US Health Care Costs

State reports

Hospital report cards by state

Updated November 11, 2026

One page per state, written from the same public data as the rest of this site and rebuilt as it changes. Pick a state on the map or in the table, or see all states ranked.

Typical hospital markup: list price for every $1 of cost
  • $1.4–$3.4
  • $3.4–$3.9
  • $3.9–$4.4
  • $4.4–$5.3
  • $5.3–$11.4
StateHospitalsTypical markupBilled ÷ paid4 or 5 starsWould recommendTypical ER visitCharity care
Alaska25$3.985.6×30%77%2 h 10 min1.2%
Alabama102$4.415.5×16%71%2 h 27 min2.3%
Arkansas92$4.964.0×24%71%2 h 9 min3.0%
Arizona109$6.035.4×29%69%3 h 0 min1.9%
California379$5.156.3×41%70%2 h 54 min1.3%
Colorado96$6.227.4×72%76%2 h 14 min2.2%
Connecticut36$3.803.4×48%68%3 h 18 min1.3%
District of Columbia10$3.954.3×17%63%5 h 27 min1.6%
Delaware13$3.733.5×17%64%3 h 42 min2.5%
Florida223$7.957.1×35%68%2 h 29 min5.6%
Georgia149$5.554.9×32%70%2 h 42 min6.8%
Hawaii23$3.433.4×45%75%2 h 8 min0.5%
Iowa118$3.724.0×43%79%1 h 59 min0.8%
Idaho48$3.444.4×43%77%2 h 5 min0.7%
Illinois195$4.834.3×36%69%2 h 53 min1.9%
Indiana148$4.984.7×44%72%2 h 20 min1.6%
Kansas139$3.955.9×40%79%1 h 57 min0.7%
Kentucky104$4.884.9×23%70%2 h 20 min1.4%
Louisiana161$4.505.1×23%75%2 h 6 min1.5%
Massachusetts84$2.672.7×38%71%3 h 31 min0.8%
Maryland57$1.441.1×39%66%4 h 1 min2.2%
Maine40$2.993.6×39%73%2 h 36 min0.6%
Michigan149$3.713.4×37%68%2 h 37 min1.1%
Minnesota137$2.993.3×62%74%2 h 6 min1.0%
Missouri122$4.364.5×39%70%2 h 31 min2.1%
Mississippi109$3.864.6×10%73%2 h 4 min3.1%
Montana63$3.092.9×37%76%1 h 55 min1.2%
North Carolina121$4.443.7×42%71%3 h 7 min3.0%
North Dakota47$3.263.2×40%76%1 h 45 min0.7%
Nebraska93$3.683.8×63%78%1 h 54 min0.6%
New Hampshire27$3.924.0×43%72%2 h 28 min1.9%
New Jersey78$5.726.5×40%65%3 h 5 min3.2%
New Mexico45$4.654.3×18%67%2 h 48 min1.8%
Nevada47$11.379.1×22%69%2 h 32 min1.8%
New York193$3.365.0×24%66%3 h 24 min1.2%
Ohio194$4.634.3×52%70%2 h 35 min1.7%
Oklahoma136$5.585.2×45%75%2 h 2 min1.4%
Oregon62$3.053.2×44%75%2 h 35 min2.9%
Pennsylvania189$5.265.8×54%71%3 h 8 min1.4%
Puerto Rico59––17%63%4 h 39 min–
Rhode Island13$3.602.7×60%71%3 h 38 min1.2%
South Carolina66$5.385.2×47%70%2 h 38 min4.0%
South Dakota61$4.094.3×69%78%1 h 52 min0.8%
Tennessee123$6.215.0×35%69%2 h 41 min4.3%
Texas472$6.386.8×47%72%2 h 17 min7.8%
Utah52$4.163.6×79%78%2 h 9 min3.8%
Virginia97$5.104.5×59%71%2 h 42 min2.4%
Vermont17$2.734.1×27%72%2 h 55 min1.0%
Washington100$4.334.4×38%71%2 h 47 min2.4%
Wisconsin141$4.113.8×64%76%2 h 16 min1.2%
West Virginia55$4.114.1×17%75%2 h 18 min0.9%
Wyoming33$2.683.0×40%73%2 h 0 min1.6%

Sources: CMS Medicare inpatient data, hospital cost reports and Care Compare; hospitals' own price files. How the numbers work.