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. 2401
  2. 2402
    A

    Ivinson Memorial Hospital

    Laramie, WY

    2.6x — bills about $2.61 in charges for every $1 of care actually paid for

    28 procedures priced CMS quality 3/5 Government - Hospital District or Authority
  3. 2403
  4. 2404
    B

    Erie County Medical Center

    Buffalo, NY

    2.6x — bills about $2.60 in charges for every $1 of care actually paid for

    78 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  5. 2405
  6. 2406
  7. 2407
  8. 2408
  9. 2409
  10. 2410
    A

    Canton-Potsdam Hospital

    Potsdam, NY

    2.6x — bills about $2.58 in charges for every $1 of care actually paid for

    44 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  11. 2411
  12. 2412
  13. 2413
    A

    Northern Dutchess Hospital

    Rhinebeck, NY

    2.6x — bills about $2.58 in charges for every $1 of care actually paid for

    56 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  14. 2414
    A

    Heritage Valley Beaver

    Beaver, PA

    2.6x — bills about $2.58 in charges for every $1 of care actually paid for

    52 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  15. 2415
  16. 2416
  17. 2417
  18. 2418
    A

    Washington Hospital, The

    Washington, PA

    2.6x — bills about $2.57 in charges for every $1 of care actually paid for

    61 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  19. 2419
  20. 2420
    B

    Tufts Medical Center

    Boston, MA

    2.6x — bills about $2.56 in charges for every $1 of care actually paid for

    165 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  21. 2421
  22. 2422
    A

    Saint Anne's Hospital

    Fall River, MA

    2.6x — bills about $2.56 in charges for every $1 of care actually paid for

    92 procedures priced CMS quality 3/5 Proprietary
  23. 2423
  24. 2424
  25. 2425
    A

    Billings Clinic Hospital

    Billings, MT

    2.5x — bills about $2.55 in charges for every $1 of care actually paid for

    172 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  26. 2426
  27. 2427
  28. 2428
  29. 2429
  30. 2430
  31. 2431
  32. 2432
  33. 2433
    A

    Marshall Medical Centers

    Boaz, AL

    2.5x — bills about $2.52 in charges for every $1 of care actually paid for

    53 procedures priced CMS quality 3/5 Government - Hospital District or Authority
  34. 2434
    A

    Cumberland Medical Center

    Crossville, TN

    2.5x — bills about $2.51 in charges for every $1 of care actually paid for

    48 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  35. 2435
  36. 2436
  37. 2437
  38. 2438
  39. 2439
    A

    Kaiser Foundation Hospital

    Honolulu, HI

    2.5x — bills about $2.47 in charges for every $1 of care actually paid for

    15 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  40. 2440
    A

    Fort Loudoun Medical Center

    Lenoir City, TN

    2.5x — bills about $2.46 in charges for every $1 of care actually paid for

    16 procedures priced CMS quality 4/5 Voluntary non-profit - Other
  41. 2441
  42. 2442
  43. 2443
    A

    Emerson Hospital -

    W Concord, MA

    2.4x — bills about $2.45 in charges for every $1 of care actually paid for

    79 procedures priced CMS quality 5/5 Voluntary non-profit - Private
  44. 2444
  45. 2445
    B

    Lonesome Pine Hospital

    Big Stone Gap, VA

    2.4x — bills about $2.43 in charges for every $1 of care actually paid for

    21 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  46. 2446
    A

    Mercy Hospital Of Buffalo

    Buffalo, NY

    2.4x — bills about $2.42 in charges for every $1 of care actually paid for

    94 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  47. 2447
  48. 2448
  49. 2449
    A

    F F Thompson Hospital

    Canandaigua, NY

    2.4x — bills about $2.41 in charges for every $1 of care actually paid for

    38 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  50. 2450
    A

    Highland Hospital

    Rochester, NY

    2.4x — bills about $2.40 in charges for every $1 of care actually paid for

    82 procedures priced CMS quality 3/5 Voluntary non-profit - Private