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. 2451
    A

    Keralty Hospital

    Miami, FL

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

    26 procedures priced CMS quality 2/5 Proprietary
  2. 2452
  3. 2453
    A

    Penn Highlands Huntingdon

    Huntingdon, PA

    2.4x — bills about $2.38 in charges for every $1 of care actually paid for

    14 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  4. 2454
    A

    Olympic Medical Center

    Port Angeles, WA

    2.4x — bills about $2.38 in charges for every $1 of care actually paid for

    67 procedures priced CMS quality 3/5 Government - Local
  5. 2455
  6. 2456
  7. 2457
    A

    Arnot Ogden Medical Center

    Elmira, NY

    2.4x — bills about $2.35 in charges for every $1 of care actually paid for

    58 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  8. 2458
    A

    Campbell County Health

    Gillette, WY

    2.3x — bills about $2.35 in charges for every $1 of care actually paid for

    31 procedures priced CMS quality 3/5 Government - Hospital District or Authority
  9. 2459
    A

    Oneida Health Hospital

    Oneida, NY

    2.3x — bills about $2.34 in charges for every $1 of care actually paid for

    26 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  10. 2460
  11. 2461
  12. 2462
  13. 2463
  14. 2464
  15. 2465
  16. 2466
    A

    Warren Memorial Hospital

    Front Royal, VA

    2.3x — bills about $2.31 in charges for every $1 of care actually paid for

    29 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  17. 2467
    A

    Heywood Hospital -

    Gardner, MA

    2.3x — bills about $2.31 in charges for every $1 of care actually paid for

    43 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  18. 2468
    A

    Leconte Medical Center

    Sevierville, TN

    2.3x — bills about $2.31 in charges for every $1 of care actually paid for

    25 procedures priced CMS quality 5/5 Voluntary non-profit - Other
  19. 2469
    B

    Harlem Hospital Center

    New York, NY

    2.3x — bills about $2.30 in charges for every $1 of care actually paid for

    19 procedures priced CMS quality 2/5 Government - State
  20. 2470
    A

    Lowell General Hospital

    Lowell, MA

    2.3x — bills about $2.30 in charges for every $1 of care actually paid for

    156 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  21. 2471
    A

    Vidant Duplin Hospital

    Kenansville, NC

    2.3x — bills about $2.29 in charges for every $1 of care actually paid for

    16 procedures priced CMS quality 3/5 Government - Local
  22. 2472
    A

    Kenmore Mercy Hospital

    Kenmore, NY

    2.3x — bills about $2.29 in charges for every $1 of care actually paid for

    37 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  23. 2473
  24. 2474
  25. 2475
    A

    Heritage Valley Sewickley

    Sewickley, PA

    2.3x — bills about $2.28 in charges for every $1 of care actually paid for

    40 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  26. 2476
  27. 2477
  28. 2478
  29. 2479
    A

    Cape Cod Hospital

    Hyannis, MA

    2.3x — bills about $2.28 in charges for every $1 of care actually paid for

    214 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  30. 2480
    A

    Roane Medical Center

    Harriman, TN

    2.3x — bills about $2.27 in charges for every $1 of care actually paid for

    16 procedures priced CMS quality 4/5 Government - Hospital District or Authority
  31. 2481
    A

    Mercy Medical Ctr

    Springfield, MA

    2.3x — bills about $2.27 in charges for every $1 of care actually paid for

    69 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  32. 2482
  33. 2483
  34. 2484
  35. 2485
    A

    Van Wert County Hospital

    Van Wert, OH

    2.3x — bills about $2.25 in charges for every $1 of care actually paid for

    16 procedures priced CMS quality 5/5 Voluntary non-profit - Private
  36. 2486
    A

    Crouse Hospital

    Syracuse, NY

    2.3x — bills about $2.25 in charges for every $1 of care actually paid for

    133 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  37. 2487
    A

    Sharon Hospital

    Sharon, CT

    2.2x — bills about $2.25 in charges for every $1 of care actually paid for

    18 procedures priced CMS quality 5/5 Proprietary
  38. 2488
  39. 2489
    A

    Unm Hospital

    Albuquerque, NM

    2.2x — bills about $2.23 in charges for every $1 of care actually paid for

    127 procedures priced CMS quality 2/5 Government - State
  40. 2490
    A

    Berkshire Medical Center

    Pittsfield, MA

    2.2x — bills about $2.23 in charges for every $1 of care actually paid for

    136 procedures priced CMS quality 4/5 Voluntary non-profit - Other
  41. 2491
  42. 2492
  43. 2493
    B

    Boston Medical Center

    Boston, MA

    2.2x — bills about $2.22 in charges for every $1 of care actually paid for

    123 procedures priced CMS quality 3/5 Voluntary non-profit - Private
  44. 2494
    A

    Unc Lenoir Health Care

    Kinston, NC

    2.2x — bills about $2.22 in charges for every $1 of care actually paid for

    41 procedures priced CMS quality 4/5 Voluntary non-profit - Private
  45. 2495
  46. 2496
  47. 2497
    A

    Unity Hospital

    Rochester, NY

    2.2x — bills about $2.20 in charges for every $1 of care actually paid for

    82 procedures priced CMS quality 2/5 Voluntary non-profit - Private
  48. 2498
  49. 2499
  50. 2500
    A

    Hutchinson Health

    Hutchinson, MN

    2.2x — bills about $2.18 in charges for every $1 of care actually paid for

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