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. 1701
  2. 1702
  3. 1703
    B

    St Mary Medical Center

    Langhorne, PA

    4.0x — bills about $4.02 in charges for every $1 of care actually paid for

    136 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  4. 1704
  5. 1705
  6. 1706
  7. 1707
  8. 1708
  9. 1709
    B

    Ozarks Healthcare

    West Plains, MO

    4.0x — bills about $4.02 in charges for every $1 of care actually paid for

    44 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  10. 1710
    B

    Wheeling Hospital, Inc

    Wheeling, WV

    4.0x — bills about $4.01 in charges for every $1 of care actually paid for

    111 procedures priced CMS quality 2/5 Voluntary non-profit - Church
  11. 1711
  12. 1712
  13. 1713
  14. 1714
  15. 1715
  16. 1716
  17. 1717
    B

    Union Hospital Inc

    Terre Haute, IN

    4.0x — bills about $4.00 in charges for every $1 of care actually paid for

    138 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  18. 1718
    B

    Progress West Hospital

    Ofallon, MO

    4.0x — bills about $4.00 in charges for every $1 of care actually paid for

    29 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  19. 1719
    B

    Chi Health St. Francis

    Grand Island, NE

    4.0x — bills about $4.00 in charges for every $1 of care actually paid for

    36 procedures priced CMS quality 4/5 Voluntary non-profit - Church
  20. 1720
    B

    Inova Loudoun Hospital

    Leesburg, VA

    4.0x — bills about $4.00 in charges for every $1 of care actually paid for

    117 procedures priced CMS quality 5/5 Voluntary non-profit - Private
  21. 1721
  22. 1722
  23. 1723
    B

    Rivers Health

    Point Pleasant, WV

    4.0x — bills about $3.99 in charges for every $1 of care actually paid for

    11 procedures priced CMS quality 1/5 Voluntary non-profit - Private
  24. 1724
    B

    Avera St Mary's Hospital

    Pierre, SD

    4.0x — bills about $3.99 in charges for every $1 of care actually paid for

    27 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  25. 1725
    B

    Westerly Hospital

    Westerly, RI

    4.0x — bills about $3.99 in charges for every $1 of care actually paid for

    42 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  26. 1726
  27. 1727
  28. 1728
    B

    Chi Health St. Elizabeth

    Lincoln, NE

    4.0x — bills about $3.99 in charges for every $1 of care actually paid for

    50 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  29. 1729
  30. 1730
  31. 1731
    B

    Trinity - Bettendorf

    Bettendorf, IA

    4.0x — bills about $3.99 in charges for every $1 of care actually paid for

    21 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  32. 1732
  33. 1733
    B

    Jefferson Health- Northeast

    Philadelphia, PA

    4.0x — bills about $3.98 in charges for every $1 of care actually paid for

    158 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  34. 1734
  35. 1735
  36. 1736
  37. 1737
    C

    Chi Health Immanuel

    Omaha, NE

    4.0x — bills about $3.97 in charges for every $1 of care actually paid for

    43 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  38. 1738
  39. 1739
  40. 1740
  41. 1741
  42. 1742
    B

    Integris Miami Hospital

    Miami, OK

    4.0x — bills about $3.96 in charges for every $1 of care actually paid for

    11 procedures priced CMS quality 4/5 Voluntary non-profit - Other
  43. 1743
  44. 1744
  45. 1745
  46. 1746
    B

    Virginia Hospital Center

    Arlington, VA

    4.0x — bills about $3.95 in charges for every $1 of care actually paid for

    146 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  47. 1747
    B

    Archbold Memorial Hospital

    Thomasville, GA

    4.0x — bills about $3.95 in charges for every $1 of care actually paid for

    72 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  48. 1748
  49. 1749
  50. 1750
    B

    Rex Hospital

    Raleigh, NC

    3.9x — bills about $3.95 in charges for every $1 of care actually paid for

    222 procedures priced CMS quality 5/5 Government - State