US Hospital Quality Index
Real CMS Hospital Care Compare star ratings for April 2026 — 800 top-rated US hospitals ranked by the Gera US Hospital Quality Index (GUHQI) across 51 states. All 4- or 5-star CMS-rated.
What are the top-rated hospitals in the US by the Gera US Hospital Quality Index?
As of April 2026, the Gera US Hospital Quality Index (GUHQI) ranks 800 US hospitals on a 0–100 scale derived from real CMS Hospital Care Compare data (star ratings, mortality, readmissions, HCAHPS). All 800 are 4- or 5-star CMS-rated; Adventhealth Castle Rock leads with a GUHQI of 100/100.
Top 10 hospitals by Gera US Hospital Quality Index (April 2026)
| Rank | Hospital | State | CMS stars | GUHQI | Tier |
|---|---|---|---|---|---|
| 1 | Adventhealth Castle Rock | CO | 5 stars | 100/100 | Exceptional |
| 2 | Adventhealth Daytona Beach | FL | 5 stars | 100/100 | Exceptional |
| 3 | Adventhealth Hendersonville | NC | 5 stars | 100/100 | Exceptional |
| 4 | Adventhealth Murray | GA | 5 stars | 100/100 | Exceptional |
| 5 | Adventhealth Parker | CO | 5 stars | 100/100 | Exceptional |
| 6 | Adventhealth Wesley Chapel | FL | 5 stars | 100/100 | Exceptional |
| 7 | Adventist Health Howard Memorial | CA | 5 stars | 100/100 | Exceptional |
| 8 | Ahn Wexford Hospital | PA | 5 stars | 100/100 | Exceptional |
| 9 | Akron General Medical Center | OH | 5 stars | 100/100 | Exceptional |
| 10 | Alta Bates Summit Medical Center | CA | 5 stars | 100/100 | Exceptional |
- 1. Adventhealth Castle Rock100/100 · 5 stars →
- 2. Adventhealth Daytona Beach100/100 · 5 stars →
- 3. Adventhealth Hendersonville100/100 · 5 stars →
- 4. Adventhealth Murray100/100 · 5 stars →
- 5. Adventhealth Parker100/100 · 5 stars →
- 6. Adventhealth Wesley Chapel100/100 · 5 stars →
- 7. Adventist Health Howard Memorial100/100 · 5 stars →
- 8. Ahn Wexford Hospital100/100 · 5 stars →
- 9. Akron General Medical Center100/100 · 5 stars →
- 10. Alta Bates Summit Medical Center100/100 · 5 stars →
Rank the top hospitals in your state
Pick any state to see its highest-GUHQI hospitals from the 800-hospital index.
Choose a state to see its top-ranked hospitals by the Gera US Hospital Quality Index, with their real CMS star ratings and outcomes. Covers 800 high-performing US hospitals across 51 states (April 2026).
Browse hospitals by state
- Alaska(3 hospitals)Top: 95.5/100 →
- Alabama(6 hospitals)Top: 86.4/100 →
- Arkansas(8 hospitals)Top: 100/100 →
- Arizona(12 hospitals)Top: 100/100 →
- California(71 hospitals)Top: 100/100 →
- Colorado(26 hospitals)Top: 100/100 →
- Connecticut(8 hospitals)Top: 100/100 →
- District of Columbia(1 hospitals)Top: 100/100 →
- Delaware(1 hospitals)Top: 83.9/100 →
- Florida(31 hospitals)Top: 100/100 →
- Georgia(17 hospitals)Top: 100/100 →
- Hawaii(1 hospitals)Top: 83.6/100 →
- Iowa(14 hospitals)Top: 100/100 →
- Idaho(6 hospitals)Top: 100/100 →
- Illinois(27 hospitals)Top: 100/100 →
- Indiana(25 hospitals)Top: 100/100 →
- Kansas(10 hospitals)Top: 96.1/100 →
- Kentucky(12 hospitals)Top: 100/100 →
- Louisiana(6 hospitals)Top: 86.4/100 →
- Massachusetts(12 hospitals)Top: 100/100 →
- Maryland(9 hospitals)Top: 100/100 →
- Maine(5 hospitals)Top: 97.5/100 →
- Michigan(23 hospitals)Top: 100/100 →
- Minnesota(27 hospitals)Top: 100/100 →
- Missouri(17 hospitals)Top: 100/100 →
- Mississippi(2 hospitals)Top: 95.5/100 →
- Montana(7 hospitals)Top: 100/100 →
- North Carolina(22 hospitals)Top: 100/100 →
- North Dakota(5 hospitals)Top: 90.9/100 →
- Nebraska(4 hospitals)Top: 86.4/100 →
- New Hampshire(4 hospitals)Top: 86.4/100 →
- New Jersey(9 hospitals)Top: 100/100 →
- New Mexico(4 hospitals)Top: 100/100 →
- Nevada(3 hospitals)Top: 100/100 →
- New York(26 hospitals)Top: 100/100 →
- Ohio(42 hospitals)Top: 100/100 →
- Oklahoma(15 hospitals)Top: 100/100 →
- Oregon(14 hospitals)Top: 100/100 →
- Pennsylvania(49 hospitals)Top: 100/100 →
- Rhode Island(3 hospitals)Top: 86.4/100 →
- South Carolina(19 hospitals)Top: 100/100 →
- South Dakota(8 hospitals)Top: 100/100 →
- Tennessee(15 hospitals)Top: 100/100 →
- Texas(56 hospitals)Top: 100/100 →
- Utah(22 hospitals)Top: 100/100 →
- Virginia(24 hospitals)Top: 100/100 →
- Vermont(2 hospitals)Top: 100/100 →
- Washington(16 hospitals)Top: 100/100 →
- Wisconsin(42 hospitals)Top: 100/100 →
- West Virginia(7 hospitals)Top: 100/100 →
- Wyoming(2 hospitals)Top: 100/100 →
US hospital quality: frequently asked questions
- What is the Gera US Hospital Quality Index (GUHQI)?
- The GUHQI is a 0–100 score computed from CMS Hospital Care Compare data for each hospital: 0.4×star_norm + 0.3×(1−mortality_worse_rate) + 0.2×(1−readmission_worse_rate) + 0.1×HCAHPS_coverage, then normalised across all 3,182 CMS-rated hospitals.
- How many hospitals are in the Gera US Hospital Quality Index?
- This cluster covers the top 800 hospitals by GUHQI — all 4- or 5-star CMS-rated — from the 3,182 hospitals with a real CMS Overall Star Rating in the April 2026 dataset.
- Where does this hospital quality data come from?
- All data is from the CMS Hospital Care Compare "Hospital General Information" dataset (identifier xubh-q36u), published by the U.S. Centers for Medicare & Medicaid Services (CMS). This is a U.S. federal government work in the public domain.
- Which hospital has the highest GUHQI score?
- Adventhealth Castle Rock in Castle Rock, CO is among the highest-GUHQI hospitals with a score of 100/100 and a CMS 5 stars as of April 2026.
- Is this a Gera endorsement of these hospitals?
- No. The GUHQI is a transparent, reproducible summary of publicly available CMS government data. It is not a clinical recommendation or safety certification. Always consult CMS Hospital Care Compare and your clinician before any healthcare decision.
Navigating US hospital care?
The Gera US Hospital Quality Index covers 800 top-rated US hospitals from real CMS data. A GeraClinic care navigator can help you interpret these ratings, compare options, and prepare for your appointment.
Contains public sector information published by Centers for Medicare & Medicaid Services and licensed under the U.S. Public Domain (federal government work). Source: Centers for Medicare & Medicaid Services — Hospital Care Compare (Hospital General Information) (April 2026, published 28 April 2026).
Informational/educational only — not a substitute for professional medical advice; a clinician interprets results.