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Healthcare Insights

Top 50 hospitals in the U.S. by net patient revenue

Operating a hospital is expensive. From employee salaries to facility renovation, there are a number of factors that drive high operating expenses. To remain financially stable, hospitals rely on patient revenue to keep up with high expenses. Net patient revenue (NPR) is a key financial metric that can be used to grade hospitals’ relative financial strength.

What is net patient revenue?

A hospital’s net patient revenue is its aggregate money generated from patient services collected from payors. It is calculated by subtracting patient discounts from total patient revenues.

Using the Definitive Healthcare HospitalView product, we have listed the top 50 hospitals in the U.S. by net patient revenue. The data comes from the Medicare Cost Report and is listed according to the most recent 12-month interval tracked in our product. Our list only considers hospitals tracked in our database that reported their NPR.

Top 50 hospitals in the U.S. by net patient revenue

RankDefinitive IDHospital nameCityState Net patient revenue Explore dataset
1541974NewYork-Presbyterian Weill Cornell Medical CenterNew YorkNY $10,091,059,200 Explore
22843Tisch HospitalNew YorkNY $8,131,192,320 Explore
3588Stanford Hospital - 300 Pasteur DrPalo AltoCA $7,893,382,656 Explore
43120Cleveland Clinic Main CampusClevelandOH $7,426,526,720 Explore
5873AdventHealth Orlando (FKA Florida Hospital Orlando)OrlandoFL $7,153,306,624 Explore
63742Vanderbilt University Medical CenterNashvilleTN $6,903,583,232 Explore
7560UCSF Helen Diller Medical CenterSan FranciscoCA $6,828,788,224 Explore
84017University of Texas MD Anderson Cancer CenterHoustonTX $6,062,692,352 Explore
92096University HospitalAnn ArborMI $5,572,471,808 Explore
102846Memorial Sloan Kettering Cancer CenterNew YorkNY $5,457,068,544 Explore
112973Duke University HospitalDurhamNC $4,842,221,056 Explore
12430Cedars-Sinai Medical CenterWest HollywoodCA $4,400,596,992 Explore
131365IU Health Methodist HospitalIndianapolisIN $4,249,619,200 Explore
142818Strong Memorial HospitalRochesterNY $4,198,837,248 Explore
151973Massachusetts General HospitalBostonMA $4,147,126,528 Explore
16550Hillcrest Medical Center at UC San Diego HealthSan DiegoCA $4,117,936,896 Explore
173003Atrium Health Carolinas Medical CenterCharlotteNC $4,075,132,928 Explore
183571Hospital of the University of PennsylvaniaPhiladelphiaPA $4,004,776,704 Explore
19731Yale New Haven HospitalNew HavenCT $4,000,220,416 Explore
20273024Montefiore Hospital - Moses CampusBronxNY $3,916,947,968 Explore
212191Mayo Clinic Hospital - Saint Mary's CampusRochesterMN $3,892,370,176 Explore
22515University of California Davis Medical Center (AKA UC Davis Medical Center)SacramentoCA $3,865,080,320 Explore
23872Orlando Health Orlando Regional Medical CenterOrlandoFL $3,769,622,016 Explore
242837The Mount Sinai Hospital (AKA Mount Sinai Medical Center)New YorkNY $3,634,097,408 Explore
253015UNC Medical Center (FKA University of North Carolina Hospitals - Memorial Hospital)Chapel HillNC $3,606,086,400 Explore
264222University of Utah HospitalSalt Lake CityUT $3,582,573,312 Explore
273525Lehigh Valley Hospital - Cedar CrestAllentownPA $3,566,049,536 Explore
282828Long Island Jewish Medical CenterNew Hyde ParkNY $3,446,567,680 Explore
294493UW Health University HospitalMadisonWI $3,418,818,304 Explore
303567Children's Hospital of Philadelphia (AKA CHOP)PhiladelphiaPA $3,365,657,856 Explore
311000Northside Hospital AtlantaAtlantaGA $3,332,098,560 Explore
321678Norton HospitalLouisvilleKY $3,313,227,520 Explore
332442Barnes-Jewish HospitalSaint LouisMO $3,242,130,944 Explore
341631The University of Kansas HospitalKansas CityKS $3,227,321,344 Explore
353421OHSU Hospital - Portland (AKA OHSU Hospital - Marquam Hill Campus)PortlandOR $3,181,929,728 Explore
362035Corewell Health Grand Rapids Hospitals - Butterworth (FKA Spectrum Health Butterworth Hospital)Grand RapidsMI $3,159,089,152 Explore
37395Ronald Reagan UCLA Medical CenterLos AngelesCA $3,127,598,080 Explore
384012Houston Methodist Hospital (FKA the Methodist Hospital)HoustonTX $3,100,740,352 Explore
39596Santa Clara Valley Medical CenterSan JoseCA $3,097,737,216 Explore
404271Inova Fairfax Hospital (AKA Inova Fairfax Medical Campus)Falls ChurchVA $3,086,684,160 Explore
41851Sylvester Comprehensive Cancer CenterMiamiFL $3,075,600,128 Explore
42642UCHealth University of Colorado HospitalAuroraCO $3,064,974,848 Explore
436386Texas Children's HospitalHoustonTX $3,045,921,280 Explore
444018Memorial Hermann - Texas Medical CenterHoustonTX $2,943,300,352 Explore
452111Henry Ford HospitalDetroitMI $2,932,354,816 Explore
4671UAB HospitalBirminghamAL $2,927,817,472 Explore
47178Mayo Clinic Hospital - ArizonaPhoenixAZ $2,910,685,184 Explore
48756UF Health Shands Hospital (FKA Shands at the University of Florida)GainesvilleFL $2,897,733,120 Explore
494310University HospitalCharlottesvilleVA $2,893,272,320 Explore
505576Cincinnati Children's Burnet CampusCincinnatiOH $2,876,836,096 Explore

Fig. 1 Data is from the Definitive Healthcare HospitalView product. Data is from the Medicare Cost Report and is displayed according to the most recent 12-month interval tracked in our database. Data accessed March 2026.

What hospitals have the highest net patient revenue?

The top U.S. hospital by net patient revenue is New York-Presbyterian Weill Cornell Medical Center with a total net patient revenue of $10.1 billion. Located in the largest city in the U.S., this hospital’s high patient volume is a key source of its higher net patient revenue. In fact, the short-term acute care hospital also ranks highly on our list of hospitals with the highest number of patient discharges.

In second place is Tisch Hospital, also located in New York City, with $8.1 billion in net patient revenue. Like New York-Presbyterian Weill Cornell Medical Center, Tisch Hospital is a voluntary nonprofit facility that sees a high volume of patients.

The third top hospital on our list is Stanford Hospital in Palo Alto, California, with $7.9 billion in net patient revenue.

What types of hospitals have the highest net patient revenue?

Definitive Healthcare tracks nine different hospital types in the HospitalView product:

Of the top 50 hospitals listed above, 47 of them are short-term acute care hospitals and three are children’s hospitals. Short-term acute care hospitals are the most prevalent hospital type in the U.S., accounting for more than half of all hospitals. Children’s hospitals also tend to report higher net patient revenue than other types of hospitals due to a greater reliance on commercial insurance over Medicare.

What is the average net patient revenue of hospitals?

In the United States, the average hospital net patient revenue is about $255 million. The average NPR for the top 50 hospitals listed above is $4.2 billion.

The combined net patient revenue of the top 50 hospitals accounts for approximately 14% of the total net patient revenue among hospitals in the U.S.

What makes a hospital profitable?

Many factors play into the profitability of a hospital or health system. Some of the most profitable hospitals in the U.S. likely benefit from factors such as location, health system affiliations, process improvement, and multiple revenue streams.

Hospitals in urban areas, specifically, those that are part of a large health system, are more likely to have higher profit margins and excess revenue.

Additionally, activities beyond patient care, such as investments, retail pharmacy sales, managed care premiums, and reimbursement from quality programs can potentially increase total hospital revenue.

What NPR rankings mean for vendors and investors

Net patient revenue is a key indicator of a hospital’s financial performance and operational scale. Understanding which hospitals generate the highest NPR helps vendors, investors, and providers benchmark competitive positioning, identify partnership opportunities, and assess market concentration.

For vendors and service providers, high-NPR hospitals represent significant commercial opportunities due to their buying power and market influence.

Learn more

Healthcare Insights are developed with data from the Definitive Healthcare product portfolio and from CMS. Want even more U.S. hospital lists and healthcare insights? Start a free trial now and get access to the latest intelligence on hospitals, physicians, and other healthcare providers.