Healthcare Insights
Top trauma centers by net patient revenue
Net patient revenue (NPR), the aggregate money generated from patient services collected from payers, is a financial metric that can indicate the financial health of a healthcare organization or places of care, including trauma centers. Net patient revenue is calculated by subtracting patient discounts from total patient revenue.
What is a trauma center?
A trauma center is a healthcare facility that has met specified requirements to be designated as a trauma center. The criteria that define trauma center designations may vary by state.
There are five levels of trauma center designations (level I, II, III, IV, or V) in both the adult and pediatric categories. The amount of resources needed to care for patients decreases as the level of trauma center increases, with level V being the lowest level trauma center and level I trauma center being the highest.
Each type of trauma center provides a different level of care for patients.
- Level I trauma centers can provide complete care for traumatic injuries. This includes stages from prevention to rehabilitation.
- Level II trauma centers are capable of initiating care for all patients.
- Level III trauma centers provide injury assessment, resuscitation, surgery and intensive care, and stabilization for patients with traumatic injuries.
- Level IV trauma centers provide advanced trauma life support before patients are transferred to a higher-level center.
- Level V trauma centers evaluate and stabilize patients, provide diagnostic capabilities, then transfer patients to a higher-level center.
The American College of Surgeons verifies these facilities as trauma centers based on standards of resources available at the sites.
How many trauma centers are in the U.S.?
Definitive Healthcare tracks 2,201 trauma centers. In the U.S., there are 2,101 adult trauma centers and 209 pediatric trauma centers (some trauma centers fall under both categories).
The most common trauma center designation in the U.S. is adult level IV (926 centers) and the least common is pediatric level V (0 centers).
Using the Definitive Healthcare HospitalView product, we have listed the top 25 trauma centers in the U.S. by net patient revenue. Data is from the Medicare Cost report using the most recent 12-month interval tracked in our database.
| Rank | Definitive ID | Hospital name | City | State | Net patient revenue | Explore dataset |
|---|---|---|---|---|---|---|
| 1 | 541974 | NewYork-Presbyterian Weill Cornell Medical Center | New York | NY | $10,091,059,200 | Explore |
| 2 | 588 | Stanford Hospital - 300 Pasteur Dr | Palo Alto | CA | $8,292,801,536 | Explore |
| 3 | 3742 | Vanderbilt University Medical Center | Nashville | TN | $6,903,583,232 | Explore |
| 4 | 2096 | University Hospital | Ann Arbor | MI | $5,572,471,808 | Explore |
| 5 | 834 | Tallahassee Memorial HealthCare | Tallahassee | FL | $4,935,609,856 | Explore |
| 6 | 2973 | Duke University Hospital | Durham | NC | $4,842,221,056 | Explore |
| 7 | 1973 | Massachusetts General Hospital | Boston | MA | $4,454,238,208 | Explore |
| 8 | 430 | Cedars-Sinai Medical Center | West Hollywood | CA | $4,400,596,992 | Explore |
| 9 | 872 | Orlando Health Orlando Regional Medical Center | Orlando | FL | $4,288,697,344 | Explore |
| 10 | 1365 | IU Health Methodist Hospital | Indianapolis | IN | $4,249,619,200 | Explore |
| 11 | 2818 | Strong Memorial Hospital | Rochester | NY | $4,198,837,248 | Explore |
| 12 | 550 | Hillcrest Medical Center at UC San Diego Health | San Diego | CA | $4,117,936,896 | Explore |
| 13 | 3003 | Atrium Health Carolinas Medical Center | Charlotte | NC | $4,075,132,928 | Explore |
| 14 | 731 | Yale New Haven Hospital | New Haven | CT | $4,049,847,040 | Explore |
| 15 | 71 | UAB Hospital | Birmingham | AL | $3,916,659,456 | Explore |
| 16 | 2191 | Mayo Clinic Hospital - Saint Marys Campus | Rochester | MN | $3,892,370,176 | Explore |
| 17 | 515 | University of California Davis Medical Center (AKA UC Davis Medical Center) | Sacramento | CA | $3,865,080,320 | Explore |
| 18 | 3015 | UNC Medical Center (FKA University of North Carolina Hospitals - Memorial Hospital) | Chapel Hill | NC | $3,606,086,400 | Explore |
| 19 | 4222 | University of Utah Hospital | Salt Lake City | UT | $3,582,573,312 | Explore |
| 20 | 3525 | Lehigh Valley Hospital - Cedar Crest | Allentown | PA | $3,566,049,536 | Explore |
| 21 | 6386 | Texas Childrens Hospital | Houston | TX | $3,437,612,800 | Explore |
| 22 | 4493 | UW Health University Hospital | Madison | WI | $3,418,818,304 | Explore |
| 23 | 3567 | Childrens Hospital of Philadelphia (AKA CHOP) | Philadelphia | PA | $3,365,657,856 | Explore |
| 24 | 1969 | Brigham and Womens Hospital | Boston | MA | $3,345,285,888 | Explore |
| 25 | 2442 | Barnes-Jewish Hospital | Saint Louis | MO | $3,242,130,944 | Explore |
Fig. 1 Data is from the Definitive Healthcare HospitalView product. Data is from the Medicare Cost Report and displayed according to the most recent 12-month interval tracked in our database. Data accessed July 2026.
What are the top trauma centers in the U.S. based on net patient revenue?
The top trauma center in the U.S. by net patient revenue is NewYork-Presbyterian Weill Cornell Medical Center, with an NPR of $10.1 billion. NewYork-Presbyterian Weill Cornell Medical Center is designated as a level I trauma center and level II pediatric trauma center. Located in New York City, this trauma center is in the most densely populated city in the entire country, which likely leads to high patient volume and higher NPR. This facility also tops the list of largest hospitals in New York by NPR and the list of top U.S. hospitals by total surgeries.
Stanford Hospital (Palo Alto, CA) is the second top trauma center by net patient revenue. Stanford Hospital has an NPR of $8.3 billion. This level I trauma center is also one of the largest academic medical centers in the U.S. and has some of the highest IT expenses of U.S. hospitals.
In third place is Vanderbilt University Medical Center, which has a net patient revenue of $6.9 billion. Vanderbilt University Medical Center is located in Nashville, which is one of the most densely populated cities in the U.S., meaning there are likely more patients who could contribute to a higher NPR. This level I trauma center also ranks eighth on the list of top hospitals by surgeries and at number nine in the list of top U.S. hospitals by net patient revenue. Additionally, Vanderbilt University Medical Center ranks as the ninth largest academic medical center.
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