$$$$ Clinic Cost Index

What does that procedure cost here versus down the road?

A free directory of US hospitals, ambulatory surgery centres, imaging centres and urgent care clinics, with a one to four dollar-sign cost rating for each procedure category, built entirely from the cost reports hospitals file with Medicare.

48,156Facilities listed
4,509Hospitals cost-rated
23Procedure categories
$0Cost to use

How the dollar signs work

Every hospital in America files an audited cost report with Medicare stating, line by line, what a service line cost it to run and what it charged patients for it. The ratio between those two numbers is the markup. We rank each hospital against every other hospital in the country on that markup, one category at a time, and split the field into four equal groups.

1 of 4 dollar signs, well below average charges
Well below average charges
Cheapest quarter of US hospitals for this category.
2 of 4 dollar signs, below average charges
Below average charges
Second cheapest quarter.
3 of 4 dollar signs, above average charges
Above average charges
Second most expensive quarter.
4 of 4 dollar signs, well above average charges
Well above average charges
Most expensive quarter of US hospitals for this category.
Read this before you use it. A dollar rating tells you how aggressively a facility marks up a category of care relative to its peers. It is not a quote, not a bill, and not what you will personally pay. Your actual cost depends on your insurance contract, your deductible and the specifics of your case. Use this to decide where to ask questions, then ask the facility and your insurer for a real estimate. Full method and limits.

Where you go changes what you pay

The same category of care is marked up very differently depending on whether you walk into a small community hospital or a large hospital inside a health system. Across US hospitals, lab work is marked up about 5× at a small hospital and about 9× at a large one.

Compare care settings

Real prices, not just ratings

Hospitals must publish what they charge. We read those files so you do not have to. A dose of anti-nausea medicine runs about $1.85 at a hospital in the cheapest tenth and about $75 in the priciest tenth. An hour of observation runs $29 to $607. Same item, same code.

The self-pay discount nobody advertises. Most hospitals cut their price for patients paying cash, by a median of about 40 percent off list. Some cut nothing at all. We show the number on every hospital page, taken from their own published file.

Where CMS publishes a star rating, it sits next to the cost, because cheapest is not the same as best.