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US Counties With the Highest Hospital Stays per 1,000 Medicare Enrollees

3,137 US counties ranked by hospital stays per 1,000 Medicare enrollees, from highest to lowest. First are Oglala Lakota County, SD (537), North Slope Borough, AK (425) and Red River Parish, LA (408). The middle one of the 3,137 has 213.

What this measures

Hospital stays, counted from admission to discharge, in a year for every 1,000 people in traditional Medicare. It includes all kinds of stays, not only those that better care might have prevented. It leaves out people in private Medicare Advantage plans. Source: CMS Medicare Geographic Variation Public Use File.

For most measures, a national ranking mostly sorts places by income and by how urban they are. Each county’s own page compares it with the 50 counties most like it instead, which is often the fairer view.

The 100 highest counties

RankCountystays per 1,000 enrollees
1Oglala Lakota County, SD537
2North Slope Borough, AK425
3Red River Parish, LA408
4Caldwell Parish, LA401
5Todd County, SD388
6Franklin County, KY386
7Ohio County, IN373
8Bryan County, OK371
9Colquitt County, GA370
10East Carroll Parish, LA361
11Starr County, TX349
12Dewey County, SD343
13Duval County, TX340
14Conecuh County, AL337
15Jim Hogg County, TX336
16Dimmit County, TX334
17Hodgeman County, KS334
18Claiborne County, MS334
19Hardin County, IL331
20Yell County, AR331
21Orange County, FL331
22Okeechobee County, FL329
23Echols County, GA328
24Trousdale County, TN328
25Greeley County, KS327
26Wayne County, NY325
27Monroe County, KY325
28Northwest Arctic Borough, AK325
29Osceola County, FL324
30Johnson County, GA324
31Emporia city, VA323
32Miller County, GA319
33Sherman County, KS318
34Hancock County, WV318
35Wood County, WV318
36Coal County, OK318
37Scott County, KS317
38Seminole County, FL317
39Jackson County, AR317
40Zavala County, TX316
41Breathitt County, KY316
42Madison Parish, LA316
43Clay County, AR316
44Osborne County, KS316
45West Carroll Parish, LA316
46Letcher County, KY315
47Smith County, KS315
48Evangeline Parish, LA315
49Bristol city, VA314
50Bradford County, FL313
51Woodruff County, AR313
52Brooke County, WV313
53Grant County, KY313
54Petersburg city, VA313
55Crittenden County, KY312
56Hernando County, FL312
57Muskogee County, OK312
58Cimarron County, OK312
59Etowah County, AL312
60Escambia County, AL312
61Sheridan County, KS312
62Clinch County, GA311
63Logan County, KS310
64Wolfe County, KY309
65Atoka County, OK309
66Wyoming County, WV309
67Sioux County, ND309
68Union County, FL307
69Boone County, WV306
70Wayne County, MI306
71LaSalle Parish, LA306
72Bronx County, NY305
73Independence County, AR305
74Charlton County, GA304
75Coke County, TX304
76Hopewell city, VA304
77Baltimore city, MD304
78Harmon County, OK304
79Douglas County, IL303
80Mingo County, WV303
81Macon County, TN303
82Mitchell County, KS303
83Carter County, OK303
84Hamilton County, FL303
85Cullman County, AL303
86Baca County, CO302
87Liberty County, TX302
88St. Bernard Parish, LA302
89Covington County, AL301
90Marion County, IL301
91Clinton County, IL301
92Refugio County, TX300
93Bacon County, GA300
94Dunklin County, MO300
95Raleigh County, WV300
96Sunflower County, MS299
97Greer County, OK299
98Poinsett County, AR299
99Brooks County, TX299
100Glades County, FL299

Every state, highest first

Each state’s own published figure, not an average of its counties.

RankStatestays per 1,000 enrollees
1Massachusetts259
2Florida259
3Illinois252
4Connecticut251
5West Virginia249
6New York248
7Alabama245
8New Jersey245
9Michigan244
10Louisiana241
11Missouri241
12Pennsylvania238
13Ohio238
14Oklahoma236
15Kentucky236
16Mississippi235
17Indiana234
18District of Columbia233
19Rhode Island230
20Arkansas226
21Texas225
22Georgia221
23Nevada221
24Tennessee220
25Minnesota217
26Maryland216
27Kansas215
28California212
29North Carolina207
30Nebraska205
31Virginia205
32Delaware204
33South Carolina201
34Wisconsin199
35North Dakota197
36New Hampshire197
37South Dakota195
38Arizona188
39Iowa185
40Vermont181
41Maine178
42Colorado169
43New Mexico168
44Alaska168
45Wyoming167
46Washington167
47Utah167
48Oregon160
49Puerto Rico159
50Montana158
51Idaho153
52Hawaii144

More on hospital stays per 1,000 Medicare enrollees

A ranking describes places, not the people in them, and a high or low place does not by itself say why. All US rankings.