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. 1951
    B

    Holland Hospital

    Holland, MI

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

    48 procedures priced CMS quality 5/5 Voluntary non-profit - Private
  2. 1952
    B

    Acmh Hospital

    Kittanning, PA

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

    23 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  3. 1953
  4. 1954
    B

    St Vincent's St Clair

    Pell City, AL

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

    19 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  5. 1955
  6. 1956
  7. 1957
  8. 1958
  9. 1959
    A

    Finley Hospital

    Dubuque, IA

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

    59 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  10. 1960
    C

    Sutter Coast Hospital

    Crescent City, CA

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

    24 procedures priced CMS quality 2/5 Government - Hospital District or Authority
  11. 1961
  12. 1962
  13. 1963
    B

    Yakima Valley Memorial

    Yakima, WA

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

    105 procedures priced CMS quality 1/5 Voluntary non-profit - Private
  14. 1964
    C

    Sierra View Medical Center

    Porterville, CA

    3.6x — bills about $3.58 in charges for every $1 of care actually paid for

    42 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  15. 1965
  16. 1966
  17. 1967
    B

    Mercy Medical Center

    Roseburg, OR

    3.6x — bills about $3.58 in charges for every $1 of care actually paid for

    56 procedures priced CMS quality 4/5 Government - Hospital District or Authority
  18. 1968
    B

    Meadville Medical Center

    Meadville, PA

    3.6x — bills about $3.58 in charges for every $1 of care actually paid for

    60 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  19. 1969
    B

    Mclaren Macomb

    Mount Clemens, MI

    3.6x — bills about $3.58 in charges for every $1 of care actually paid for

    90 procedures priced CMS quality 1/5 Voluntary non-profit - Private
  20. 1970
  21. 1971
  22. 1972
  23. 1973
  24. 1974
    C

    Regional One Health

    Memphis, TN

    3.6x — bills about $3.56 in charges for every $1 of care actually paid for

    29 procedures priced CMS quality 1/5 Government - Hospital District or Authority
  25. 1975
  26. 1976
    B

    Thomas Hospital

    Fairhope, AL

    3.6x — bills about $3.56 in charges for every $1 of care actually paid for

    108 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  27. 1977
    B

    Genesis Hospital

    Zanesville, OH

    3.6x — bills about $3.56 in charges for every $1 of care actually paid for

    113 procedures priced CMS quality 5/5 Voluntary non-profit - Private
  28. 1978
  29. 1979
  30. 1980
  31. 1981
    B

    Mercy Hospital Washington

    Washington, MO

    3.5x — bills about $3.55 in charges for every $1 of care actually paid for

    55 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  32. 1982
    B

    Good Samaritan Hospital

    Vincennes, IN

    3.5x — bills about $3.54 in charges for every $1 of care actually paid for

    67 procedures priced CMS quality 2/5 Voluntary non-profit - Other
  33. 1983
  34. 1984
  35. 1985
  36. 1986
  37. 1987
    B

    Hartford Hospital

    Hartford, CT

    3.5x — bills about $3.54 in charges for every $1 of care actually paid for

    241 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  38. 1988
  39. 1989
    B

    Kaweah Health Medical Center

    Visalia, CA

    3.5x — bills about $3.54 in charges for every $1 of care actually paid for

    151 procedures priced CMS quality 3/5 Government - Hospital District or Authority
  40. 1990
  41. 1991
    B

    Memorial Hospital

    Logansport, IN

    3.5x — bills about $3.53 in charges for every $1 of care actually paid for

    24 procedures priced CMS quality 4/5 Government - Local
  42. 1992
  43. 1993
    C

    Nazareth Hospital

    Philadelphia, PA

    3.5x — bills about $3.53 in charges for every $1 of care actually paid for

    44 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  44. 1994
  45. 1995
    B

    Corning Hospital

    Corning, NY

    3.5x — bills about $3.52 in charges for every $1 of care actually paid for

    46 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  46. 1996
    B

    Saint Mary's Hospital

    Waterbury, CT

    3.5x — bills about $3.52 in charges for every $1 of care actually paid for

    66 procedures priced CMS quality 3/5 Voluntary non-profit - Church
  47. 1997
  48. 1998
  49. 1999
    B

    Essentia Health

    Fargo, ND

    3.5x — bills about $3.52 in charges for every $1 of care actually paid for

    105 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  50. 2000