CostGrade

209,397 hospital prices, from the federal record

Is that price fair?

American hospitals charge wildly different amounts for exactly the same work — and almost nobody can see it. CostGrade puts every hospital's charges next to what that care is actually paid for, and grades the gap A to F.

5,508
hospitals on the federal record
608
procedures with published prices
$5.39
charged per $1 of care actually paid for
12x
gap between the cheapest and dearest hospital

The same procedure. Wildly different prices.

These are procedures billed under one identical federal code. The only thing that changes is which hospital you walked into.

See what every procedure costs →

How 2,617 hospitals grade out

Every component of the CostGrade is scored against the whole country, so a grade is a position among U.S. hospitals rather than a threshold we invented. An A means a hospital's list charges sit close to what its care is actually paid for; an F means the gap is among the widest in America.

2,891 hospitals are deliberately left ungraded — they publish too little pricing to judge, and a flattering default would be a guess.

Read the full methodology
A
363
B
539
C
766
D
510
F
439

Hospitals whose charges stay closest to reality

The smallest gap between list charges and what care is actually paid for, nationally.

See the full list →
B

Harris Health

Houston, TX

0.5x — bills about $0.50 in charges for every $1 of care actually paid for

23 procedures priced CMS quality 3/5 Government - Hospital District or Authority

When the federal record changes, know about it

A short email when CMS publishes a new release — which homes lost a grade, which were newly flagged, and what changed near you. No advertising for facilities, ever.