Hospitals ranked by HCAHPS score

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The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a patient satisfaction survey run by the Centers for Medicare and Medicaid Services (CMS). Responses are collected from a random sample of adult patients between 48 hours and 6 weeks after discharge from the hospital.

What does HCAHPS measure?

HCAHPS survey questions ask for a patient’s feedback on their hospital experience, including ratings for:

  • Communication with nurses  
  • Communication with doctors  
  • Responsiveness when help is required  
  • Pain management  
  • Communication about medicines
  • Discharge information  
  • Cleanliness and quietness of a hospital environment  
  • Overall hospital rating

The survey results provide standardized data for hospitals to compare their results. In addition, the publicly reported scores create transparency on the patient’s perspective of their care and hospital stay.

The Definitive Healthcare HospitalView product tracks HCAHPS scores for more than 3,200 U.S. hospitals. This Healthcare Insight reviews the top U.S. hospitals by net patient revenue for facilities with the highest and lowest HCAHPS ratings based on the October 2022 Care Compare results, which reflect 2021 data.

Based on 2021 survey results, 231 hospitals had an overall 5-star rating and 94 had a 1-star rating.

Top 10 5-star HCAHPS hospitals by net patient revenue 

Rank Definitive ID Hospital name Location Net patient revenue Number of discharges
1 2846 Memorial Sloan Kettering Cancer Center New York, NY $4,050,993,980 24,167
2 4017 University of Texas MD Anderson Cancer Center Houston, TX $3,982,982,020 26,908
3 2191 Mayo Clinic Hospital - Saint Mary’s Campus Rochester, MN $3,317,828,896 52,451
4 178 Mayo Clinic Hospital – Arizona Phoenix, AZ $2,066,052,128 16,494
5 1978 Dana Farber Cancer Institute Boston, MA $1,564,179,491 1,431
6 818 Moffitt Cancer Center Magnolia Campus Tampa, FL $1,447,136,058 10,272
7 792 Mayo Clinic Hospital – Florida Jacksonville, FL $986,907,022 16,113
8 5692 Fred Hutchinson Cancer Center Seattle, WA $890,271,266 581
9 2768 Roswell Park Comprehensive Cancer Center Buffalo, NY $661,766,067 4,902
10 437 USC Norris Comprehensive Cancer Center Los Angeles, CA $356,491,377 1,428

Fig 1. Data is from the Definitive Healthcare HospitalView product and sourced from 2021 HCAHPS results published by CMS. Accessed November 2022.

What are the largest hospitals with the highest HCAHPS scores?

Among hospitals with the highest HCAHPS ratings, Memorial Sloan Kettering Cancer Center and University of Texas MD Anderson Cancer Center have the top net patient revenue amounts at about $4 billion each. These hospitals are also some of the largest in the country by net patient revenue.

Seven of the hospitals are cancer centers. The specialized and personalized care provided by cancer centers could result in positive patient survey results. Mayo Clinic has three hospitals on the list, showcasing their successful patient care stories.

Net patient revenue for these 5-star hospitals averages $1.9 billion. Two of the top hospitals are in New York, and two are in Florida.. They average about 15,500 discharges a year.

Top 10 1-star HCAHPS hospitals by net patient revenue

Rank Definitive ID Hospital name Location Net patient revenue Number of discharges
1 2803 Maimonides Medical Center Brooklyn, NY $952,274,061 32,048
2 2586 Sunrise Hospital & Medical Center Las Vegas, NV $799,753,918 36,907
3 2757 BronxCare Hospital Center - Fulton Campus Bronx, NY $760,745,620 23,081
4 2799 Brookdale University Hospital Medical Center Brooklyn, NY $627,967,105 21,788
5 890 HCA Florida JFK Hospital Atlantis, FL $607,125,775 28,728
6 852 HCA Florida Kendall Hospital Miami, FL $553,414,945 21,190
7 2881 Jamaica Hospital Medical Center Jamaica, NY $486,656,222 13,640
8 875 HCA Florida Osceola Hospital Kissimmee, FL $473,776,095 18,902
9 877 Delray Medical Center Delray Beach, FL $454,996,575 19,531
10 2834 NuHealth - Nassau University Medical Center East Meadow, NY $416,791,836 15,725

Fig 2. Data is from the Definitive Healthcare HospitalView product and sourced from 2021 HCAHPS results published by CMS. Accessed November 2022.

What are the largest hospitals with the lowest HCAHPS scores?

Of the hospitals that have 1-star HCAHPS ratings from 2021, Maimonides Medical Center has the highest net patient revenue followed by Sunrise Hospital & Medical Center in Las Vegas, Nevada.

Half of the hospitals on the list are in New York, and an additional four are in Florida.

The average net patient revenue for these hospitals is $613 million, and they each have an average of about 23,000 discharges a year. Compared to the largest 5-star hospitals that have an average of about 15,500 discharges, the largest 1-star hospitals tend to have a higher patient base, which may account for a lower score.

Low scores can be due to a number of factors and may be a result of higher patient-to-provider ratios, busy patient-care settings, or staffing shortages.

Learn more

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