A children’s hospital is a special kind of hospital designed just for kids, from babies to young adults, typically around 18 to 21 years old. These facilities have healthcare professionals trained to be mindful of a child’s physical and cognitive differences from adult patients. Some children’s hospitals may also serve as regional centers for research and preventative care.
According to our HospitalView product, there are more than 281 active children’s hospitals across the U.S. as of January 2026. We’ve compiled a list of the top 10 children’s hospitals ranked by net patient revenue (NPR).
Top 10 children’s hospitals by net patient revenue
| Rank | Hospital name | Definitive ID | State | Net patient revenue | # of discharges | # of staffed beds |
| 1 | Children’s Hospital of Philadelphia (AKA CHOP) | 3567 | PA | $ 3,075,271,168 | 22,305 | 692 |
| 2 | Texas Children’s Hospital | 6386 | TX | $ 3,045,921,280 | 34,534 | 905 |
| 3 | Cincinnati Children’s Burnet Campus | 5576 | OH | $ 2,765,941,248 | 19,833 | 717 |
| 4 | Lucile Packard Children’s Hospital Stanford (AKA Stanford Children’s Health) | 586 | CA | $ 2,604,252,672 | 19,795 | 394 |
| 5 | Nationwide Children’s Hospital | 5966 | OH | $ 2,485,337,088 | 20,028 | 700 |
| 6 | Seattle Children’s Hospital | 4366 | WA | $ 2,108,312,832 | 10,290 | 370 |
| 7 | Children’s Medical Center Dallas | 5377 | TX | $ 2,030,958,720 | 14,653 | 406 |
| 8 | Boston Children’s Hospital | 1979 | MA | $ 2,007,910,656 | 15,765 | 460 |
| 9 | Cook Children’s Medical Center | 4133 | TX | $ 1,868,356,992 | 10,380 | 453 |
| 10 | Rady Children’s Hospital San Diego | 6217 | CA | $ 1,599,604,224 | 19,386 | 401 |
Fig. 1 Data is from the Definitive Healthcare HospitalView product and the Medicare Cost Report. Data is accurate as of January 2026.
What children’s hospitals have the highest net patient revenue?
The dataset above highlights the financial and operational scale of the largest children’s hospitals in the U.S.
At the top, Children’s Hospital of Philadelphia and Texas Children’s Hospital stand out with net patient revenue just over $3.0B each. Notably, Texas Children’s achieves this revenue with the highest discharge volume (34,534) and the largest bed count (905) in the cohort, suggesting a high-throughput, large-footprint operating model. In contrast, CHOP generates comparable revenue with significantly fewer discharges and beds, pointing to higher revenue intensity per patient and per bed, likely reflecting case complexity, specialty services, and payor mix.
A second tier of institutions, including Cincinnati Children’s Burnet Campus, Lucile Packard Children’s Hospital Stanford, and Nationwide Children’s Hospital, combine strong revenue performance ($2.5B–$2.8B) with more moderate discharge volumes.
Geographically, Texas and California are heavily represented, reflecting both population size and regional concentration of advanced pediatric care.
The top three children’s hospitals all appear on our list of the top 50 hospitals by NPR in the U.S.
What is net patient revenue?
Net patient revenue is defined as the total amount of money received from a payor (i.e., Medicare, Medicaid, or commercial insurance) for treating patients. Charitable donations, foundation earnings, contractual adjustments, bad debt, or money from other financial sources are not included.
The standard NPR metric is calculated as follows:
(Total patient revenues) - (Patient discounts)
Patient discounts entail any contractual allowances or discounts on patients’ accounts. A negative NPR value indicates, according to the calculation, that the Hospital has patient discounts and allowances greater than its total revenue.
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