Payer mix in the nation's top 20 hospitals

Jakob Emerson, Molly Gamble -

Becker's calculated the payer mix within the nation's top ranked hospitals to determine the share of their patients covered under commercial plans, Medicare, Medicaid, Medicare Advantage, uninsured/bad debt and charity care.

The 2019 data released April 5 is from the coverage, cost and value team at the National Academy for State Health Policy in collaboration with Houston-based Rice University's Baker Institute for Public Policy.

 

Payer mix in the nation's top 20 hospitals:

 

(1) Mayo Clinic Hospital — Rochester, Minn.

Commercial: 50 percent 

Medicare: 33 percent 

Medicare Advantage: 9 percent 

Medicaid: 7 percent

Charity care: 1 percent 

Uninsured / Bad debt: 0 percent 

 

(2) Cleveland Clinic Hospital

Commercial: 45 percent 

Medicare: 24 percent 

Medicare Advantage: 17 percent 

Medicaid: 12 percent 

Charity care: 1 percent 

Uninsured / Bad debt: 1 percent 

 

(3) Ronald Reagan UC Los Angeles Medical Center

Commercial: 45 percent 

Medicare: 27 percent 

Medicaid: 18 percent 

Medicare Advantage: 8 percent 

Charity care: 0 percent 

Uninsured / Bad debt: 0 percent 

 

(4) Johns Hopkins Hospital — Baltimore

Commercial: 46 percent 

Medicare: 28 percent 

Medicaid: 22

Medicare Advantage: 2 percent

Uninsured / Bad debt: 2 percent 

Charity Care: 1 percent 

 

(5) Massachusetts General Hospital — Boston

Commercial: 48 percent 

Medicare: 32 percent 

Medicaid: 11 percent 

Medicare Advantage: 7 percent

Charity care: 1 percent 

Uninsured / Bad debt: 1 percent 

 

(6) Cedars-Sinai Medical Center — Los Angeles

Commercial: 42 percent 

Medicare: 41 percent 

Medicaid: 10 percent

Medicare Advantage: 6 percent

Charity care: 1 percent 

Uninsured / Bad debt: 0 percent 

 

(7) NewYork-Presbyterian Hospital — New York City

Commercial: 34 percent

Medicaid: 25 percent 

Medicare: 22 percent 

Medicare Advantage: 17 percent 

Charity Care: 1 percent 

Uninsured / Bad debt: 1 percent 

 

(8) NYU Langone Hospital — New York City

Commercial: 42 percent 

Medicare: 25 percent 

Medicaid: 19 percent 

Medicare Advantage: 6 percent 

Charity care: 1 percent 

Uninsured / Bad debt: 0 percent 

 

(9) UC San Francisco Medical Center 

Commercial: 42 percent

Medicaid: 25 percent 

Medicare: 25 percent 

Medicare Advantage: 5 percent 

Charity Care: 1 percent  

Uninsured / Bad debt: 0 percent

 

(10) Northwestern Memorial Hospital — Chicago

Commercial: 52 percent  

Medicare: 27 percent 

Medicaid: 11 percent 

Medicare Advantage: 7 percent 

Charity care: 2 percent

Uninsured / Bad debt: 1 percent

 

(11) Michigan Medicine — Ann Arbor

Commercial: 53 percent 

Medicare: 20 percent 

Medicaid: 14 percent 

Medicare Advantage: 11 percent 

Charity care: 1 percent 

Uninsured / Bad debt: 1 percent 

 

(12) Stanford Hospital — Palo Alto, Calif.

Commercial: 46 percent 

Medicare: 34 percent 

Medicaid: 13 percent 

Medicare Advantage: 7 percent 

Charity care: 0  

Uninsured / Bad debt: 0 

 

(13) Penn Presbyterian Medical Center — Philadelphia

Commercial: 46 percent

Medicare: 29 percent 

Medicaid: 13 percent 

Medicare Advantage: 12 percent 

Uninsured / Bad debt: 1 percent 

Charity Care: 0 

 

(14) Brigham and Women's Hospital — Boston

Commercial: 53 percent 

Medicare: 30 percent

Medicaid: 10 percent

Medicare Advantage: 6 percent 

Charity Care: 1 percent 

Uninsured / Bad debt: 1 percent

 

(15) Mayo Clinic Hospital — Phoenix

Commercial: 51 percent

Medicare: 42 percent 

Medicare Advantage: 4 percent 

Medicaid: 3 percent 

Charity Care: 1 percent 

Uninsured / Bad debt: 0 percent 

 

(16) Houston Methodist Hospital

Commercial: 43 percent 

Medicare: 33 percent 

Medicare Advantage: 18 percent 

Charity care:3 percent 

Medicaid: 2 percent 

Uninsured / Bad debt: 1 percent

 

(17 — tie) Barnes-Jewish Hospital — St. Louis

Commercial: 43 percent 

Medicare: 29 percent

Medicare Advantage: 13 percent

Medicaid: 10 percent

Charity care: 4 percent 

Uninsured / Bad debt: 1 percent 

 

(17 — tie) Mount Sinai Hospital — New York City

Commercial: 33 percent 

Medicaid: 28 percent 

Medicare: 22 percent 

Medicare Advantage: 15 percent 

Charity care: 1 percent

Uninsured / Bad debt: 0 percent 

 

(18) Rush University Medical Center — Chicago

Commercial: 41 percent 

Medicare: 31 percent  

Medicaid: 20 percent 

Medicare Advantage: 6 percent 

Charity care: 2 percent

Uninsured / Bad debt: 1 percent

 

(19) Vanderbilt University Medical Center — Nashville, Tenn.

Commercial: 47 percent  

Medicare: 20 percent 

Medicaid: 18 percent 

Medicare Advantage: 10 percent

Charity care: 4 percent

Uninsured / Bad debt: 1 percent 

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