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. 1451
  2. 1452
  3. 1453
  4. 1454
    C

    Gettysburg Hospital

    Gettysburg, PA

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

    68 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  5. 1455
  6. 1456
  7. 1457
  8. 1458
    C

    Uf Health Shands Hospital

    Gainesville, FL

    4.5x — bills about $4.48 in charges for every $1 of care actually paid for

    262 procedures priced CMS quality 5/5 Voluntary non-profit - Private
  9. 1459
    C

    Atrium Health Lincoln

    Lincolnton, NC

    4.5x — bills about $4.48 in charges for every $1 of care actually paid for

    41 procedures priced CMS quality 3/5 Government - Hospital District or Authority
  10. 1460
  11. 1461
  12. 1462
    C

    Spartanburg Medical Center

    Spartanburg, SC

    4.5x — bills about $4.48 in charges for every $1 of care actually paid for

    213 procedures priced CMS quality 2/5 Government - Hospital District or Authority
  13. 1463
  14. 1464
    C

    Avera St Lukes

    Aberdeen, SD

    4.5x — bills about $4.47 in charges for every $1 of care actually paid for

    69 procedures priced CMS quality 4/5 Voluntary non-profit - Church
  15. 1465
    C

    Franciscan Health Dyer

    Dyer, IN

    4.5x — bills about $4.47 in charges for every $1 of care actually paid for

    54 procedures priced CMS quality 2/5 Voluntary non-profit - Church
  16. 1466
    C

    Adventist Health Tulare

    Tulare, CA

    4.5x — bills about $4.47 in charges for every $1 of care actually paid for

    19 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  17. 1467
  18. 1468
    C

    Johnston Health

    Smithfield, NC

    4.5x — bills about $4.47 in charges for every $1 of care actually paid for

    87 procedures priced CMS quality 4/5 Government - Hospital District or Authority
  19. 1469
  20. 1470
    C

    Novato Community Hospital

    Novato, CA

    4.5x — bills about $4.46 in charges for every $1 of care actually paid for

    29 procedures priced CMS quality 5/5 Voluntary non-profit - Private
  21. 1471
  22. 1472
  23. 1473
    C

    St Vincent Hospital

    Green Bay, WI

    4.5x — bills about $4.45 in charges for every $1 of care actually paid for

    59 procedures priced CMS quality 4/5 Voluntary non-profit - Church
  24. 1474
  25. 1475
  26. 1476
  27. 1477
    C

    Sentara Leigh Hospital

    Norfolk, VA

    4.4x — bills about $4.44 in charges for every $1 of care actually paid for

    132 procedures priced CMS quality 3/5 Voluntary non-profit - Other
  28. 1478
  29. 1479
  30. 1480
  31. 1481
    C

    Mcleod Health Cheraw

    Cheraw, SC

    4.4x — bills about $4.43 in charges for every $1 of care actually paid for

    22 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  32. 1482
  33. 1483
  34. 1484
  35. 1485
  36. 1486
  37. 1487
  38. 1488
    C

    Chi Health Good Samaritan

    Kearney, NE

    4.4x — bills about $4.42 in charges for every $1 of care actually paid for

    52 procedures priced CMS quality 4/5 Voluntary non-profit - Church
  39. 1489
    C

    Holy Name Medical Center

    Teaneck, NJ

    4.4x — bills about $4.42 in charges for every $1 of care actually paid for

    109 procedures priced CMS quality 5/5 Voluntary non-profit - Private
  40. 1490
    B

    Avita Ontario

    Ontario, OH

    4.4x — bills about $4.42 in charges for every $1 of care actually paid for

    24 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  41. 1491
  42. 1492
    B

    Mercy Hospital Springfield

    Springfield, MO

    4.4x — bills about $4.41 in charges for every $1 of care actually paid for

    184 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  43. 1493
  44. 1494
    C

    Madison Health

    London, OH

    4.4x — bills about $4.41 in charges for every $1 of care actually paid for

    11 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  45. 1495
  46. 1496
  47. 1497
  48. 1498
  49. 1499
  50. 1500