US hospitals from CMS Hospital General Information: fields, counts by state and type, and prices.
How many hospitals are in the US?
There are 6,100 hospitals in the United States, according to the American Hospital Association's Fast Facts on U.S. Hospitals, 2026, which uses data from AHA's 2024 Annual Survey. Of those, 5,121 are community hospitals, 210 are federal government hospitals, 656 are nonfederal psychiatric hospitals and 113 are other hospitals. The CMS Hospital General Information file of 2026-07-22 lists fewer, ~5,400 hospitals in the 50 states and DC. The CMS count covers hospitals enrolled in Medicare, one row per CMS Certification Number. It has no rehabilitation hospital type and only 5 long-term hospitals, both types that AHA counts.
The American Hospital Association counts 6,100 hospitals in the United States, from its 2024 Annual Survey.
6,1005,121 of them are community hospitals: nonfederal, short-term general and other special hospitals open to the public.
5,121The CMS Hospital General Information file lists ~5,400 Medicare-enrolled hospitals in the 50 states and DC.
~5,400~1,400 of the hospitals in the CMS file are critical access hospitals, small rural hospitals with no more than 25 inpatient beds.
~1,400What counts as a hospital?
The two sources count different sets of hospitals, so their totals differ. AHA's figures are quoted exactly; our CMS counts are rounded.
All U.S. hospitals (AHA)
What it counts: AHA's "Total Number of All U.S. Hospitals": community, federal government, nonfederal psychiatric and other hospitals
Latest figure: 6,100
Source and date: AHA Fast Facts 2026, 2024 Annual Survey
Community hospitals (AHA)
What it counts: Nonfederal, short-term general and other special hospitals, including rehabilitation, long-term acute-care and teaching hospitals; hospitals not open to the general public, such as prison hospitals, are excluded
Latest figure: 5,121
Source and date: AHA Fast Facts 2026, 2024 Annual Survey
Medicare-enrolled hospitals (CMS)
What it counts: Hospitals in CMS Hospital General Information, one row per CMS Certification Number, in the 50 states and DC
Latest figure: ~5,400
Source and date: CMS, file of 2026-07-22
Critical access hospitals (CMS)
What it counts: Hospitals certified as critical access: no more than 25 inpatient beds, an annual average acute stay of 96 hours or less, and more than a 35-mile drive from another hospital, with exceptions
Latest figure: ~1,400
Source and date: CMS, file of 2026-07-22; 42 CFR 485.610 and 485.620
Federal hospitals don't explain the gap. AHA counts 210 federal hospitals, and the CMS file holds 205 federally owned ones (Veterans Health Administration, Department of Defense and other federal government ownership). The gap sits mainly in rehabilitation and long-term hospitals. AHA counts them inside its community hospitals and its 113 other hospitals, while the CMS file has no rehabilitation type and lists only 5 long-term hospitals. The dates also differ. AHA's survey year is 2024, and the CMS file is dated 2026-07-22.
Hospitals by state (CMS)
Texas has the most hospitals in the CMS file, followed by California, Florida, Illinois and Ohio. The table counts every state and DC, with the rate per 100,000 residents and each state's share of the US.
| State | In the public register | Per 100,000 residents | Share of US total |
|---|---|---|---|
| Texas | ~470 | 1.5 | 8.7% |
| California | ~380 | 1.0 | 7% |
| Florida | ~220 | 0.9 | 4.1% |
| Illinois | ~190 | 1.5 | 3.6% |
| Ohio | ~190 | 1.6 | 3.6% |
| New York | ~190 | 1.0 | 3.6% |
| Pennsylvania | ~190 | 1.4 | 3.5% |
| Louisiana | ~160 | 3.5 | 3% |
| Georgia | ~150 | 1.3 | 2.8% |
| Michigan | ~150 | 1.5 | 2.8% |
| Indiana | ~150 | 2.1 | 2.8% |
| Wisconsin | ~140 | 2.3 | 2.6% |
| Kansas | ~140 | 4.7 | 2.6% |
| Minnesota | ~140 | 2.3 | 2.5% |
| Oklahoma | ~140 | 3.3 | 2.5% |
| Tennessee | ~120 | 1.7 | 2.3% |
| Missouri | ~120 | 1.9 | 2.2% |
| North Carolina | ~120 | 1.1 | 2.2% |
| Iowa | ~120 | 3.6 | 2.2% |
| Mississippi | ~110 | 3.7 | 2% |
| Arizona | ~110 | 1.4 | 2% |
| Kentucky | ~100 | 2.2 | 1.9% |
| Washington | ~100 | 1.2 | 1.9% |
| Alabama | ~100 | 1.9 | 1.9% |
| Colorado | ~100 | 1.6 | 1.8% |
| Virginia | ~100 | 1.1 | 1.8% |
| Nebraska | ~90 | 4.6 | 1.7% |
| Arkansas | ~90 | 2.9 | 1.7% |
| Massachusetts | ~80 | 1.2 | 1.6% |
| New Jersey | ~80 | 0.8 | 1.5% |
| South Carolina | ~70 | 1.2 | 1.2% |
| Montana | ~60 | 5.5 | 1.2% |
| Oregon | ~60 | 1.5 | 1.2% |
| South Dakota | ~60 | 6.5 | 1.1% |
| Maryland | ~60 | 0.9 | 1.1% |
| West Virginia | ~60 | 3.1 | 1% |
| Utah | ~50 | 1.5 | 0.97% |
| Idaho | ~50 | 2.4 | 0.9% |
| North Dakota | ~50 | 5.9 | 0.88% |
| Nevada | ~50 | 1.4 | 0.86% |
| New Mexico | ~50 | 2.1 | 0.84% |
| Connecticut | ~40 | 1.0 | 0.67% |
| Maine | ~40 | 2.5 | 0.67% |
| Wyoming | ~30 | 5.3 | 0.58% |
| New Hampshire | ~30 | 1.9 | 0.5% |
| Alaska | ~30 | 3.4 | 0.47% |
| Hawaii | ~20 | 1.6 | 0.43% |
| Vermont | ~20 | 2.6 | 0.32% |
| Delaware | ~10 | 1.2 | 0.24% |
| Rhode Island | ~10 | 1.2 | 0.24% |
| District of Columbia | ~10 | 1.4 | 0.19% |
Counts are rounded.
These are counts from the CMS file of 2026-07-22, rounded. Rates use US Census Bureau population estimates for July 1, 2025. The ~70 hospitals in Puerto Rico, Guam, the US Virgin Islands, American Samoa and the Northern Mariana Islands are left out of the state counts.
Per resident, small rural states lead. South Dakota has 6.5 hospitals per 100,000 residents, North Dakota 5.9 and Montana 5.5, against 1.6 for the US. New Jersey has the fewest per resident, 0.8. The high-rate states also have many critical access hospitals, as the table further down shows.
How many hospitals are in California and Texas?
Texas has ~470 hospitals in the CMS file, rank 1 of 51, and California has ~380, rank 2. Per resident both sit below the US rate of 1.6: Texas has 1.5 hospitals per 100,000 residents and California 1.0. Texas also has more critical access hospitals than any other state, while most of California's hospitals in the file are acute care hospitals. Houston has the most hospitals of any Texas city in the file, and Los Angeles of any California city.
Critical access hospitals
The CMS file lists ~1,400 critical access hospitals in 45 states. A critical access hospital keeps no more than 25 inpatient beds, and its acute inpatient stays may not exceed 96 hours per patient on an annual average (42 CFR 485.620). It must be more than a 35-mile drive on primary roads from another hospital, or 15 miles on mountainous terrain or where only secondary roads exist, unless its state certified it as a necessary provider before January 1, 2006 (42 CFR 485.610).
| State name | Hospitals |
|---|---|
| Texas | ~90 |
| Kansas | ~80 |
| Iowa | ~80 |
| Minnesota | ~80 |
| Nebraska | ~60 |
| Wisconsin | ~60 |
| Illinois | ~60 |
| Montana | ~50 |
| Oklahoma | ~40 |
| South Dakota | ~40 |
| Washington | ~40 |
| California | ~40 |
| North Dakota | ~40 |
| Michigan | ~40 |
| Missouri | ~40 |
Counts are rounded.
The table shows the 15 states with the most. Texas, Kansas and Iowa lead. Connecticut, Delaware, Maryland, New Jersey, Rhode Island and DC have none in the file. Every state's count is in the critical_access column of the CSV below. CMS publishes the hospital-level file itself, free, on its Provider Data Catalog, where you can filter by hospital type.
Who owns US hospitals?
Private nonprofit hospitals are the largest ownership group in the CMS file, followed by proprietary (for-profit) hospitals and hospitals run by a hospital district or authority. AHA's community hospital figures show the same order: 2,984 nongovernment not-for-profit, 1,224 investor-owned and 913 state and local government community hospitals.
| Ownership | Hospitals |
|---|---|
| Voluntary non-profit - Private | ~2,300 |
| Proprietary | ~1,000 |
| Government - Hospital District or Authority | ~510 |
| Government - Local | ~390 |
| Voluntary non-profit - Other | ~350 |
| Voluntary non-profit - Church | ~260 |
| Government - State | ~200 |
| Veterans Health Administration | ~130 |
| Physician | ~80 |
| Government - Federal | ~40 |
| Department of Defense | ~30 |
| Tribal | ~20 |
Counts are rounded.
The labels are CMS's. "Voluntary non-profit" is split into private, church and other. Each hospital has one ownership label.
How many hospitals have an emergency department?
83% of the hospitals in the CMS file report emergency services. Most of the hospitals that report none are psychiatric hospitals.
What these numbers don't show
Campuses. One CMS Certification Number can cover a main hospital and satellite campuses, so the CMS count is of certified hospitals, not buildings.
Closures since the file date. Hospitals that closed or merged after 2026-07-22 stay in the file until CMS removes them.
Hospitals outside Medicare. Hospitals that are not enrolled in Medicare are missing from the CMS file. So are rehabilitation hospitals and nearly all long-term hospitals, which AHA counts.
Beds and size. The CMS file has no bed count. AHA reports 907,216 staffed beds in all US hospitals (2024), a national total only.
Health systems. The CMS file has no system or parent field.
LimitsDownload the data
hospitals-register-2026-10.csvCSVCC BY 4.02026-10-04
nodilist.com, "How many hospitals are in the US?", counts from CMS Hospital General Information (file of 22 July 2026) with AHA Fast Facts on U.S. Hospitals, 2026, https://nodilist.com/hospitals/how-many-hospitals/.
- hospitals-register-2026-10.csv: hospitals in CMS Hospital General Information for the US and each state and DC, with the rate per 100,000 residents, the share of the US, the rank and the number of critical access hospitals.
The CSV holds exact values; the tables on this page round them. It is licensed under CC BY 4.0. You can reuse it, including commercially, if you credit nodilist.com and link to this page.
Looking for hospital contacts?
The hospital email list is built from the same CMS file and the hospitals' own websites, one row per hospital, with main and department inboxes and the source and last-verified date on every email. Its page has the counts by state and type, the columns and the prices. You can order it nationwide or by state.
Hospital email listSources
- American Hospital Association, Fast Facts on U.S. Hospitals, 2026 (data from the 2024 AHA Annual Survey, updated February 2026), https://www.aha.org/statistics/fast-facts-us-hospitals (accessed 2026-10-04)
- CMS, Provider Data Catalog, Hospital General Information (dataset xubh-q36u), modified 2026-07-22, released 2026-08-13, https://data.cms.gov/provider-data/dataset/xubh-q36u (accessed 2026-10-04)
- eCFR via Cornell LII, 42 CFR 485.620 Condition of participation: Number of beds and length of stay, https://www.law.cornell.edu/cfr/text/42/485.620 (accessed 2026-10-04)
- eCFR via Cornell LII, 42 CFR 485.610 Condition of participation: Status and location, https://www.law.cornell.edu/cfr/text/42/485.610 (accessed 2026-10-04)
- US Census Bureau, Vintage 2025 state population estimates (July 1, 2025), via FRED, for the rates per 100,000 residents (accessed 2026-10-03)