Hospitals ranked by HCAHPS score

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a patient experience survey run by the Centers for Medicare and Medicaid Services (CMS). Responses are collected from a random sample of adult patients between 48 hours and six weeks after discharge from the hospital.

What does HCAHPS measure?

HCAHPS survey questions capture a patient’s feedback on their hospital experience, including ratings for:

• Communication with nurses
• Communication with doctors
• Responsiveness when help is required
• Pain management
• Communication about medicines
• Discharge information
• Cleanliness and quietness of a hospital environment
• Overall hospital rating

The survey results provide standardized data that allows hospitals to compare their results. Publicly reported scores also create transparency into the patient experience of care and overall hospital stay.

The Definitive Healthcare HospitalView product tracks HCAHPS scores for more than 3,200 U.S. hospitals. This Healthcare Insight reviews the top U.S. hospitals by net patient revenue for facilities with the highest and lowest HCAHPS ratings based on Care Compare results.

Why HCAHPS data matters

HCAHPS data provides valuable insight into how care is experienced across hospitals, helping organizations identify performance gaps and opportunities for improvement. Healthcare providers can use these insights to benchmark patient experience and improve care delivery, while life sciences companies can better understand care environments and target the right providers for engagement. For diversified organizations, HCAHPS scores highlight opportunities to support hospitals with solutions that address operational and patient experience challenges, making it a powerful tool for informing strategy, partnerships, and growth.

Top 10 5-star HCAHPS hospitals by net patient revenue

Fig 1. Data is from the Definitive Healthcare HospitalView product and sourced from HCAHPS results published by CMS. Accessed April 2026.

What are the largest hospitals with the highest HCAHPS scores?

Among 5-star HCAHPS hospitals, the largest by net patient revenue (NPR) is the University of Texas MD Anderson Cancer Center in Texas, generating $6.06 billion in NPR with 29,931 annual discharges. The Mayo Clinic Hospital – Saint Mary’s Campus in Minnesota follows with $3.89 billion and 50,498 discharges, while Mayo Clinic Hospital – Arizona ranks third with $2.91 billion and 19,911 discharges.

Notably, many of the highest-performing hospitals are specialty care centers, particularly cancer institutions such as Dana-Farber Cancer Institute and Moffitt Cancer Center. These organizations often deliver highly specialized, coordinated care, which may contribute to stronger patient experience scores reflected in HCAHPS ratings.

Top 10 1-star HCAHPS hospitals by net patient revenue

Fig 2. Data is from the Definitive Healthcare HospitalView product and sourced from HCAHPS results published by CMS. Accessed April 2026.

What are the largest hospitals with the lowest HCAHPS scores?

Among 1-star HCAHPS hospitals, the largest by NPR is HCA Houston Healthcare Kingwood in Texas, with $966 million in revenue and 38,343 annual discharges. Sunrise Hospital & Medical Center in Nevada follows closely with $952 million and 43,014 discharges, and Brookdale University Hospital Medical Center in New York ranks third with $741 million and 18,673 discharges.

Unlike the 5-star list, these hospitals are more often general acute care facilities with higher discharge volumes, reflecting larger, busier care environments. While these organizations generate significant revenue, lower HCAHPS scores may be influenced by factors such as patient volume, operational complexity, or resource constraints, which can impact the overall patient experience.

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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 intelligence on hospitals, physicians, and other healthcare providers.