Which U.S. hospitals have the most Medicare discharges?
The number of patients discharged from a hospital is a useful clinical metric, delivering insight into patient volumes, treatment quality, workload, and more. When broken down by payor type (i.e., private payor, Medicare/Medicaid, or self-pay), hospital discharges offer a closer look at a facility’s revenue cycle and its patients.
Our HospitalView product has data on more than 7,300 active hospitals, which we used to rank U.S. hospitals by volume of Medicare discharges in 2021.
|Rank||Hospital name||Definitive ID||City||State||Number of Medicare discharges||Explore dataset|
|1||AdventHealth Orlando (FKA Florida Hospital Orlando)||873||Orlando||FL||28,492||Explore|
|2||Tisch Hospital||2843||New York||NY||23,937||Explore|
|3||NewYork-Presbyterian Weill Cornell Medical Center||541974||New York||NY||22,942||Explore|
|4||Methodist Hospital||3862||San Antonio||TX||18,377||Explore|
|6||Mayo Clinic Hospital - Saint Marys Campus||2191||Rochester||MN||17,318||Explore|
|7||Cedars-Sinai Medical Center||430||Los Angeles||CA||16,777||Explore|
|8||Sarasota Memorial Hospital||920||Sarasota||FL||16,418||Explore|
|9||Massachusetts General Hospital||1973||Boston||MA||16,181||Explore|
|10||Lehigh Valley Hospital - Cedar Crest||3525||Allentown||PA||16,038||Explore|
|11||Evanston Hospital (AKA NorthShore Evanston Hospital)||1154||Evanston||IL||13,969||Explore|
|12||Stony Brook University Hospital||2915||Stony Brook||NY||13,386||Explore|
|13||North Shore University Hospital||2824||Manhasset||NY||13,207||Explore|
|14||Brigham and Womens Hospital||1969||Boston||MA||13,100||Explore|
|15||Barnes-Jewish Hospital||2442||Saint Louis||MO||13,032||Explore|
|16||Orlando Health Orlando Regional Medical Center||872||Orlando||FL||12,979||Explore|
|18||Yale New Haven Hospital||731||New Haven||CT||12,604||Explore|
|19||Corewell Health William Beaumont University Hospital (AKA Beaumont Hospital - Royal Oak)||2066||Royal Oak||MI||12,359||Explore|
|20||Cleveland Clinic Main Campus||3120||Cleveland||OH||12,350||Explore|
Which hospitals had the most discharges of Medicare patients?
AdventHealth Orlando in Orlando, Florida, tops our list with 28,492 Medicare discharges, or about 8.79% of total discharges across the top 20 hospitals.
In second place is Tisch Hospital in New York City, with 23,937 Medicare discharges.
New York – Presbyterian Weill Cornell Medical Center, also in New York City, takes a close third with 22,932 hospital discharges of Medicare patients.
In total, the hospitals on our list had 324,075 Medicare discharges. All U.S. hospitals discharged more than 7.79 million Medicare patients in 2021, the period covered by the latest Medicare Cost Report.
What can Medicare discharges reveal about a hospital?
Self-paying patients and private insurance companies tend to compensate hospitals at a higher rate than government programs like Medicare and Medicaid. These programs can pay facilities less than the real cost of treatment, encouraging many hospitals to seek a blended payor mix of primarily privately insured and self-paying patients. On average, around a third of patients pay with Medicare or Medicaid.
Facilities with a higher proportion of Medicare discharges typically serve older patients and those with certain disabilities designated by the Social Security Administration. Because of the lower reimbursement rates associated with government programs, hospitals with greater Medicare discharge volumes may face narrower margins and higher operating costs than those that rely on private/self-pay patients.
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