Just because a hospital is close doesn’t necessarily mean it is the best place to seek care. Hundreds of thousands of patients are discharged from hospitals in states they don’t live in, sometimes because of accidents during travel, but often due to the fact that some facilities are especially suited for treating specific conditions. The following list identifies the top 20 hospitals with the most payments and claims* from out-of-state residents.

Both of the lists include several nationally recognized hospitals known for excellent care, such as Mayo Clinic, Cleveland Clinic, The Johns Hopkins Hospital, and MD Anderson Cancer Center. Others are more regional hubs, such as Barnes-Jewish Hospital South and University of Kansas Health. Strong clinical quality is likely the driving factor behind the higher volumes of out-of-state patients at these facilities, as many of them are nationally ranked in several specialties, according to US News & World Report. In addition, most of the facilities are academic medical centers or teaching hospitals, which tend to offer a greater level of clinical expertise and more comprehensive services. Their high surgical volume also suggests that they may be more attractive care sites for patients undergoing complicated or serious inpatient procedures.

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