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Healthcare Insights

Commission on Cancer (CoC) centers with the highest case mix index

Case Mix Index (CMI) is a metric that reflects the complexity of a hospital’s patient population and the associated resources for their care.

The Centers for Medicare and Medicaid Services (CMS) uses CMI to determine reimbursement for Medicare and Medicaid beneficiaries. CMS evaluates the resources required to treat patients where higher CMI can result in higher reimbursement rates.

What is a Commission on Cancer (CoC) Center?

Commission on Cancer (CoC) Centers are nationally recognized for data-driven performance measures that improve care quality for patients undergoing cancer treatment.

The American College of Surgeons (ACS) runs this consortium of organizations to provide educational/training opportunities and development resources, reporting tools via participation in the National Cancer Database, as well as advocacy for oncologists and cancer centers.

Which Commission on Cancer (CoC) Centers have the highest case mix index?

Definitive Healthcare records the CMI for over 5,900 hospitals in our HospitalView product. As of April 2024, over 1,110 of our tracked hospitals are designated as CoC centers. The average CMI across all CoC hospitals is 1.87 with a range from 1.00 to 3.87

Below, we’ve compiled the CoC hospitals with the highest case mix index. 

Commission on Cancer (CoC) Centers by highest case mix index

RankHospital nameDefinitive IDCityStateCase mix index# of staffed bedsExplore dataset
1Akron Childrens Hospital6419AkronOH3.87268Explore
2Helford Clinical Research Hospital (AKA City of Hope National Medical Center)370DuarteCA3.46217Explore
3Presbyterian/St Lukes Medical Center664DenverCO3.37312Explore
4Moffitt Cancer Center Magnolia Campus (AKA H Lee Moffitt Cancer Center & Research Institute)818TampaFL3.34218Explore
5University of Maryland Medical Center1920BaltimoreMD3.18767Explore
6Cleveland Clinic Main Campus3120ClevelandOH3.051,299Explore
7CHI St Lukes Health - Baylor St Lukes Medical Center4021HoustonTX2.95628Explore
8UCSF Helen Diller Medical Center at Parnassus Heights560San FranciscoCA2.89834Explore
9Nemours Childrens Hospital - Delaware (FKA Nemours Alfred I duPont Hospital for Children)5163WilmingtonDE2.83206Explore
10MedStar Washington Hospital Center754WashingtonDC2.8725Explore
11Memorial Hermann - Texas Medical Center4018HoustonTX2.791,089Explore
-Hospital of the University of Pennsylvania3571PhiladelphiaPA2.791,051Explore
13Sentara Norfolk General Hospital4329NorfolkVA2.73472Explore
14University of Texas MD Anderson Cancer Center4017HoustonTX2.72698Explore
15Allegheny General Hospital3448PittsburghPA2.7528Explore
-Brigham and Womens Hospital1969BostonMA2.7812Explore
17University of Iowa Hospitals & Clinics1461Iowa CityIA2.68727Explore
18Duke University Hospital2973DurhamNC2.671,048Explore
19Uchicago Medicine Mitchell Hospital - Hyde Park (AKA Bernard A Mitchell Hospital)1168ChicagoIL2.63686Explore
-Providence Sacred Heart Medical Center4401SpokaneWA2.63609Explore
21Piedmont Atlanta Hospital (AKA Piedmont Hospital)998AtlantaGA2.62488Explore
-Adventist Health St Helena (FKA St Helena Hospital - Napa Valley)461Saint HelenaCA2.62141Explore
23Intermountain Health Saint Joseph Hospital (FKA Saint Joseph Hospital)662DenverCO2.6400Explore
-SSM Health Saint Louis University Hospital2444Saint LouisMO2.6317Explore
25The University of Kansas Hospital1631Kansas CityKS2.59955Explore

Fig. 1 Data is from the Definitive Healthcare HospitalView product. Case mix data is sourced from the Medicare Cost Report. CoC designations are validated twice a year via ACS and proprietary research. Accessed April 2024.

Akron Childrens Hospital has the highest case mix among CoC hospitals at 3.87. Two short-term acute care hospitals, Helford Clinical Research Hospital and Presbyterian-St Luke’s Medical Center, are second and third on the list at 3.46 and 3.37 respectively.

The average case mix for the listed cancer centers is 2.87.

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