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Healthcare Insights

Top U.S. hospitals with the most operating rooms

Operating rooms (ORs) are among hospitals’ most critical resources, as they provide the space and equipment necessary to perform surgeries and other intensive procedures.

While operating room square footage delivers a more granular metric for determining a healthcare facility’s size and overall capacity for complex procedures, a facility’s total number of ORs can indicate its ability to handle multiple operations simultaneously.

Using the Definitive Healthcare HospitalView product, we have listed the top 25 hospitals in the United States by the total number of operating rooms in each facility. The data is aggregated from the most recent 12-month interval tracked in our database.

Top 25 hospitals by number of operating rooms

RankHospital nameDefinitive IDCityStateNumber of operating rooms Net patient revenue Explore dataset
1Advocate Trinity Hospital1156ChicagoIL157$424,200,128 Explore
2Northside Hospital Duluth (FKA Gwinnett Medical Center - Duluth)542167DuluthGA122$251,432,224 Explore
3Cleveland Clinic Main Campus3120ClevelandOH119$7,426,526,720 Explore
4Memorial Hermann - Texas Medical Center4018HoustonTX98$2,943,300,352 Explore
5HCA Florida Northside Hospital (FKA Northside Hospital)897Saint PetersburgFL90$224,983,440 Explore
6Houston Methodist Hospital (FKA the Methodist Hospital)4012HoustonTX85$3,100,740,352 Explore
7University Hospital2096Ann ArborMI82$5,572,471,808 Explore
9Methodist Hospital3862San AntonioTX76$2,801,596,416 Explore
8Barnes-Jewish Hospital2442Saint LouisMO76$3,242,130,944 Explore
10UPMC Presbyterian3439PittsburghPA72$2,430,531,840 Explore
11Ochsner Medical Center - Main Campus1772New OrleansLA71$2,516,198,656 Explore
13Massachusetts General Hospital1973BostonMA70$4,454,238,208 Explore
14Corewell Health William Beaumont University Hospital (FKA Beaumont Hospital - Royal Oak)2066Royal OakMI70$1,709,325,568 Explore
12Northwestern Memorial Hospital1135ChicagoIL70$2,815,366,912 Explore
16SSM Health St Marys Hospital - Jefferson City2359Jefferson CityMO70$141,833,792 Explore
17HCA Florida University Hospital1010890DavieFL70$168,112,448 Explore
15Mayo Clinic Hospital - Saint Marys Campus2191RochesterMN70$3,892,370,176 Explore
18Vanderbilt University Medical Center3742NashvilleTN68$6,903,583,232 Explore
19Baptist Medical Center3860San AntonioTX67$1,433,449,472 Explore
20Tisch Hospital2843New YorkNY66$8,688,475,136 Explore
21North Shore University Hospital2824ManhassetNY65$2,640,566,784 Explore
22Corewell Health Grand Rapids Hospitals - Butterworth (FKA Spectrum Health Butterworth Hospital)2035Grand RapidsMI64$3,159,089,152 Explore
23UCSF Helen Diller Medical Center560San FranciscoCA63$6,828,788,224 Explore
24University of Utah Hospital4222Salt Lake CityUT63$3,582,573,312 Explore
25Strong Memorial Hospital2818RochesterNY62$4,198,837,248 Explore

Fig. 1 Analysis of data from the Definitive Healthcare HospitalView product. Data is aggregated from the most recent 12-month interval tracked in our database. Accessed May 2026.

Which U.S. hospitals have the most operating rooms?

The U.S. hospital with the most operating rooms is Advocate Trinity Hospital in Chicago, with 157 operating rooms.

The hospital with the second highest number of operating rooms is Northside Hospital Duluth in Duluth, Georgia, with 122 operating rooms.

Cleveland Clinic Main Campus in Cleveland, Ohio, takes third place, with 119 operating rooms.

How does operating room capacity differ based on a hospital’s location?

In the U.S., hospitals’ operating room capacities may differ based on location relative to the area population. In particular, hospitals in large metropolitan areas with larger patient populations tend to have more ORs compared to hospitals in rural areas. Since most patients tend to seek surgical care in regions in which they reside, it is expected that areas with larger populations require greater facility capacity to accommodate more procedures.

For example, multiple hospitals in the list above, such as Houston Methodist Hospital and Memorial Hermann - Texas Medical Center in Houston, and Thomas Jefferson University Hospital in Philadelphia are in some of the largest cities in the country by population.

What are the different types of operating rooms?

The three main types of operating rooms are digital, hybrid, and integrated, and each OR type is designed to meet the differing needs of hospitals and the patient populations they serve.

Digital operating rooms are built around a central data system that integrates imaging, software, and video data systems. These ORs enable simpler sharing, transfer, and collection of medical data, which may be referenced during the operation or used afterward to assess outcomes and inform care plans.

Hybrid operating rooms bring together surgical equipment and medical imaging devices, which allows imaging to be done right in the OR. Hybrid ORs are equipped for most surgical disciplines but are generally best suited to those requiring high-resolution imaging of smaller body parts, such as cardiovascular or neurological surgery.

Integrated operating rooms contain integrated surgical systems that combine lighting, audio, video, and operating equipment in a single, centrally controlled unit. This integration improves surgical efficiency by eliminating the need to move equipment to and from the operating table during a procedure.

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