Payer mix in the nation’s top 19 hospitals


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 19 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 

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

This site uses Akismet to reduce spam. Learn how your comment data is processed.