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. 1801
  2. 1802
    B

    Altru Hospital

    Grand Forks, ND

    3.8x — bills about $3.84 in charges for every $1 of care actually paid for

    124 procedures priced CMS quality 3/5 Government - Local
  3. 1803
    B

    Self Regional Healthcare

    Greenwood, SC

    3.8x — bills about $3.83 in charges for every $1 of care actually paid for

    100 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  4. 1804
  5. 1805
  6. 1806
  7. 1807
    B

    Aultman Hospital

    Canton, OH

    3.8x — bills about $3.82 in charges for every $1 of care actually paid for

    106 procedures priced CMS quality 4/5 Voluntary non-profit - Other
  8. 1808
  9. 1809
    B

    Chesapeake General Hospital

    Chesapeake, VA

    3.8x — bills about $3.82 in charges for every $1 of care actually paid for

    136 procedures priced CMS quality 3/5 Government - Hospital District or Authority
  10. 1810
    B

    Ssm St Joseph Health Center

    Saint Charles, MO

    3.8x — bills about $3.82 in charges for every $1 of care actually paid for

    62 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  11. 1811
    B

    Confluence Health Hospital

    Wenatchee, WA

    3.8x — bills about $3.82 in charges for every $1 of care actually paid for

    125 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  12. 1812
    B

    Exeter Hospital Inc

    Exeter, NH

    3.8x — bills about $3.82 in charges for every $1 of care actually paid for

    71 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  13. 1813
  14. 1814
  15. 1815
  16. 1816
  17. 1817
    B

    Lds Hospital

    Salt Lake City, UT

    3.8x — bills about $3.81 in charges for every $1 of care actually paid for

    38 procedures priced CMS quality 5/5 Voluntary non-profit - Private
  18. 1818
  19. 1819
  20. 1820
  21. 1821
    C

    Hurley Medical Center

    Flint, MI

    3.8x — bills about $3.80 in charges for every $1 of care actually paid for

    66 procedures priced CMS quality 2/5 Voluntary non-profit - Other
  22. 1822
    B

    Mclaren Greater Lansing

    Lansing, MI

    3.8x — bills about $3.80 in charges for every $1 of care actually paid for

    80 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  23. 1823
  24. 1824
  25. 1825
    B

    Putnam Hospital Center

    Carmel, NY

    3.8x — bills about $3.79 in charges for every $1 of care actually paid for

    43 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  26. 1826
    B

    Duke Regional Hospital

    Durham, NC

    3.8x — bills about $3.79 in charges for every $1 of care actually paid for

    97 procedures priced CMS quality 5/5 Government - Local
  27. 1827
  28. 1828
    B

    Trinity Rock Island

    Rock Island, IL

    3.8x — bills about $3.79 in charges for every $1 of care actually paid for

    82 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  29. 1829
    B

    Unc Health Nash

    Rocky Mount, NC

    3.8x — bills about $3.79 in charges for every $1 of care actually paid for

    93 procedures priced CMS quality 4/5 Government - Hospital District or Authority
  30. 1830
  31. 1831
  32. 1832
    C

    Hillsboro Medical Center

    Hillsboro, OR

    3.8x — bills about $3.79 in charges for every $1 of care actually paid for

    39 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  33. 1833
  34. 1834
  35. 1835
  36. 1836
  37. 1837
  38. 1838
    B

    Faith Health

    Norfolk, NE

    3.8x — bills about $3.78 in charges for every $1 of care actually paid for

    50 procedures priced CMS quality 3/5 Voluntary non-profit - Church
  39. 1839
    B

    Mercy Hospital Jefferson

    Crystal City, MO

    3.8x — bills about $3.78 in charges for every $1 of care actually paid for

    73 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  40. 1840
  41. 1841
  42. 1842
  43. 1843
    B

    Inova Alexandria Hospital

    Alexandria, VA

    3.8x — bills about $3.78 in charges for every $1 of care actually paid for

    127 procedures priced CMS quality 5/5 Voluntary non-profit - Private
  44. 1844
  45. 1845
  46. 1846
    B

    United Hospital Center, Inc

    Bridgeport, WV

    3.8x — bills about $3.77 in charges for every $1 of care actually paid for

    121 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  47. 1847
    C

    Norwalk Hospital

    Norwalk, CT

    3.8x — bills about $3.77 in charges for every $1 of care actually paid for

    87 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  48. 1848
  49. 1849
  50. 1850