4.66 in charges for every $1 of care actually paid for

    55 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  43. 1343
  44. 1344
  45. 1345
  46. 1346
  47. 1347
    C

    Marymount Hospital

    Garfield Heights, OH

    4.7x — bills about $4.65 in charges for every $1 of care actually paid for

    63 procedures priced CMS quality 5/5 Voluntary non-profit - Private
  48. 1348
  49. 1349
  50. 1350
    C

    Hannibal Regional Hospital

    Hannibal, MO

    4.6x — bills about $4.65 in charges for every $1 of care actually paid for

    61 procedures priced CMS quality 2/5 Voluntary non-profit - Other