Multiple Sources · 56 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).
- 2Northern Mariana Islands ranks last at 1, while Texas leads at 465.
- 3The national median across all states is 84 (Massachusetts 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 2023 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 | Virgin Islands | 2 | $12,142 |
| 7 | Vermont | 17 | $15,274 |
| 8 | Utah | 51 | $15,877 |
| 9 | Texas | 465 | $15,897 |
| 10 | Tennessee | 122 | $14,163 |
| 11 | South Dakota | 61 | $13,386 |
| 12 | South Carolina | 66 | $14,688 |
| 13 | Rhode Island | 13 | $18,442 |
| 14 | Puerto Rico | 61 | $10,336 |
| 15 | Pennsylvania | 188 | $16,898 |
| 16 | Oregon | 62 | $16,874 |
| 17 | Oklahoma | 135 | $12,911 |
| 18 | Ohio | 196 | $14,858 |
| 19 | Northern Mariana Islands | 1 | $9,415 |
| 20 | North Dakota | 47 | $14,386 |
| 21 | North Carolina | 120 | $14,777 |
| 22 | New York | 190 | $21,448 |
| 23 | New Mexico | 45 | $14,678 |
| 24 | New Jersey | 79 | $20,736 |
| 25 | New Hampshire | 28 | $16,578 |
| 26 | Nevada | 46 | $16,777 |
| 27 | Nebraska | 93 | $13,235 |
| 28 | Montana | 63 | $13,252 |
| 29 | Missouri | 121 | $13,821 |
| 30 | Mississippi | 106 | $12,292 |
| 31 | Minnesota | 136 | $14,886 |
| 32 | Michigan | 148 | $14,885 |
| 33 | Massachusetts | 84 | $21,636 |
| 34 | Maryland | 56 | $18,626 |
| 35 | Maine | 36 | $15,047 |
| 36 | Louisiana | 161 | $14,492 |
| 37 | Kentucky | 102 | $13,644 |
| 38 | Kansas | 138 | $13,528 |
| 39 | Iowa | 118 | $12,512 |
| 40 | Indiana | 150 | $13,977 |
| 41 | Illinois | 194 | $16,459 |
| 42 | Idaho | 48 | $13,935 |
| 43 | Hawaii | 24 | $20,551 |
| 44 | Guam | 2 | $10,650 |
| 45 | Georgia | 148 | $15,003 |
| 46 | Florida | 222 | $16,859 |
| 47 | District of Columbia | 10 | $20,781 |
| 48 | Delaware | 13 | $16,693 |
| 49 | Connecticut | 37 | $18,954 |
| 50 | Colorado | 97 | $16,841 |
| 51 | California | 378 | $21,491 |
| 52 | Arkansas | 90 | $13,359 |
| 53 | Arizona | 106 | $16,036 |
| 54 | American Samoa | 1 | $8,913 |
| 55 | Alaska | 25 | $20,163 |
| 56 | Alabama | 102 | $13,264 |
Methodology
Rankings are based on American Community Survey (ACS) 2023 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.
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Frequently Asked Questions
Texas has the highest number of hospitals at 465, according to Census ACS 2023 data. California and Florida round out the top three.
Northern Mariana Islands has the lowest number of hospitals at 1. American Samoa is second-lowest at 1.
The median across all 56 states is 84. 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) 2023 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 data (currently 2023 5-Year estimates). The Census Bureau releases new ACS data annually, typically in September. Our data was last updated on April 12, 2026.
Rankings are based on American Community Survey (ACS) 2023 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.