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. 1401
  2. 1402
    C

    Beaumont Hospital Royal Oak

    Royal Oak, MI

    4.6x — bills about $4.56 in charges for every $1 of care actually paid for

    270 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  3. 1403
  4. 1404
  5. 1405
  6. 1406
  7. 1407
    B

    Mary Lanning Healthcare

    Hastings, NE

    4.6x — bills about $4.55 in charges for every $1 of care actually paid for

    42 procedures priced CMS quality 2/5 Voluntary non-profit - Other
  8. 1408
  9. 1409
  10. 1410
  11. 1411
  12. 1412
  13. 1413
    B

    Holy Family Memorial

    Manitowoc, WI

    4.5x — bills about $4.54 in charges for every $1 of care actually paid for

    15 procedures priced CMS quality 3/5 Voluntary non-profit - Other
  14. 1414
  15. 1415
  16. 1416
    C

    Uci Health-Orange

    Orange, CA

    4.5x — bills about $4.54 in charges for every $1 of care actually paid for

    180 procedures priced CMS quality 4/5 Government - Local
  17. 1417
  18. 1418
  19. 1419
    C

    Wellspan York Hospital

    York, PA

    4.5x — bills about $4.53 in charges for every $1 of care actually paid for

    199 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  20. 1420
  21. 1421
  22. 1422
  23. 1423
  24. 1424
  25. 1425
    C

    Swedish Hospital

    Chicago, IL

    4.5x — bills about $4.53 in charges for every $1 of care actually paid for

    75 procedures priced CMS quality 3/5 Voluntary non-profit - Church
  26. 1426
    C

    Landmark Medical Center

    Woonsocket, RI

    4.5x — bills about $4.53 in charges for every $1 of care actually paid for

    31 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  27. 1427
  28. 1428
  29. 1429
    C

    St Clair Hospital

    Pittsburgh, PA

    4.5x — bills about $4.52 in charges for every $1 of care actually paid for

    80 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  30. 1430
    C

    Saint John's Health Center

    Santa Monica, CA

    4.5x — bills about $4.52 in charges for every $1 of care actually paid for

    144 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  31. 1431
  32. 1432
  33. 1433
    B

    Montrose Regional Health

    Montrose, CO

    4.5x — bills about $4.51 in charges for every $1 of care actually paid for

    35 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  34. 1434
  35. 1435
    C

    Edward W Sparrow Hospital

    Lansing, MI

    4.5x — bills about $4.51 in charges for every $1 of care actually paid for

    117 procedures priced CMS quality 3/5 Voluntary non-profit - Other
  36. 1436
  37. 1437
  38. 1438
    C

    Peninsula Medical Center

    Burlingame, CA

    4.5x — bills about $4.50 in charges for every $1 of care actually paid for

    115 procedures priced CMS quality 5/5 Voluntary non-profit - Private
  39. 1439
    D

    Maimonides Medical Center

    Brooklyn, NY

    4.5x — bills about $4.50 in charges for every $1 of care actually paid for

    164 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  40. 1440
    C

    Sentara Careplex Hospital

    Hampton, VA

    4.5x — bills about $4.50 in charges for every $1 of care actually paid for

    70 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  41. 1441
  42. 1442
    C

    South Pointe Hospital

    Warrensville Heights, OH

    4.5x — bills about $4.50 in charges for every $1 of care actually paid for

    52 procedures priced CMS quality 5/5 Voluntary non-profit - Other
  43. 1443
  44. 1444
  45. 1445
  46. 1446
  47. 1447
    C

    Allegheny Valley Hospital

    Natrona, PA

    4.5x — bills about $4.49 in charges for every $1 of care actually paid for

    26 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  48. 1448
    C

    Scotland Memorial Hospital

    Laurinburg, NC

    4.5x — bills about $4.49 in charges for every $1 of care actually paid for

    28 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  49. 1449
    C

    St Marys Medical Center

    Huntington, WV

    4.5x — bills about $4.49 in charges for every $1 of care actually paid for

    118 procedures priced CMS quality 3/5 Voluntary non-profit - Church
  50. 1450