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. 1901
  2. 1902
    B

    St Elizabeth Ft Thomas

    Fort Thomas, KY

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

    56 procedures priced CMS quality 5/5 Voluntary non-profit - Private
  3. 1903
    B

    Robert Packer Hospital

    Sayre, PA

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

    139 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  4. 1904
  5. 1905
  6. 1906
  7. 1907
  8. 1908
  9. 1909
    B

    Mount Nittany Medical Center

    State College, PA

    3.7x — bills about $3.67 in charges for every $1 of care actually paid for

    88 procedures priced CMS quality 5/5 Voluntary non-profit - Private
  10. 1910
    B

    Ssm St Clare Health Center

    Fenton, MO

    3.7x — bills about $3.67 in charges for every $1 of care actually paid for

    66 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  11. 1911
  12. 1912
    B

    Hays Medical Center

    Hays, KS

    3.7x — bills about $3.67 in charges for every $1 of care actually paid for

    90 procedures priced CMS quality 3/5 Voluntary non-profit - Other
  13. 1913
    B

    Fairfield Medical Center

    Lancaster, OH

    3.7x — bills about $3.67 in charges for every $1 of care actually paid for

    88 procedures priced CMS quality 2/5 Voluntary non-profit - Other
  14. 1914
  15. 1915
  16. 1916
  17. 1917
  18. 1918
  19. 1919
  20. 1920
  21. 1921
  22. 1922
    B

    Rush Oak Park Hospital

    Oak Park, IL

    3.7x — bills about $3.65 in charges for every $1 of care actually paid for

    61 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  23. 1923
  24. 1924
    B

    Mountain View Hospital

    Idaho Falls, ID

    3.6x — bills about $3.65 in charges for every $1 of care actually paid for

    37 procedures priced CMS quality 3/5 Physician
  25. 1925
    C

    St Joseph's Medical Center

    Yonkers, NY

    3.6x — bills about $3.65 in charges for every $1 of care actually paid for

    18 procedures priced CMS quality 1/5 Voluntary non-profit - Private
  26. 1926
    B

    Methodist Jennie Edmundson

    Council Bluffs, IA

    3.6x — bills about $3.65 in charges for every $1 of care actually paid for

    72 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  27. 1927
    B

    St Elizabeth Florence

    Florence, KY

    3.6x — bills about $3.65 in charges for every $1 of care actually paid for

    68 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  28. 1928
    B

    Coosa Valley Medical Center

    Sylacauga, AL

    3.6x — bills about $3.64 in charges for every $1 of care actually paid for

    24 procedures priced CMS quality 3/5 Government - Hospital District or Authority
  29. 1929
  30. 1930
  31. 1931
  32. 1932
    C

    Sutter Amador Hospital

    Jackson, CA

    3.6x — bills about $3.64 in charges for every $1 of care actually paid for

    20 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  33. 1933
  34. 1934
  35. 1935
  36. 1936
  37. 1937
  38. 1938
    B

    Carolina East Medical Center

    New Bern, NC

    3.6x — bills about $3.62 in charges for every $1 of care actually paid for

    137 procedures priced CMS quality 4/5 Government - Hospital District or Authority
  39. 1939
    B

    Mclaren Central Michigan

    Mount Pleasant, MI

    3.6x — bills about $3.61 in charges for every $1 of care actually paid for

    21 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  40. 1940
  41. 1941
  42. 1942
    B

    Christiana Hospital

    Newark, DE

    3.6x — bills about $3.61 in charges for every $1 of care actually paid for

    342 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  43. 1943
  44. 1944
    B

    Logan Health Medical Center

    Kalispell, MT

    3.6x — bills about $3.60 in charges for every $1 of care actually paid for

    105 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  45. 1945
    C

    Eskenazi Health

    Indianapolis, IN

    3.6x — bills about $3.60 in charges for every $1 of care actually paid for

    40 procedures priced CMS quality 3/5 Government - Local
  46. 1946
  47. 1947
    B

    St Joseph Hospital

    Bangor, ME

    3.6x — bills about $3.60 in charges for every $1 of care actually paid for

    41 procedures priced CMS quality 3/5 Voluntary non-profit - Church
  48. 1948
    B

    Inova Fair Oaks Hospital

    Fairfax, VA

    3.6x — bills about $3.60 in charges for every $1 of care actually paid for

    91 procedures priced CMS quality 5/5 Voluntary non-profit - Other
  49. 1949
    B

    Forrest General Hospital

    Hattiesburg, MS

    3.6x — bills about $3.60 in charges for every $1 of care actually paid for

    175 procedures priced CMS quality 2/5 Government - Local
  50. 1950
    B

    Prattville Baptist Hospital

    Prattville, AL

    3.6x — bills about $3.59 in charges for every $1 of care actually paid for

    19 procedures priced CMS quality 3/5 Government - Hospital District or Authority