Healthcare Insights
Top trauma centers by net patient revenue
Net patient revenue (NPR), the aggregate money generated from patient services collected from payors, is a financial metric that can indicate the financial health of a healthcare organization or places of care, including trauma centers. Net patient revenue is calculated by subtracting patient discounts from total patient revenue.
What is a trauma center?
A trauma center is a healthcare facility that has met specified requirements to be designated as a trauma center. The criteria that define trauma center designations may vary by state.
There are five levels of trauma center designations (level I, II, III, IV, or V) in both the adult and pediatric categories. The amount of resources needed to care for patients increases as the level of trauma center increases, with level V being the lowest level trauma center and level I trauma center being the highest.
Each type of trauma center provides a different level of care for patients.
- Level I trauma centers can provide complete care for traumatic injuries. This includes stages from prevention to rehabilitation.
- Level II trauma centers are capable of initiating care for all patients.
- Level III trauma centers provide injury assessment, resuscitation, surgery and intensive care, and stabilization for patients with traumatic injuries.
- Level IV trauma centers provide advanced trauma life support before patients are transferred to a higher-level center.
- Level V trauma centers evaluate and stabilize patients, provide diagnostic capabilities, then transfer patients to a higher-level center.
The American College of Surgeons verifies these facilities as trauma centers based on standards of resources available at the sites.
How many trauma centers are in the U.S.?
Definitive Healthcare tracks 2,229 trauma centers. In the U.S., there are 2,076 adult trauma centers and 153 pediatric trauma centers.
The most common trauma center designation in the U.S. is adult level IV (953 centers) and the least common is pediatric level V (0 centers).
Using the Definitive Healthcare HospitalView product, we have listed the top 25 trauma centers in the U.S. by net patient revenue. Data is from the Medicare Cost report and is from the most recent 12-month interval tracked in our database.
| Rank | Hospital name | City | State | Definitive ID | Net patient revenue | Explore dataset |
|---|---|---|---|---|---|---|
| 1 | NewYork-Presbyterian Weill Cornell Medical Center | New York | NY | 541974 | $6,880,604,656 | Explore |
| 2 | Vanderbilt University Medical Center | Nashville | TN | 3742 | $5,039,872,795 | Explore |
| 3 | University Hospital | Columbia | MO | 274095 | $4,732,350,283 | Explore |
| 4 | University Hospital | Ann Arbor | MI | 2096 | $4,242,119,016 | Explore |
| 5 | Stanford Hospital - 300 Pasteur Dr | Stanford | CA | 588 | $4,183,895,185 | Explore |
| 6 | Cedars-Sinai Medical Center | Los Angeles | CA | 430 | $3,716,279,787 | Explore |
| 7 | Massachusetts General Hospital | Boston | MA | 1973 | $3,504,058,795 | Explore |
| 8 | Yale New Haven Hospital | New Haven | CT | 731 | $3,445,415,196 | Explore |
| 9 | Mayo Clinic Hospital - Saint Marys Campus | Rochester | MN | 2191 | $3,317,828,896 | Explore |
| 10 | IU Health Methodist Hospital | Indianapolis | IN | 1365 | $3,113,206,365 | Explore |
| 11 | Orlando Health Orlando Regional Medical Center | Orlando | FL | 872 | $3,049,724,845 | Explore |
| 12 | University of California Davis Medical Center (AKA UC Davis Medical Center) | Sacramento | CA | 515 | $2,965,455,011 | Explore |
| 13 | Atrium Health Carolinas Medical Center | Charlotte | NC | 3003 | $2,931,823,059 | Explore |
| 14 | UC San Diego Medical Center | San Diego | CA | 550 | $2,880,701,434 | Explore |
| 15 | Brigham and Womens Hospital | Boston | MA | 1969 | $2,798,569,563 | Explore |
| 16 | Strong Memorial Hospital | Rochester | NY | 2818 | $2,702,464,192 | Explore |
| 17 | Duke University Hospital | Durham | NC | 2973 | $2,675,540,231 | Explore |
| 18 | Northside Hospital Atlanta | Atlanta | GA | 1000 | $2,578,616,056 | Explore |
| 19 | Lehigh Valley Hospital - Cedar Crest | Allentown | PA | 3525 | $2,576,510,892 | Explore |
| 20 | University of Utah Hospital | Salt Lake City | UT | 4222 | $2,555,439,616 | Explore |
| 21 | Spectrum Health Butterworth Hospital | Grand Rapids | MI | 2035 | $2,532,885,733 | Explore |
| 22 | UNC Medical Center (FKA University of North Carolina Hospitals - Memorial Hospital) | Chapel Hill | NC | 3015 | $2,514,892,252 | Explore |
| 23 | Childrens Hospital of Philadelphia (AKA CHOP) | Philadelphia | PA | 3567 | $2,499,301,794 | Explore |
| 24 | Houston Methodist Hospital (FKA the Methodist Hospital) | Houston | TX | 4012 | $2,451,664,380 | Explore |
| 25 | The Johns Hopkins Hospital | Baltimore | MD | 1914 | $2,430,787,441 | Explore |
Fig. 1. Data is from the Definitive Healthcare HospitalView product. Data is from the Medicare Cost Report and displayed according to the most recent 12-month interval tracked in our database. Data accessed June 2023.
What are the top trauma centers in the U.S. based on net patient revenue?
The top trauma center in the U.S. by net patient revenue is NewYork-Presbyterian Weill Cornell Medical Center, with an NPR of $6.8 billion. NewYork-Presbyterian Weill Cornell Medical Center is designated as a level I trauma center and level II pediatric trauma center. Located in New York City, this trauma center is in the most densely populated city in the entire country, which likely leads to high patient volume and higher NPR. This facility also tops the list of largest hospitals in New York by NPR and the list of top U.S. hospitals by total surgeries.
In second place is Vanderbilt University Medical Center, which has a net patient revenue of $5.04 billion. Vanderbilt University Medical Center is located in Nashville, which makes the list of the top 25 most densely populated cities in the U.S., meaning there are likely more patients who could contribute to a higher NPR. This level I trauma center also ranks 16 on the list of top hospitals by surgeries and at number five in the list of top U.S. hospitals by net patient revenue. Additionally, Vanderbilt University Medical Center ranks as number nine in the list of the largest academic medical centers in the U.S.
University Hospital (Columbia, MO) is the third top trauma center by net patient revenue. University Hospital has an NPR of 4.7 billion. This level I trauma center is also a rural hospital and the only designated trauma center in Columbia, which is central to the state of Missouri.
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