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Highest-charging hospitals in America

The 100 US hospitals with the largest gap between what they charge and what they report it costs them. Ranked by overall markup: total charges divided by total reported cost, from the hospital's own Medicare cost report.

1

Cleveland Emergency Hospital

Humble, TX · Small hospital (under 100 beds)
4 of 4 dollar signs, well above average charges
Well above average
30.2× markup
2

Maricopa Community Hospital

Maricopa, AZ · Small hospital (under 100 beds)
4 of 4 dollar signs, well above average charges
Well above average
23.9× markup
3

HCA Florida Poinciana Hospital

Kissimmmee, FL · Small hospital (under 100 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
22.9× markup
4

Gadsden Regional Medical Center

Gadsden, AL · Mid-size hospital (100 to 399 beds) · Chs/community Health Systems INC
4 of 4 dollar signs, well above average charges
Well above average
22.7× markup
5

Capital Health Med Center - Hopewell

Hopewell, NJ · Mid-size hospital (100 to 399 beds)
4 of 4 dollar signs, well above average charges
Well above average
22.0× markup
6

Capital Health Regional Medical Ctr

Trenton, NJ · Mid-size hospital (100 to 399 beds)
4 of 4 dollar signs, well above average charges
Well above average
21.9× markup
7

Yuma Community Hospital

Yuma, AZ · Small hospital (under 100 beds)
4 of 4 dollar signs, well above average charges
Well above average
21.7× markup
8

South Texas Health System

Edinburg, TX · Large hospital (400+ beds) · Universal Health Services
4 of 4 dollar signs, well above average charges
Well above average
21.6× markup
9

Baptist Emergency Hospital

San Antonio, TX · Small hospital (under 100 beds) · Emerus Holdings INC
4 of 4 dollar signs, well above average charges
Well above average
21.3× markup
10

Twin Cities Hospital

Niceville, FL · Small hospital (under 100 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
20.6× markup
11

St. Petersburg General

Saint Petersburg, FL · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
20.2× markup
12

HCA Florida Oak Hill Hospital

Spring Hill, FL · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
19.9× markup
13

Valley Baptist Medical Center

Harlingen, TX · Mid-size hospital (100 to 399 beds) · Tenet Healthcare Corporation
4 of 4 dollar signs, well above average charges
Well above average
19.9× markup
14

Medical Center Enterprise

Enterprise, AL · Small hospital (under 100 beds) · Community Health Systems
4 of 4 dollar signs, well above average charges
Well above average
19.8× markup
15

Henderson Hospital

Henderson, NV · Mid-size hospital (100 to 399 beds) · Uhs of Delaware INC
4 of 4 dollar signs, well above average charges
Well above average
19.7× markup
16

HCA Florida Orange Park Hospital

Orange Park, FL · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
19.6× markup
17

Medical Center of Trinity

Trinity, FL · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
19.5× markup
18

Exceptional Hlth Care Bullhead City

Bullhead City, AZ · Small hospital (under 100 beds)
4 of 4 dollar signs, well above average charges
Well above average
19.3× markup
19

HCA Florida Citrus Hospital

Inverness, FL · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
19.1× markup
20

Alliancehealth Durant

Durant, OK · Mid-size hospital (100 to 399 beds) · CHS
4 of 4 dollar signs, well above average charges
Well above average
19.1× markup
21

Valley Regional Medical Center

Brownsville, TX · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
18.8× markup
22

HCA Healthone Mountain Ridge

Thornton, CO · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
18.8× markup
23

Grandview Medical Center

Birmingham, AL · Large hospital (400+ beds) · Chs/community Health Systems INC
4 of 4 dollar signs, well above average charges
Well above average
18.6× markup
24

HCA FL Ft Walton-destin Hosp

Fort Walton Beach, FL · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
18.5× markup
25

HCA Florida South Shore Hospital

Sun City Center, FL · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
18.5× markup
26

Corpus Christi Medical Center

Corpus Christi, TX · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
18.5× markup
27

Doctors Hospital of Laredo

Laredo, TX · Mid-size hospital (100 to 399 beds) · Universal Health Services
4 of 4 dollar signs, well above average charges
Well above average
18.3× markup
28

Centennial Hills Hospital

Las Vegas, NV · Mid-size hospital (100 to 399 beds) · Uhs of Delaware INC
4 of 4 dollar signs, well above average charges
Well above average
18.2× markup
29

Western Arizona Regional Medical Cen

Bullhead City, AZ · Small hospital (under 100 beds) · Chs/community Health Systems INC
4 of 4 dollar signs, well above average charges
Well above average
18.1× markup
30

Christ Hospital

Jersey City, NJ · Mid-size hospital (100 to 399 beds) · Carepoint Health Management
4 of 4 dollar signs, well above average charges
Well above average
18.1× markup
31

Medical City North Hills

North Richland Hills, TX · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
18.0× markup
32

HCA Houston Healthcare Kingwood

Kingwood, TX · Large hospital (400+ beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
18.0× markup
33

Medical City Arlington

Arlington, TX · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
18.0× markup
34

Crestwood Medical Center

Huntsville, AL · Mid-size hospital (100 to 399 beds) · Chs/community Health Systems INC
4 of 4 dollar signs, well above average charges
Well above average
17.9× markup
35

Emanuel Medical Center

Turlock, CA · Mid-size hospital (100 to 399 beds) · Tenet Healthcare Corporation
4 of 4 dollar signs, well above average charges
Well above average
17.9× markup
36

Cjw Medical Center

Richmond, VA · Large hospital (400+ beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
17.8× markup
37

Valley Hospital Medical Center

Las Vegas, NV · Mid-size hospital (100 to 399 beds) · Universal Health Services
4 of 4 dollar signs, well above average charges
Well above average
17.8× markup
38

Englewood Community Hospital

Englewood, FL · Small hospital (under 100 beds) · HCA Healthcare
4 of 4 dollar signs, well above average charges
Well above average
17.8× markup
39

HCA Florida Lake City Hospital

Lake City, FL · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
17.8× markup
40

HCA Florida Gulf Coast Hospital

Panama City, FL · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
17.8× markup
41

Nacogdoches Medical Center

Nacogdoches, TX · Mid-size hospital (100 to 399 beds) · Tenet Healthcare Corporation
4 of 4 dollar signs, well above average charges
Well above average
17.7× markup
42

HCA FL Fawcett Hospital

Port Charlotte, FL · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
17.6× markup
43

Houston Northwest Medical Center

Houston, TX · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
17.6× markup
44

South Baldwin Regional Medical Cente

Foley, AL · Mid-size hospital (100 to 399 beds) · Community Health Systems
4 of 4 dollar signs, well above average charges
Well above average
17.5× markup
45

HCA Florida St. Lucie Hospital

Port St. Lucie, FL · Mid-size hospital (100 to 399 beds) · HCA Healthcare
4 of 4 dollar signs, well above average charges
Well above average
17.4× markup
46

Summerlin Hospital Medical Center

Las Vegas, NV · Mid-size hospital (100 to 399 beds) · Uhs of Delaware INC
4 of 4 dollar signs, well above average charges
Well above average
17.4× markup
47

HCA Florida Kendall Hospital

Miami, FL · Large hospital (400+ beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
17.3× markup
48

Sunrise Hospital and Medical Center

Las Vegas, NV · Large hospital (400+ beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
17.3× markup
49

Las Palmas Medical Center

El Paso, TX · Large hospital (400+ beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
17.3× markup
50

Valley Baptist Med Cntr Brownsville

Brownsville, TX · Mid-size hospital (100 to 399 beds) · Tenet Healthcare Corporation
4 of 4 dollar signs, well above average charges
Well above average
17.2× markup
51

The Hospitals of Prov Horizon City

Horizon City, TX · Small hospital (under 100 beds) · Emerus Holdings INC
4 of 4 dollar signs, well above average charges
Well above average
17.1× markup
52

HCA Florida Bayonet Point Hospital

Hudson, FL · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
17.1× markup
53

Sky Ridge Medical Center

Lone Tree, CO · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
17.0× markup
54

Abrazo West Campus

Goodyear, AZ · Mid-size hospital (100 to 399 beds) · Tenet Healthcare Corporation
4 of 4 dollar signs, well above average charges
Well above average
17.0× markup
55

Osceola Regional Medical Center

Kissimmee, FL · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
17.0× markup
56

Doctors Medical Center of Modesto

Modesto, CA · Mid-size hospital (100 to 399 beds) · Tenet Healthcare Corporation
4 of 4 dollar signs, well above average charges
Well above average
16.8× markup
57

HCA Florida Brandon Hospital

Brandon, FL · Large hospital (400+ beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
16.7× markup
58

Hoboken University Medical Center

Hoboken, NJ · Mid-size hospital (100 to 399 beds) · Care Point Management
4 of 4 dollar signs, well above average charges
Well above average
16.7× markup
59

Hospitals of Providence East Campus

El Paso, TX · Mid-size hospital (100 to 399 beds) · Tenet Healthcare Corporation
4 of 4 dollar signs, well above average charges
Well above average
16.7× markup
60

Wesley Medical Center

Wichita, KS · Large hospital (400+ beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
16.6× markup
61

HCA Florida Northside Hospital

St Petersburg, FL · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
16.6× markup
62

Doctors Hospital of Manteca

Manteca, CA · Small hospital (under 100 beds) · Tenet Healthcare Corporation
4 of 4 dollar signs, well above average charges
Well above average
16.6× markup
63

HCA Florida Westside Hospital

Plantation, FL · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
16.5× markup
64

Regency Hospital of North Central

Warrensville Heights, OH · Small hospital (under 100 beds) · Select Medical
4 of 4 dollar signs, well above average charges
Well above average
16.5× markup
65

Swedish Medical Center

Englewood, CO · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
16.4× markup
66

Henrico Doctors Hospital

Richmond, VA · Large hospital (400+ beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
16.3× markup
67

Spring Valley Hospital Medical Cntr

Las Vegas, NV · Mid-size hospital (100 to 399 beds) · Uhs of Delaware INC
4 of 4 dollar signs, well above average charges
Well above average
16.2× markup
68

Riverside Community Hospital

Riverside, CA · Large hospital (400+ beds) · 1000
4 of 4 dollar signs, well above average charges
Well above average
16.2× markup
69

The Medical Center of Aurora

Aurora, CO · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
16.2× markup
70

Flowers Hospital

Dothan, AL · Mid-size hospital (100 to 399 beds) · Chs/community Health Systems INC
4 of 4 dollar signs, well above average charges
Well above average
16.1× markup
71

Vaughan Regional Medical Center

Selma, AL · Mid-size hospital (100 to 399 beds) · Kindred Healthcare Operating LLC
4 of 4 dollar signs, well above average charges
Well above average
16.0× markup
72

Texas Orthopedic Hospita

Houston, TX · Small hospital (under 100 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
16.0× markup
73

HCA Houston Healthcare Southeast

Pasadena, TX · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
15.9× markup
74

Medical City Las Colinas

Irving, TX · Small hospital (under 100 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
15.9× markup
75

Clear Lake Reg Med Ctr

Webster, TX · Large hospital (400+ beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
15.9× markup
76

Good Samaritan Hospital

West Palm Beach, FL · Mid-size hospital (100 to 399 beds) · Tenet Healthcare Corporation
4 of 4 dollar signs, well above average charges
Well above average
15.9× markup
77

HCA Florida Jfk Hospital

Atlantis, FL · Large hospital (400+ beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
15.7× markup
78

HCA Florida Woodmont Hospital

Tamarac, FL · Mid-size hospital (100 to 399 beds) · HCA Healthcare
4 of 4 dollar signs, well above average charges
Well above average
15.7× markup
79

HCA Florida North Florida Hosp

Gainesville, FL · Large hospital (400+ beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
15.7× markup
80

Mountain View Hospital

Las Vegas, NV · Large hospital (400+ beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
15.6× markup
81

HCA Florida Palms West Hospital

Loxahatchee, FL · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
15.6× markup
82

HCA Florida Ocala Hospital

Ocala, FL · Large hospital (400+ beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
15.6× markup
83

The Hospitals of Providence Sierra C

El Paso, TX · Mid-size hospital (100 to 399 beds) · Tenet Healthcare Corporation
4 of 4 dollar signs, well above average charges
Well above average
15.5× markup
84

HCA FL Memorial Hosp. Jacksonville

Jacksonville, FL · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
15.5× markup
85

Walker Baptist Medical Center

Jasper, AL · Mid-size hospital (100 to 399 beds) · Tenet Healthcare Corporation
4 of 4 dollar signs, well above average charges
Well above average
15.5× markup
86

Chestnut Hill Hospital

Philadelphia, PA · Mid-size hospital (100 to 399 beds) · Temple University Health System
4 of 4 dollar signs, well above average charges
Well above average
15.5× markup
87

HCA FL Lawnwood Hospital

Ft. Pierce, FL · Large hospital (400+ beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
15.5× markup
88

Trident Regional Medical Center

Charleston, SC · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
15.4× markup
89

Conroe Regional Medical Center

Conroe, TX · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
15.4× markup
90

Rh of Northwest Indiana LLC

East Chicago, IN · Small hospital (under 100 beds) · Select Medical
4 of 4 dollar signs, well above average charges
Well above average
15.3× markup
91

Medical City Fort Worth

Fort Worth, TX · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
15.2× markup
92

Rh of Northwestarkansas LLC

Springdale, AR · Small hospital (under 100 beds) · Select Medical
4 of 4 dollar signs, well above average charges
Well above average
15.2× markup
93

Grand Strand Regional Med Ctr

Myrtle Beach, SC · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
15.2× markup
94

The Hospitals of Providence-memorial

El Paso, TX · Mid-size hospital (100 to 399 beds) · Tenet Healthcare Corporation
4 of 4 dollar signs, well above average charges
Well above average
15.2× markup
95

Medical City Denton

Denton, TX · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
15.2× markup
96

West Florida Hospital

Pensacola, FL · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
15.1× markup
97

HCA Florida Northwest Hospital

Margate, FL · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
15.1× markup
98

HCA Houston Healthcare Tomball

Tomball, TX · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
14.9× markup
99

Tricities Hospital

Hopewell, VA · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
14.9× markup
100

Houston Healthcare Medical Center

Houston, TX · Mid-size hospital (100 to 399 beds) · HCA
4 of 4 dollar signs, well above average charges
Well above average
14.9× markup