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. 1851
  2. 1852
  3. 1853
    B

    Northfield Hospital

    Northfield, MN

    3.8x — bills about $3.75 in charges for every $1 of care actually paid for

    21 procedures priced CMS quality 4/5 Government - Local
  4. 1854
    C

    Mayo Clinic

    Jacksonville, FL

    3.8x — bills about $3.75 in charges for every $1 of care actually paid for

    271 procedures priced CMS quality 5/5 Voluntary non-profit - Private
  5. 1855
  6. 1856
  7. 1857
  8. 1858
    A

    Harrison Memorial Hospital

    Cynthiana, KY

    3.7x — bills about $3.75 in charges for every $1 of care actually paid for

    15 procedures priced CMS quality 3/5 Voluntary non-profit - Other
  9. 1859
  10. 1860
    B

    Ssm St Joseph Hospital West

    Lake Saint Louis, MO

    3.7x — bills about $3.75 in charges for every $1 of care actually paid for

    90 procedures priced CMS quality 3/5 Voluntary non-profit - Church
  11. 1861
  12. 1862
  13. 1863
    B

    Erlanger Medical Center

    Chattanooga, TN

    3.7x — bills about $3.74 in charges for every $1 of care actually paid for

    173 procedures priced CMS quality 4/5 Government - Hospital District or Authority
  14. 1864
  15. 1865
    B

    Penn Highlands Mon Valley

    Monongahela, PA

    3.7x — bills about $3.74 in charges for every $1 of care actually paid for

    27 procedures priced CMS quality 1/5 Voluntary non-profit - Private
  16. 1866
  17. 1867
  18. 1868
    B

    Elliot Hospital

    Manchester, NH

    3.7x — bills about $3.73 in charges for every $1 of care actually paid for

    110 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  19. 1869
  20. 1870
  21. 1871
    B

    Bmh-Golden Triangle

    Columbus, MS

    3.7x — bills about $3.73 in charges for every $1 of care actually paid for

    78 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  22. 1872
  23. 1873
    C

    Mcleod Health Clarendon

    Manning, SC

    3.7x — bills about $3.72 in charges for every $1 of care actually paid for

    15 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  24. 1874
  25. 1875
  26. 1876
  27. 1877
    B

    Medical Center Hospital

    Odessa, TX

    3.7x — bills about $3.72 in charges for every $1 of care actually paid for

    85 procedures priced CMS quality 3/5 Government - Hospital District or Authority
  28. 1878
    B

    Inova Mount Vernon Hospital

    Alexandria, VA

    3.7x — bills about $3.72 in charges for every $1 of care actually paid for

    57 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  29. 1879
  30. 1880
  31. 1881
    B

    Saint Joseph East

    Lexington, KY

    3.7x — bills about $3.72 in charges for every $1 of care actually paid for

    29 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  32. 1882
    B

    Saint Joseph Hospital

    Lexington, KY

    3.7x — bills about $3.71 in charges for every $1 of care actually paid for

    94 procedures priced CMS quality 3/5 Voluntary non-profit - Church
  33. 1883
  34. 1884
  35. 1885
  36. 1886
    B

    William W Backus Hospital

    Norwich, CT

    3.7x — bills about $3.70 in charges for every $1 of care actually paid for

    76 procedures priced CMS quality 4/5 Voluntary non-profit - Other
  37. 1887
    C

    Desert Valley Hospital

    Victorville, CA

    3.7x — bills about $3.70 in charges for every $1 of care actually paid for

    40 procedures priced CMS quality 3/5 Proprietary
  38. 1888
  39. 1889
  40. 1890
    B

    Acadia General Hospital

    Crowley, LA

    3.7x — bills about $3.70 in charges for every $1 of care actually paid for

    29 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  41. 1891
    C

    Danbury Hospital

    Danbury, CT

    3.7x — bills about $3.70 in charges for every $1 of care actually paid for

    149 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  42. 1892
  43. 1893
  44. 1894
    B

    Orthoindy Hospital

    Indianapolis, IN

    3.7x — bills about $3.69 in charges for every $1 of care actually paid for

    17 procedures priced Physician
  45. 1895
  46. 1896
  47. 1897
  48. 1898
    B

    Vail Health Hospital

    Vail, CO

    3.7x — bills about $3.69 in charges for every $1 of care actually paid for

    23 procedures priced CMS quality 5/5 Voluntary non-profit - Other
  49. 1899
    B

    Deaconess Hospital Inc

    Evansville, IN

    3.7x — bills about $3.68 in charges for every $1 of care actually paid for

    260 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  50. 1900
    B

    Southern Nh Medical Center

    Nashua, NH

    3.7x — bills about $3.68 in charges for every $1 of care actually paid for

    73 procedures priced CMS quality 2/5 Voluntary non-profit - Private