Multiple Sources · 52 states
States With Most Hospitals
The number of hospitals in a state reflects population size, geographic spread, and the historical development of healthcare infrastructure. Texas, California, and Florida lead in total hospital count. However, the raw number doesn't tell the full story -- what matters is hospital access per capita and distribution across rural and urban areas. Many rural hospitals have closed in recent years, creating healthcare deserts. States with more hospitals per capita tend to have lower prices due to competition and better access to emergency care, specialist services, and elective procedures.
Key Findings
- 1Texas leads with a number of hospitals of 465, followed by California (378) and Florida (222).
- 2District of Columbia ranks last at 10, while Texas leads at 465.
- 3The national median across all states is 93 (Nebraska at the midpoint).
- 4The top 10 states are: Texas, California, Florida, Ohio, Illinois, New York, Pennsylvania, Louisiana, Indiana, Georgia.
Full Ranking: States With Most Hospitals
Source: Census ACS 5-Year Estimates
| # | State | Hospitals | Avg Payment |
|---|---|---|---|
| 1 | Wyoming | 30 | $13,165 |
| 2 | Wisconsin | 142 | $14,497 |
| 3 | West Virginia | 55 | $11,835 |
| 4 | Washington | 100 | $17,541 |
| 5 | Virginia | 95 | $17,397 |
| 6 | Vermont | 17 | $15,274 |
| 7 | Utah | 51 | $15,877 |
| 8 | Texas | 465 | $15,897 |
| 9 | Tennessee | 122 | $14,163 |
| 10 | South Dakota | 61 | $13,386 |
| 11 | South Carolina | 66 | $14,688 |
| 12 | Rhode Island | 13 | $18,442 |
| 13 | Puerto Rico | 61 | $10,336 |
| 14 | Pennsylvania | 188 | $16,898 |
| 15 | Oregon | 62 | $16,874 |
| 16 | Oklahoma | 135 | $12,911 |
| 17 | Ohio | 196 | $14,858 |
| 18 | North Dakota | 47 | $14,386 |
| 19 | North Carolina | 120 | $14,777 |
| 20 | New York | 190 | $21,448 |
| 21 | New Mexico | 45 | $14,678 |
| 22 | New Jersey | 79 | $20,736 |
| 23 | New Hampshire | 28 | $16,578 |
| 24 | Nevada | 46 | $16,777 |
| 25 | Nebraska | 93 | $13,235 |
| 26 | Montana | 63 | $13,252 |
| 27 | Missouri | 121 | $13,821 |
| 28 | Mississippi | 106 | $12,292 |
| 29 | Minnesota | 136 | $14,886 |
| 30 | Michigan | 148 | $14,885 |
| 31 | Massachusetts | 84 | $21,636 |
| 32 | Maryland | 56 | $18,626 |
| 33 | Maine | 36 | $15,047 |
| 34 | Louisiana | 161 | $14,492 |
| 35 | Kentucky | 102 | $13,644 |
| 36 | Kansas | 138 | $13,528 |
| 37 | Iowa | 118 | $12,512 |
| 38 | Indiana | 150 | $13,977 |
| 39 | Illinois | 194 | $16,459 |
| 40 | Idaho | 48 | $13,935 |
| 41 | Hawaii | 24 | $20,551 |
| 42 | Georgia | 148 | $15,003 |
| 43 | Florida | 222 | $16,859 |
| 44 | District of Columbia | 10 | $20,781 |
| 45 | Delaware | 13 | $16,693 |
| 46 | Connecticut | 37 | $18,954 |
| 47 | Colorado | 97 | $16,841 |
| 48 | California | 378 | $21,491 |
| 49 | Arkansas | 90 | $13,359 |
| 50 | Arizona | 106 | $16,036 |
| 51 | Alaska | 25 | $20,163 |
| 52 | Alabama | 102 | $13,264 |
Methodology
Rankings are based on American Community Survey (ACS) 5-Year estimates from the US Census Bureau. All 50 states and the District of Columbia are included. The ACS surveys approximately 3.5 million households annually and provides detailed demographic, social, economic, and housing data. 5-Year estimates offer the most reliable data for state-level comparisons by averaging responses over a 60-month period. Percentages may not sum to 100% due to rounding.
More Healthcare Rankings
Explore Other Rankings
Related Rankings & Top Entities
Frequently Asked Questions
Texas has the highest number of hospitals at 465, according to latest Census ACS data. California and Florida round out the top three.
District of Columbia has the lowest number of hospitals at 10. Rhode Island is second-lowest at 13.
The median across all 52 states is 93. Note that the national median and the state-level median are calculated differently, the state median represents the midpoint when all states are ranked.
This data comes from the American Community Survey (ACS) 5-Year estimates published by the US Census Bureau. The ACS surveys approximately 3.5 million households annually and provides the most comprehensive demographic data available between decennial censuses.
Rankings are based on the latest available Census ACS 5-Year estimates. The Census Bureau releases new ACS data annually. Our data was last updated on April 12, 2026.
Rankings are based on American Community Survey (ACS) 5-Year estimates from the US Census Bureau. All 50 states and the District of Columbia are included. The ACS surveys approximately 3.5 million households annually and provides detailed demographic, social, economic, and housing data. 5-Year estimates offer the most reliable data for state-level comparisons by averaging responses over a 60-month period. Percentages may not sum to 100% due to rounding.
Source: U.S. Census Bureau ACS, 2026.