Facturas de hospital
Facturado vs. pagado: qué tan lejos están las facturas de hospital de lo que cuesta la atención
Actualizado el 11 de noviembre de 2026
5.0×lo que los hospitales facturaron por hospitalizaciones de Medicare, comparado con lo que se pagó
$458 mil Mfacturado en total
$91 mil Mlo que realmente se pagó, entre Medicare y los pacientes
127hospitales facturan 10× o más de lo que se les paga
La factura de un hospital parte de su propia lista de precios. Lo que paga Medicare se fija con una fórmula nacional, así que tiene poco que ver con esa lista. La diferencia entre ambas muestra cuánto se han alejado los precios de lista de lo que realmente se paga por la atención. Esto importa a cualquiera a quien se le facture el precio de lista: las personas sin seguro y los pacientes atendidos fuera de la red de su plan.
Hospital típico: 4.5×
AK5.6×ME3.6×WI3.8×VT4.1×NH4.0×WA4.4×ID4.4×MT2.9×ND3.2×MN3.3×IL4.3×MI3.4×NY5.0×MA2.7×OR3.2×NV9.1×WY3.0×SD4.3×IA4.0×IN4.7×OH4.3×PA5.8×NJ6.5×CT3.4×RI2.7×CA6.3×UT3.6×CO7.4×NE3.8×MO4.5×KY4.9×WV4.1×VA4.5×MD1.1×DE3.5×AZ5.4×NM4.3×KS5.9×AR4.0×TN5.0×NC3.7×SC5.2×DC4.3×OK5.2×LA5.1×MS4.6×AL5.5×GA4.9×HI3.4×TX6.8×FL7.1×PR
- 1.1×–3.4×
- 3.4×–4.1×
- 4.1×–4.5×
- 4.5×–5.4×
- 5.4×–9.1×
Todas las hospitalizaciones: 5.0×
Los 50 hospitales con la mayor diferencia (los que tienen 500 o más hospitalizaciones de Medicare)
| # | Hospital | Ciudad | Estado | Facturado ÷ pagado | Facturado | Pagado | Hospitalizaciones de Medicare |
|---|---|---|---|---|---|---|---|
| 1 | Capital Health Medical Center - Hopewell | Pennington | NJ | 22.7× | $520.8M | $23.0M | 1,447 |
| 2 | Capital Health Regional Medical Center | Trenton | NJ | 21.4× | $516.5M | $24.2M | 1,109 |
| 3 | Carepoint Health - Bayonne Medical Center | Bayonne | NJ | 17.1× | $155.2M | $9.1M | 502 |
| 4 | Doctors Medical Center | Modesto | CA | 16.4× | $1.0B | $61.2M | 2,691 |
| 5 | Centennial Hills Hospital Medical Center | Las Vegas | NV | 16.3× | $530.8M | $32.5M | 2,334 |
| 6 | Gadsden Regional Medical Center | Gadsden | AL | 16.0× | $156.5M | $9.8M | 1,047 |
| 7 | Summerlin Hospital Medical Center | Las Vegas | NV | 15.8× | $484.1M | $30.7M | 2,373 |
| 8 | Sierra Medical Center | El Paso | TX | 15.4× | $170.9M | $11.1M | 766 |
| 9 | HCA Florida South Shore Hospital | Sun City Center | FL | 15.3× | $208.8M | $13.6M | 1,474 |
| 10 | Delray Medical Center | Delray Beach | FL | 15.1× | $1.1B | $72.8M | 6,127 |
| 11 | Crestwood Medical Center | Huntsville | AL | 15.1× | $224.7M | $14.9M | 1,440 |
| 12 | Regional Medical Center of San Jose | San Jose | CA | 14.9× | $419.3M | $28.2M | 1,352 |
| 13 | Baptist Health Brookwood Hospital | Birmingham | AL | 14.9× | $206.7M | $13.9M | 906 |
| 14 | Valley Hospital Medical Center | Las Vegas | NV | 14.7× | $364.9M | $24.9M | 1,498 |
| 15 | Merit Health River Oaks | Flowood | MS | 14.7× | $150.8M | $10.3M | 726 |
| 16 | Henderson Hospital | Henderson | NV | 14.6× | $517.7M | $35.4M | 2,641 |
| 17 | HCA Florida Fawcett Hospital | Port Charlotte | FL | 14.6× | $523.7M | $35.9M | 2,966 |
| 18 | Cjw Medical Center | Richmond | VA | 14.6× | $1.6B | $110.3M | 7,790 |
| 19 | Ucla West Valley Medical Center | West Hills | CA | 14.4× | $498.1M | $34.7M | 2,078 |
| 20 | HCA Florida Pasadena Hospital a Part of HCA Florid | Saint Petersburg | FL | 14.1× | $82.0M | $5.8M | 536 |
| 21 | Good Samaritan Hospital | San Jose | CA | 14.0× | $1.1B | $79.0M | 3,755 |
| 22 | St Joseph's Hospital | Tucson | AZ | 14.0× | $267.5M | $19.0M | 1,201 |
| 23 | Medical City Plano | Plano | TX | 13.9× | $1.5B | $106.7M | 5,131 |
| 24 | San Ramon Regional Medical Center | San Ramon | CA | 13.8× | $184.7M | $13.4M | 731 |
| 25 | Palm Beach Gardens Medical Center | Palm Beach Gardens | FL | 13.8× | $405.0M | $29.4M | 2,309 |
| 26 | Good Samaritan Medical Center | West Palm Beach | FL | 13.7× | $242.3M | $17.7M | 1,421 |
| 27 | HCA-Healthone Dba Swedish Medical Center | Englewood | CO | 13.6× | $736.2M | $54.2M | 2,698 |
| 28 | Uci Health - Los Alamitos | Los Alamitos | CA | 13.5× | $314.1M | $23.3M | 1,537 |
| 29 | Sunrise Hospital and Medical Center | Las Vegas | NV | 13.5× | $1.3B | $94.7M | 4,766 |
| 30 | Western Arizona Regional Medical Center | Bullhead City | AZ | 13.4× | $124.5M | $9.3M | 782 |
| 31 | Newton Medical Center | Newton | NJ | 13.4× | $351.5M | $26.3M | 2,387 |
| 32 | Grandview Medical Center | Birmingham | AL | 13.4× | $717.9M | $53.7M | 4,006 |
| 33 | Spring Valley Hospital Medical Center | Las Vegas | NV | 13.3× | $485.0M | $36.4M | 1,998 |
| 34 | Medical City Dallas Hospital | Dallas | TX | 13.3× | $1.1B | $83.5M | 3,586 |
| 35 | Alliancehealth Durant | Durant | OK | 13.3× | $168.6M | $12.7M | 1,367 |
| 36 | HCA Houston Healthcare Kingwood | Kingwood | TX | 13.3× | $1.1B | $83.0M | 5,097 |
| 37 | Vhs Harlingen Hospital Company LLC | Harlingen | TX | 13.1× | $223.8M | $17.1M | 1,220 |
| 38 | HCA Healthone Rose | Denver | CO | 13.0× | $148.3M | $11.4M | 822 |
| 39 | HCA Florida Orange Park Hospital | Orange Park | FL | 13.0× | $552.5M | $42.6M | 2,628 |
| 40 | South Texas Health System | Edinburg | TX | 13.0× | $369.9M | $28.5M | 1,762 |
| 41 | HCA Florida Fort Walton-Destin Hospital | Fort Walton Beach | FL | 13.0× | $529.3M | $40.8M | 3,042 |
| 42 | Los Robles Hospital & Medical Center | Thousand Oaks | CA | 12.8× | $1.3B | $102.1M | 5,061 |
| 43 | Henrico Doctors' Hospital | Richmond | VA | 12.8× | $839.0M | $65.5M | 4,668 |
| 44 | HCA Florida Mercy Hospital | Plantation | FL | 12.8× | $123.0M | $9.6M | 705 |
| 45 | Emanuel Medical Center | Turlock | CA | 12.7× | $300.9M | $23.6M | 1,394 |
| 46 | Nacogdoches Medical Center | Nacogdoches | TX | 12.6× | $102.6M | $8.2M | 742 |
| 47 | Desert Regional Medical Center | Palm Springs | CA | 12.4× | $593.4M | $47.8M | 2,127 |
| 48 | National Park Medical Center | Hot Springs | AR | 12.4× | $116.8M | $9.4M | 759 |
| 49 | Medical City Fort Worth | Fort Worth | TX | 12.4× | $537.9M | $43.3M | 2,144 |
| 50 | The Hospitals of Providence - East Campus | El Paso | TX | 12.4× | $125.7M | $10.1M | 738 |
Lo que significa y lo que no significa una gran diferencia. No significa que al hospital se le pague más: Medicare paga según una fórmula. Significa que el precio de lista es alto, y de ese precio parte la factura de los pacientes sin seguro o fuera de la red. Pida el precio en efectivo y pregunte por la asistencia financiera.
Fuentes: CMS, Medicare Inpatient Hospitals by Provider and Service: el cargo promedio y el pago total promedio de cada hospital, ponderados por su número de hospitalizaciones. "Pagado" es Medicare más la parte del paciente. Cómo funcionan las cifras.