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. 2001
  2. 2002
  3. 2003
    B

    Baptist Medical Center East

    Montgomery, AL

    3.5x — bills about $3.51 in charges for every $1 of care actually paid for

    42 procedures priced CMS quality 4/5 Government - Hospital District or Authority
  4. 2004
    B

    Abbeville General Hospital

    Abbeville, LA

    3.5x — bills about $3.51 in charges for every $1 of care actually paid for

    11 procedures priced CMS quality 3/5 Government - Hospital District or Authority
  5. 2005
    C

    Ohsu Hospital And Clinics

    Portland, OR

    3.5x — bills about $3.50 in charges for every $1 of care actually paid for

    196 procedures priced CMS quality 3/5 Voluntary non-profit - Other
  6. 2006
    B

    Salem Hospital

    Salem, OR

    3.5x — bills about $3.50 in charges for every $1 of care actually paid for

    126 procedures priced CMS quality 3/5 Voluntary non-profit - Other
  7. 2007
  8. 2008
  9. 2009
    B

    Athens Limestone Hospital

    Athens, AL

    3.5x — bills about $3.50 in charges for every $1 of care actually paid for

    46 procedures priced CMS quality 2/5 Government - Hospital District or Authority
  10. 2010
  11. 2011
  12. 2012
  13. 2013
  14. 2014
  15. 2015
  16. 2016
  17. 2017
    C

    Humboldt Park Health

    Chicago, IL

    3.5x — bills about $3.49 in charges for every $1 of care actually paid for

    18 procedures priced CMS quality 1/5 Voluntary non-profit - Private
  18. 2018
  19. 2019
    B

    Lompoc Valley Medical Center

    Lompoc, CA

    3.5x — bills about $3.49 in charges for every $1 of care actually paid for

    26 procedures priced CMS quality 1/5 Government - Hospital District or Authority
  20. 2020
    B

    Helen Keller Hospital

    Sheffield, AL

    3.5x — bills about $3.49 in charges for every $1 of care actually paid for

    47 procedures priced CMS quality 2/5 Government - Hospital District or Authority
  21. 2021
    B

    St Josephs Hospital

    Breese, IL

    3.5x — bills about $3.48 in charges for every $1 of care actually paid for

    11 procedures priced CMS quality 4/5 Voluntary non-profit - Church
  22. 2022
    B

    St Lukes Hospital

    Duluth, MN

    3.5x — bills about $3.48 in charges for every $1 of care actually paid for

    133 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  23. 2023
    B

    Ridgeview Medical Center

    Waconia, MN

    3.5x — bills about $3.48 in charges for every $1 of care actually paid for

    55 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  24. 2024
  25. 2025
  26. 2026
  27. 2027
  28. 2028
    B

    Ascension Genesys Hospital

    Grand Blanc, MI

    3.5x — bills about $3.47 in charges for every $1 of care actually paid for

    99 procedures priced CMS quality 3/5 Voluntary non-profit - Church
  29. 2029
  30. 2030
    B

    Iberia Medical Center

    New Iberia, LA

    3.5x — bills about $3.47 in charges for every $1 of care actually paid for

    33 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  31. 2031
    B

    Onslow Memorial Hospital

    Jacksonville, NC

    3.5x — bills about $3.46 in charges for every $1 of care actually paid for

    44 procedures priced CMS quality 1/5 Government - Hospital District or Authority
  32. 2032
    B

    Allen Hospital

    Waterloo, IA

    3.5x — bills about $3.46 in charges for every $1 of care actually paid for

    88 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  33. 2033
  34. 2034
  35. 2035
    B

    Mayo Clinic Hospital

    Phoenix, AZ

    3.5x — bills about $3.46 in charges for every $1 of care actually paid for

    275 procedures priced CMS quality 5/5 Voluntary non-profit - Private
  36. 2036
    B

    Ellis Hospital

    Schenectady, NY

    3.5x — bills about $3.46 in charges for every $1 of care actually paid for

    76 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  37. 2037
  38. 2038
  39. 2039
  40. 2040
  41. 2041
  42. 2042
  43. 2043
    C

    Garden City Hospital

    Garden City, MI

    3.4x — bills about $3.45 in charges for every $1 of care actually paid for

    38 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  44. 2044
  45. 2045
    B

    Covenant Medical Center

    Saginaw, MI

    3.4x — bills about $3.44 in charges for every $1 of care actually paid for

    129 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  46. 2046
  47. 2047
  48. 2048
  49. 2049
  50. 2050
    C

    United Medical Center

    Washington, DC

    3.4x — bills about $3.43 in charges for every $1 of care actually paid for

    14 procedures priced CMS quality 3/5 Proprietary