Finanzas de los hospitales
Los hospitales que más cobran por cada dólar de atención
Actualizado el 11 de noviembre de 2026 · publicado por primera vez el 9 de noviembre de 2026
$4.74de precio de lista por cada $1 de costo en el hospital típico
$22.91el más alto, en HCA Florida Poinciana Hospital
261hospitales cobran $10 o más
Cada hospital tiene una lista de precios (el chargemaster) y le informa a Medicare cada año cuánto le costó realmente la atención. La diferencia entre los dos es su margen sobre el costo. Las aseguradoras y Medicare pagan mucho menos que el precio de lista, pero a los pacientes sin seguro o fuera de la red a menudo se les factura a partir de él.
Hospital típico de EE. UU.: $4.74
AK$4.0ME$3.0WI$4.1VT$2.7NH$3.9WA$4.3ID$3.4MT$3.1ND$3.3MN$3.0IL$4.8MI$3.7NY$3.4MA$2.7OR$3.0NV$11.4WY$2.7SD$4.1IA$3.7IN$5.0OH$4.6PA$5.3NJ$5.7CT$3.8RI$3.6CA$5.1UT$4.2CO$6.2NE$3.7MO$4.4KY$4.9WV$4.1VA$5.1MD$1.4DE$3.7AZ$6.0NM$4.7KS$3.9AR$5.0TN$6.2NC$4.4SC$5.4DC$3.9OK$5.6LA$4.5MS$3.9AL$4.4GA$5.5HI$3.4TX$6.4FL$8.0PR
- $1.4–$3.4
- $3.4–$3.9
- $3.9–$4.4
- $4.4–$5.3
- $5.3–$11.4
Los 50 más altos, con ingreso neto (de todas las fuentes) y propiedad
| # | Hospital | Ciudad | Estado | Precio de lista por cada $1 de costo | Ingreso neto | Propiedad (CMS) |
|---|---|---|---|---|---|---|
| 1 | HCA Florida Poinciana Hospital | Kissimmee | FL | $22.91 | $41.8M | Con fines de lucro |
| 2 | Gadsden Regional Medical Center | Gadsden | AL | $22.69 | $18.2M | Con fines de lucro |
| 3 | Capital Health Medical Center - Hopewell | Pennington | NJ | $22.02 | $2.6M | Sin fines de lucro |
| 4 | Capital Health Regional Medical Center | Trenton | NJ | $21.94 | $2.4M | Sin fines de lucro |
| 5 | Exceptional Community Hospital Yuma | Yuma | AZ | $21.74 | $4.2M | Con fines de lucro |
| 6 | South Texas Health System | Edinburg | TX | $21.61 | $118.0M | Con fines de lucro |
| 7 | Baptist Neighborhood Hospital Thousand Oaks | San Antonio | TX | $21.26 | $61.0M | Con fines de lucro |
| 8 | HCA Florida Twin Cities Hospital | Niceville | FL | $20.61 | $27.2M | Con fines de lucro |
| 9 | HCA Florida St Petersburg Hospital | Saint Petersburg | FL | $20.21 | $38.2M | Con fines de lucro |
| 10 | HCA Florida Oak Hill Hospital | Brooksville | FL | $19.94 | $161.7M | Con fines de lucro |
| 11 | Vhs Harlingen Hospital Company LLC | Harlingen | TX | $19.92 | $92.8M | Con fines de lucro |
| 12 | Medical Center Enterprise | Enterprise | AL | $19.77 | $6.7M | Con fines de lucro |
| 13 | Henderson Hospital | Henderson | NV | $19.69 | $121.5M | Con fines de lucro |
| 14 | HCA Florida Orange Park Hospital | Orange Park | FL | $19.66 | $147.4M | Sin fines de lucro |
| 15 | HCA Florida Trinity Hospital | Trinity | FL | $19.54 | $86.7M | Con fines de lucro |
| 16 | HCA Florida Citrus Hospital | Inverness | FL | $19.14 | $26.4M | Gubernamental |
| 17 | Alliancehealth Durant | Durant | OK | $19.12 | $33.7M | Con fines de lucro |
| 18 | Valley Regional Medical Center | Brownsville | TX | $18.88 | $110.7M | Con fines de lucro |
| 19 | HCA Healthone Mountain Ridge | Thornton | CO | $18.76 | $30.1M | Sin fines de lucro |
| 20 | Grandview Medical Center | Birmingham | AL | $18.60 | $92.9M | Con fines de lucro |
| 21 | HCA Florida Fort Walton-Destin Hospital | Fort Walton Beach | FL | $18.53 | $166.2M | Con fines de lucro |
| 22 | The Corpus Christi Medical Center | Corpus Christi | TX | $18.49 | $161.9M | Sin fines de lucro |
| 23 | HCA Florida South Shore Hospital | Sun City Center | FL | $18.49 | −$970,271 | Con fines de lucro |
| 24 | Doctors Hospital of Laredo | Laredo | TX | $18.33 | $32.5M | Con fines de lucro |
| 25 | Centennial Hills Hospital Medical Center | Las Vegas | NV | $18.18 | $73.1M | Con fines de lucro |
| 26 | Western Arizona Regional Medical Center | Bullhead City | AZ | $18.13 | $86.8M | Con fines de lucro |
| 27 | Heights University Hospital | Jersey City | NJ | $18.10 | −$65.5M | Sin fines de lucro |
| 28 | Medical City North Hills | North Richland Hills | TX | $18.05 | $61.2M | Con fines de lucro |
| 29 | HCA Houston Healthcare Kingwood | Kingwood | TX | $18.04 | $188.0M | Con fines de lucro |
| 30 | Medical City Arlington | Arlington | TX | $17.97 | $136.3M | Con fines de lucro |
| 31 | Crestwood Medical Center | Huntsville | AL | $17.92 | $38.2M | Con fines de lucro |
| 32 | Emanuel Medical Center | Turlock | CA | $17.88 | $52.8M | Con fines de lucro |
| 33 | Cjw Medical Center | Richmond | VA | $17.78 | $372.0M | Con fines de lucro |
| 34 | Valley Hospital Medical Center | Las Vegas | NV | $17.77 | $46.7M | Con fines de lucro |
| 35 | HCA Florida Englewood Hospital | Englewood | FL | $17.76 | $13.1M | Con fines de lucro |
| 36 | HCA Florida Lake City Hospital | Lake City | FL | $17.76 | $77.8M | Con fines de lucro |
| 37 | HCA Florida Gulf Coast Hospital | Panama City | FL | $17.76 | $146.1M | Con fines de lucro |
| 38 | Nacogdoches Medical Center | Nacogdoches | TX | $17.72 | $31.0M | Sin fines de lucro |
| 39 | HCA Florida Fawcett Hospital | Port Charlotte | FL | $17.62 | $37.2M | Con fines de lucro |
| 40 | HCA Houston Healthcare Northwest | Houston | TX | $17.62 | $59.7M | Con fines de lucro |
| 41 | Baldwin Health | Foley | AL | $17.46 | $65.7M | Con fines de lucro |
| 42 | St Lucie Medical Center | Port Saint Lucie | FL | $17.43 | $207.8M | Con fines de lucro |
| 43 | Summerlin Hospital Medical Center | Las Vegas | NV | $17.36 | $129.9M | Con fines de lucro |
| 44 | HCA Florida Kendall Hospital | Miami | FL | $17.35 | $376.1M | Con fines de lucro |
| 45 | Las Palmas Medical Center a Campus of Lpds Healthc | El Paso | TX | $17.32 | $455.5M | Con fines de lucro |
| 46 | Sunrise Hospital and Medical Center | Las Vegas | NV | $17.32 | $207.4M | Con fines de lucro |
| 47 | Valley Baptist Medical Center- Brownsville | Brownsville | TX | $17.20 | $39.3M | Con fines de lucro |
| 48 | The Hospitals of Providence Horizon City Campus | Horizon City | TX | $17.14 | $15.7M | Con fines de lucro |
| 49 | HCA Florida Bayonet Point Hospital | Hudson | FL | $17.08 | $186.4M | Con fines de lucro |
| 50 | Sky Ridge Medical Center | Lone Tree | CO | $17.05 | $143.1M | Sin fines de lucro |
Todos los estados en una tabla
| Estado | Hospitales | Típico (mediana) | Más alto |
|---|---|---|---|
| Nevada | 20 | $11.37 | $19.69 |
| Florida | 162 | $7.95 | $22.91 |
| Texas | 235 | $6.38 | $21.61 |
| Colorado | 47 | $6.22 | $18.76 |
| Tennessee | 72 | $6.21 | $13.76 |
| Arizona | 54 | $6.03 | $21.74 |
| Nueva Jersey | 61 | $5.72 | $22.02 |
| Oklahoma | 61 | $5.58 | $19.12 |
| Georgia | 87 | $5.55 | $14.46 |
| Carolina del Sur | 50 | $5.38 | $15.44 |
| Pensilvania | 124 | $5.26 | $15.50 |
| California | 270 | $5.15 | $17.88 |
| Virginia | 70 | $5.10 | $17.78 |
| Indiana | 80 | $4.98 | $12.12 |
| Arkansas | 39 | $4.96 | $14.79 |
| Kentucky | 57 | $4.88 | $12.93 |
| Illinois | 113 | $4.83 | $8.66 |
| Nuevo México | 22 | $4.65 | $9.84 |
| Ohio | 111 | $4.63 | $9.52 |
| Luisiana | 74 | $4.50 | $13.80 |
| Carolina del Norte | 77 | $4.44 | $9.18 |
| Alabama | 66 | $4.41 | $22.69 |
| Misuri | 60 | $4.36 | $12.69 |
| Washington | 45 | $4.33 | $6.91 |
| Utah | 29 | $4.16 | $10.92 |
| Wisconsin | 63 | $4.11 | $5.71 |
| Virginia Occidental | 23 | $4.11 | $6.42 |
| Dakota del Sur | 14 | $4.09 | $6.33 |
| Alaska | 6 | $3.98 | $9.57 |
| Distrito de Columbia | 6 | $3.95 | $9.25 |
| Kansas | 43 | $3.95 | $16.63 |
| Nuevo Hampshire | 13 | $3.92 | $10.65 |
| Misisipi | 51 | $3.86 | $14.63 |
| Connecticut | 25 | $3.80 | $5.81 |
| Delaware | 6 | $3.73 | $3.97 |
| Iowa | 30 | $3.72 | $5.72 |
| Míchigan | 86 | $3.71 | $8.43 |
| Nebraska | 24 | $3.68 | $7.51 |
| Rhode Island | 9 | $3.60 | $6.99 |
| Idaho | 15 | $3.44 | $8.20 |
| Hawái | 11 | $3.43 | $4.47 |
| Nueva York | 123 | $3.36 | $8.54 |
| Dakota del Norte | 6 | $3.26 | $3.75 |
| Montana | 10 | $3.09 | $3.98 |
| Oregón | 31 | $3.05 | $5.62 |
| Minnesota | 44 | $2.99 | $4.23 |
| Maine | 13 | $2.99 | $3.32 |
| Vermont | 6 | $2.73 | $3.05 |
| Wyoming | 7 | $2.68 | $5.38 |
| Massachusetts | 54 | $2.67 | $8.19 |
| Maryland | 43 | $1.44 | $1.97 |
¿Recibió una factura a precio de lista? Pida una factura detallada y el precio en efectivo, y pregunte por la asistencia financiera: los hospitales sin fines de lucro deben tener una política por escrito. Un margen alto no significa que al hospital le paguen más; Medicare y las aseguradoras fijan o negocian sus propias tarifas.
Fuentes: informes de costos de hospitales de CMS (HCRIS), el informe más reciente de cada hospital para 2024 (relación costo-cargo; las relaciones fuera de 0–5 se excluyen por ser errores de reporte); hospitales generales (de cuidados agudos) con hospitalizaciones de Medicare; tipo de hospital y propiedad de CMS Care Compare. Cómo funcionan las cifras.