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Healthcare Insights

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.

Top 20 hospitals by Medicare discharges

RankHospital nameDefinitive IDCityStateNumber of Medicare dischargesExplore dataset
1AdventHealth Orlando (FKA Florida Hospital Orlando)873OrlandoFL28,492Explore
2Tisch Hospital2843New YorkNY23,937Explore
3NewYork-Presbyterian Weill Cornell Medical Center541974New YorkNY22,942Explore
4Methodist Hospital3862San AntonioTX18,377Explore
5Christiana Hospital744NewarkDE17,872Explore
6Mayo Clinic Hospital - Saint Marys Campus2191RochesterMN17,318Explore
7Cedars-Sinai Medical Center430Los AngelesCA16,777Explore
8Sarasota Memorial Hospital920SarasotaFL16,418Explore
9Massachusetts General Hospital1973BostonMA16,181Explore
10Lehigh Valley Hospital - Cedar Crest3525AllentownPA16,038Explore
11Evanston Hospital (AKA NorthShore Evanston Hospital)1154EvanstonIL13,969Explore
12Stony Brook University Hospital2915Stony BrookNY13,386Explore
13North Shore University Hospital2824ManhassetNY13,207Explore
14Brigham and Womens Hospital1969BostonMA13,100Explore
15Barnes-Jewish Hospital2442Saint LouisMO13,032Explore
16Orlando Health Orlando Regional Medical Center872OrlandoFL12,979Explore
17Norton Hospital1678LouisvilleKY12,737Explore
18Yale New Haven Hospital731New HavenCT12,604Explore
19Corewell Health William Beaumont University Hospital (AKA Beaumont Hospital - Royal Oak)2066Royal OakMI12,359Explore
20Cleveland Clinic Main Campus3120ClevelandOH12,350Explore

Fig. 1 Data is from the Definitive Healthcare HospitalView product and sourced from the January 2023 Medicare Cost Report according to the most recent 12-month interval tracked in our database. Data accurate as of March 2023.

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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