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. 1551
  2. 1552
    B

    Holzer Medical Center

    Gallipolis, OH

    4.3x — bills about $4.29 in charges for every $1 of care actually paid for

    48 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  3. 1553
    C

    Wynn Hospital

    Utica, NY

    4.3x — bills about $4.29 in charges for every $1 of care actually paid for

    131 procedures priced CMS quality 1/5 Voluntary non-profit - Private
  4. 1554
  5. 1555
  6. 1556
  7. 1557
    C

    Borgess Medical Center

    Kalamazoo, MI

    4.3x — bills about $4.28 in charges for every $1 of care actually paid for

    73 procedures priced CMS quality 3/5 Voluntary non-profit - Other
  8. 1558
    B

    Union Hospital

    Dover, OH

    4.3x — bills about $4.28 in charges for every $1 of care actually paid for

    31 procedures priced CMS quality 3/5 Voluntary non-profit - Other
  9. 1559
  10. 1560
    C

    Upmc Altoona

    Altoona, PA

    4.3x — bills about $4.28 in charges for every $1 of care actually paid for

    92 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  11. 1561
  12. 1562
  13. 1563
  14. 1564
  15. 1565
  16. 1566
    B

    Upmc Lititz

    Lititz, PA

    4.3x — bills about $4.27 in charges for every $1 of care actually paid for

    29 procedures priced CMS quality 4/5 Voluntary non-profit - Other
  17. 1567
  18. 1568
    C

    Lancaster General Hospital

    Lancaster, PA

    4.3x — bills about $4.26 in charges for every $1 of care actually paid for

    212 procedures priced CMS quality 5/5 Voluntary non-profit - Private
  19. 1569
  20. 1570
  21. 1571
  22. 1572
    C

    Memorial Health

    Lawton, OK

    4.3x — bills about $4.26 in charges for every $1 of care actually paid for

    92 procedures priced CMS quality 2/5 Government - Hospital District or Authority
  23. 1573
    B

    Aurora Medical Ctr Oshkosh

    Oshkosh, WI

    4.3x — bills about $4.26 in charges for every $1 of care actually paid for

    35 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  24. 1574
  25. 1575
    B

    Schneck Medical Center

    Seymour, IN

    4.3x — bills about $4.25 in charges for every $1 of care actually paid for

    27 procedures priced CMS quality 4/5 Government - Local
  26. 1576
    B

    Knox Community Hospital

    Mount Vernon, OH

    4.3x — bills about $4.25 in charges for every $1 of care actually paid for

    39 procedures priced CMS quality 3/5 Voluntary non-profit - Other
  27. 1577
    B

    Bryan Medical Center

    Lincoln, NE

    4.3x — bills about $4.25 in charges for every $1 of care actually paid for

    240 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  28. 1578
  29. 1579
    C

    St Mary's Hospital

    Athens, GA

    4.2x — bills about $4.24 in charges for every $1 of care actually paid for

    87 procedures priced CMS quality 1/5 Voluntary non-profit - Private
  30. 1580
  31. 1581
  32. 1582
    C

    Sibley Memorial Hospital

    Washington, DC

    4.2x — bills about $4.24 in charges for every $1 of care actually paid for

    113 procedures priced CMS quality 5/5 Voluntary non-profit - Other
  33. 1583
  34. 1584
    B

    Williamson Medical Center

    Franklin, TN

    4.2x — bills about $4.24 in charges for every $1 of care actually paid for

    89 procedures priced CMS quality 5/5 Government - Hospital District or Authority
  35. 1585
  36. 1586
    B

    Boone Hospital Center

    Columbia, MO

    4.2x — bills about $4.24 in charges for every $1 of care actually paid for

    141 procedures priced CMS quality 4/5 Voluntary non-profit - Other
  37. 1587
  38. 1588
  39. 1589
    C

    Marion General Hospital

    Marion, OH

    4.2x — bills about $4.23 in charges for every $1 of care actually paid for

    76 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  40. 1590
  41. 1591
  42. 1592
  43. 1593
  44. 1594
    B

    Christ Hospital

    Cincinnati, OH

    4.2x — bills about $4.22 in charges for every $1 of care actually paid for

    166 procedures priced CMS quality 5/5 Voluntary non-profit - Private
  45. 1595
    C

    Community Memorial Hospital

    South Hill, VA

    4.2x — bills about $4.22 in charges for every $1 of care actually paid for

    28 procedures priced CMS quality 4/5 Government - Hospital District or Authority
  46. 1596
  47. 1597
    B

    Bellin Memorial Hospital

    Green Bay, WI

    4.2x — bills about $4.22 in charges for every $1 of care actually paid for

    71 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  48. 1598
    B

    Wilson Memorial Hospital

    Sidney, OH

    4.2x — bills about $4.22 in charges for every $1 of care actually paid for

    27 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  49. 1599
  50. 1600