Hospital Star Ratings by State (2026)
Medicare (CMS) gives an overall star rating to 3,155 U.S. hospitals. The simple average is 3.21 stars; 384 hospitals (12.2%) have 5 stars and 196 (6.2%) have 1 star. Among states with at least 10 rated hospitals, the share of 5-star hospitals runs from 0.0% in Rhode Island to 51.7% in Utah.
Source: Centers for Medicare & Medicaid Services (CMS), “Hospital General Information”; Centers for Medicare & Medicaid Services (CMS), “Inpatient Rehabilitation Facility - General Information”; Centers for Medicare & Medicaid Services (CMS), “Long-Term Care Hospital - General Information”. Data updated October 26, 2026.
Ten highest values
Average starsThe full table below is the text version of this chart. It shows the highest values only; it does not say which places are better or worse.
All states and territories
56 rows| State | Hospitals with a rating | Average stars | 5-star hospitals | Share with 5 stars | 1-star hospitals | Share with 1 star |
|---|---|---|---|---|---|---|
| Alabama | 57 | 2.74 | 0 | 0.0% | 4 | 7.0% |
| Alaska | 10 | 2.90 | 1 | 10.0% | 1 | 10.0% |
| American Samoa | 0 | 0 | 0 | |||
| Arizona | 55 | 3.11 | 8 | 14.5% | 1 | 1.8% |
| Arkansas | 42 | 2.86 | 3 | 7.1% | 3 | 7.1% |
| California | 279 | 3.10 | 29 | 10.4% | 29 | 10.4% |
| Colorado | 49 | 3.96 | 14 | 28.6% | 1 | 2.0% |
| Connecticut | 26 | 3.42 | 4 | 15.4% | 0 | 0.0% |
| Delaware | 7 | 3.14 | 0 | 0.0% | 0 | 0.0% |
| District of Columbia | 6 | 2.83 | 1 | 16.7% | 1 | 16.7% |
| Florida | 168 | 3.06 | 19 | 11.3% | 16 | 9.5% |
| Georgia | 84 | 2.94 | 6 | 7.1% | 8 | 9.5% |
| Guam | 1 | 2.00 | 0 | 0.0% | 0 | 0.0% |
| Hawaii | 11 | 3.18 | 0 | 0.0% | 0 | 0.0% |
| Idaho | 22 | 3.55 | 5 | 22.7% | 0 | 0.0% |
| Illinois | 133 | 3.05 | 14 | 10.5% | 14 | 10.5% |
| Indiana | 89 | 3.35 | 12 | 13.5% | 2 | 2.2% |
| Iowa | 62 | 3.24 | 7 | 11.3% | 2 | 3.2% |
| Kansas | 54 | 3.17 | 3 | 5.6% | 2 | 3.7% |
| Kentucky | 67 | 2.76 | 5 | 7.5% | 8 | 11.9% |
| Louisiana | 59 | 2.81 | 0 | 0.0% | 3 | 5.1% |
| Maine | 24 | 3.21 | 1 | 4.2% | 1 | 4.2% |
| Maryland | 42 | 3.31 | 7 | 16.7% | 2 | 4.8% |
| Massachusetts | 54 | 3.20 | 9 | 16.7% | 2 | 3.7% |
| Michigan | 92 | 3.10 | 9 | 9.8% | 9 | 9.8% |
| Minnesota | 56 | 3.77 | 13 | 23.2% | 1 | 1.8% |
| Mississippi | 51 | 2.31 | 1 | 2.0% | 12 | 23.5% |
| Missouri | 79 | 3.14 | 5 | 6.3% | 3 | 3.8% |
| Montana | 20 | 3.25 | 4 | 20.0% | 1 | 5.0% |
| Nebraska | 36 | 3.50 | 0 | 0.0% | 0 | 0.0% |
| Nevada | 25 | 3.00 | 3 | 12.0% | 0 | 0.0% |
| New Hampshire | 23 | 3.17 | 0 | 0.0% | 1 | 4.3% |
| New Jersey | 60 | 3.17 | 7 | 11.7% | 5 | 8.3% |
| New Mexico | 23 | 2.48 | 1 | 4.3% | 3 | 13.0% |
| New York | 135 | 2.77 | 20 | 14.8% | 21 | 15.6% |
| North Carolina | 90 | 3.30 | 12 | 13.3% | 4 | 4.4% |
| North Dakota | 16 | 3.25 | 2 | 12.5% | 1 | 6.3% |
| Northern Mariana Islands | 0 | 0 | 0 | |||
| Ohio | 126 | 3.60 | 18 | 14.3% | 0 | 0.0% |
| Oklahoma | 61 | 3.28 | 8 | 13.1% | 2 | 3.3% |
| Oregon | 44 | 3.25 | 3 | 6.8% | 2 | 4.5% |
| Pennsylvania | 128 | 3.50 | 20 | 15.6% | 3 | 2.3% |
| Puerto Rico | 7 | 1.71 | 0 | 0.0% | 4 | 57.1% |
| Rhode Island | 11 | 3.55 | 0 | 0.0% | 0 | 0.0% |
| South Carolina | 49 | 3.43 | 7 | 14.3% | 0 | 0.0% |
| South Dakota | 18 | 3.89 | 5 | 27.8% | 0 | 0.0% |
| Tennessee | 72 | 3.08 | 6 | 8.3% | 6 | 8.3% |
| Texas | 217 | 3.38 | 29 | 13.4% | 7 | 3.2% |
| U.S. Virgin Islands | 2 | 1.50 | 0 | 0.0% | 1 | 50.0% |
| Utah | 29 | 4.24 | 15 | 51.7% | 0 | 0.0% |
| Vermont | 12 | 3.25 | 2 | 16.7% | 1 | 8.3% |
| Virginia | 76 | 3.68 | 12 | 15.8% | 0 | 0.0% |
| Washington | 60 | 3.23 | 6 | 10.0% | 1 | 1.7% |
| West Virginia | 34 | 2.76 | 5 | 14.7% | 6 | 17.6% |
| Wisconsin | 86 | 3.78 | 21 | 24.4% | 2 | 2.3% |
| Wyoming | 16 | 3.38 | 2 | 12.5% | 0 | 0.0% |
| United States | 3,155 | 3.21 | 384 | 12.2% | 196 | 6.2% |
Territories appear when the source lists at least one provider there. An empty cell means the source has no value to calculate it from, not zero.
How we calculated this
We take the Overall Hospital Quality Star Rating (1 to 5) that CMS publishes for each hospital in its Hospital General Information file and, for each state, count the rated hospitals, average their stars, and count those with 5 and with 1 star. The shares are of the hospitals with a rating, not of all hospitals.
Data sources and dates
- Centers for Medicare & Medicaid Services (CMS): “Hospital General Information”, updated October 26, 2026.
- Centers for Medicare & Medicaid Services (CMS): “Inpatient Rehabilitation Facility - General Information”, updated August 12, 2026.
- Centers for Medicare & Medicaid Services (CMS): “Long-Term Care Hospital - General Information”, updated August 12, 2026.
Limits of the data
Many hospitals (for example psychiatric, rehabilitation and very small hospitals) have no CMS star rating because they report too few measures, so the average describes only rated hospitals. Averaging whole stars is our simple summary, not a CMS statistic. The rating compares hospitals on the measures CMS chooses; read each hospital's page for details.
Every figure is a count, sum or average of values in the official files above; none is estimated. Read the about page for how this site works and data freshness for when each source was last refreshed.
Download and cite
Download the table as CSV One row per row of the table, English column names, no totals row.
Cite this page
US Patient Guide. “Hospital Star Ratings by State (2026).” Computed from Centers for Medicare & Medicaid Services (CMS), “Hospital General Information”; Centers for Medicare & Medicaid Services (CMS), “Inpatient Rehabilitation Facility - General Information”; Centers for Medicare & Medicaid Services (CMS), “Long-Term Care Hospital - General Information” (data updated October 26, 2026). https://uspatientguide.com/statistics/hospital-star-ratings-by-state/
See the providers in each state
Common questions
How many US hospitals have a 5-star rating?
384 of 3,155 rated hospitals (12.2%).
What is the average hospital star rating?
3.21 stars across 3,155 rated hospitals.