Healthcare Insights

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

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 often rely on patient revenue to keep up with such high operating expenses. Net patient revenue is a key financial metric that can be used to identify hospitals that are financially strong.

What is net patient revenue for hospitals?

A hospital’s net patient revenue (NPR) 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 according to the most recent 12-month interval tracked in our product.

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$6,880,604,656 Explore
22843Tisch HospitalNew YorkNY$6,273,707,636 Explore
33120Cleveland Clinic Main CampusClevelandOH$6,037,196,525 Explore
43742Vanderbilt University Medical CenterNashvilleTN$5,039,872,795 Explore
5560UCSF Helen Diller Medical Center at Parnassus HeightsSan FranciscoCA$5,011,376,400 Explore
6274095University HospitalColumbiaMO$4,732,350,283 Explore
72096University HospitalAnn ArborMI$4,242,119,016 Explore
8588Stanford Hospital - 300 Pasteur DrStanfordCA$4,183,895,185 Explore
92846Memorial Sloan Kettering Cancer CenterNew YorkNY$4,050,993,980 Explore
10873AdventHealth Orlando (FKA Florida Hospital Orlando)OrlandoFL$4,003,534,342 Explore
114017University of Texas MD Anderson Cancer CenterHoustonTX$3,982,982,020 Explore
12430Cedars-Sinai Medical CenterLos AngelesCA$3,716,279,787 Explore
131973Massachusetts General HospitalBostonMA$3,504,058,795 Explore
14731Yale New Haven HospitalNew HavenCT$3,445,415,196 Explore
152191Mayo Clinic Hospital - Saint Marys CampusRochesterMN$3,317,828,896 Explore
161365IU Health Methodist HospitalIndianapolisIN$3,113,206,365 Explore
173571Hospital of the University of PennsylvaniaPhiladelphiaPA$3,052,997,255 Explore
18872Orlando Health Orlando Regional Medical CenterOrlandoFL$3,049,724,845 Explore
192837The Mount Sinai Hospital (AKA Mount Sinai Medical Center)New YorkNY$2,996,703,558 Explore
20515University of California Davis Medical Center (AKA UC Davis Medical Center)SacramentoCA$2,965,455,011 Explore
21273024Montefiore Hospital - Moses CampusBronxNY$2,948,453,000 Explore
223003Atrium Health Carolinas Medical CenterCharlotteNC$2,931,823,059 Explore
23550UC San Diego Medical CenterSan DiegoCA$2,880,701,434 Explore
241969Brigham and Womens HospitalBostonMA$2,798,569,563 Explore
252828Long Island Jewish Medical CenterNew Hyde ParkNY$2,779,128,197 Explore
262818Strong Memorial HospitalRochesterNY$2,702,464,192 Explore
272973Duke University HospitalDurhamNC$2,675,540,231 Explore
281000Northside Hospital AtlantaAtlantaGA$2,578,616,056 Explore
293525Lehigh Valley Hospital - Cedar CrestAllentownPA$2,576,510,892 Explore
304222University of Utah HospitalSalt Lake CityUT$2,555,439,616 Explore
312035Spectrum Health Butterworth HospitalGrand RapidsMI$2,532,885,733 Explore
323015UNC Medical Center (FKA University of North Carolina Hospitals - Memorial Hospital)Chapel HillNC$2,514,892,252 Explore
333567Childrens Hospital of Philadelphia (AKA CHOP)PhiladelphiaPA$2,499,301,794 Explore
341678Norton HospitalLouisvilleKY$2,479,474,863 Explore
354012Houston Methodist Hospital (FKA the Methodist Hospital)HoustonTX$2,451,664,380 Explore
361914The Johns Hopkins HospitalBaltimoreMD$2,430,787,441 Explore
374493University HospitalMadisonWI$2,391,577,364 Explore
38642UCHealth University of Colorado HospitalAuroraCO$2,374,609,042 Explore
395576Cincinnati Childrens Burnet CampusCincinnatiOH$2,369,523,051 Explore
401631The University of Kansas HospitalKansas CityKS$2,343,347,985 Explore
412442Barnes-Jewish HospitalSaint LouisMO$2,322,076,596 Explore
423421OHSU Hospital - Portland (AKA OHSU Hospital - Marquam Hill Campus)PortlandOR$2,304,225,671 Explore
43395Ronald Reagan UCLA Medical CenterLos AngelesCA$2,298,503,641 Explore
44851Sylvester Comprehensive Cancer CenterMiamiFL$2,290,939,882 Explore
4571UAB HospitalBirminghamAL$2,287,308,156 Explore
463623Medical University of South Carolina Medical CenterCharlestonSC$2,272,851,354 Explore
475538UH Rainbow Babies & Childrens HospitalClevelandOH$2,240,719,361 Explore
483124University Hospitals Cleveland Medical Center (FKA University Hospitals Case Medical Center)ClevelandOH$2,240,719,360 Explore
494529Froedtert HospitalMilwaukeeWI$2,226,560,314 Explore
501135Northwestern Memorial HospitalChicagoIL$2,224,223,352 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 July 2023.

What hospitals have the highest net patient revenue?

The top U.S. hospital by net patient revenue is NewYork-Presbyterian Weill Cornell Medical Center. Located in the largest city in the U.S., this hospital likely sees more patients accounting for higher net patient revenue. In fact, NewYork-Presbyterian Weill Cornell Medical Center also tops the list of hospitals with the highest number of patient discharges (second place).

In second place is Tisch Hospital, also located in New York City. Like NewYork-Presbyterian Weill Cornell Medical Center, Tisch Hospital also likely sees more patients leading to a high NPR. This hospital also makes the list of top hospitals with the highest number of patient discharges (fifth place).

The third top hospital by NPR is Cleveland Clinic Main Campus in Cleveland, Ohio. This hospital is a top U.S. hospital by number of staffed beds (fifth place) and is a top teaching hospitals by staffed beds, as well (second place). With such a high number of staffed beds compared to other U.S. hospitals, Cleveland Clinic Main Campus can accommodate a higher volume of patients, likely a top reason they rank high on this list of top hospitals by 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, a possible reason for it being the most common hospital type in the list of top hospitals by NPR.

What is the average net patient revenue of hospitals?

In the United States, the average hospital net patient revenue is $210.4 million. The average NPR for the top 50 hospitals listed above is $3.2 billion.

The combined net patient revenue of the top 50 hospitals accounts for 13% of all nationwide hospital NPR.

What makes a hospital profitable?

Many factors play into the profitability of a hospital or health system. Some of the richest 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.

How many of the top hospitals by NPR are part of a health system?

Of the factors that influence the profitability of a hospital, being part of a larger health system is very prevalent in this list of top 50 hospitals by NPR. Among the top hospitals listed above, 49 are part of a health system.

While the majority of them do not belong to the top health systems by net patient revenue, having health system affiliation alone can increase the likelihood of having more affiliated facilities, potentially driving access to more patients and higher net patient revenue.

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