Critical Access hospitals by state

We list 1,382 Critical Access hospitals across 45 states, using CMS data published July 2026.

A Critical Access Hospital is a Medicare designation for a small rural hospital. To qualify, a hospital keeps no more than 25 inpatient beds, sits a set distance from the next nearest hospital, keeps an average inpatient stay of 96 hours or less, and provides emergency care 24 hours a day. The designation exists to keep emergency care within reach in places too small to support a full general hospital, and it changes how Medicare pays them.

State	Critical Access hospitals
Critical Access hospitals in Texas	93
Critical Access hospitals in Kansas	83
Critical Access hospitals in Iowa	82
Critical Access hospitals in Minnesota	76
Critical Access hospitals in Nebraska	62
Critical Access hospitals in Wisconsin	58
Critical Access hospitals in Illinois	55
Critical Access hospitals in Montana	50
Critical Access hospitals in Oklahoma	39
Critical Access hospitals in South Dakota	39
Critical Access hospitals in Washington	39
Critical Access hospitals in California	38
Critical Access hospitals in North Dakota	37
Critical Access hospitals in Michigan	35
Critical Access hospitals in Missouri	35
Critical Access hospitals in Indiana	33
Critical Access hospitals in Ohio	33
Critical Access hospitals in Colorado	32
Critical Access hospitals in Georgia	31
Critical Access hospitals in Mississippi	30
Critical Access hospitals in Arkansas	29
Critical Access hospitals in Kentucky	29
Critical Access hospitals in Louisiana	27
Critical Access hospitals in Idaho	26
Critical Access hospitals in Oregon	25
Critical Access hospitals in New York	21
Critical Access hospitals in West Virginia	21
Critical Access hospitals in North Carolina	20
Critical Access hospitals in Wyoming	19
Critical Access hospitals in Maine	18
Critical Access hospitals in Arizona	17
Critical Access hospitals in Pennsylvania	17
Critical Access hospitals in Tennessee	15
Critical Access hospitals in Alaska	13
Critical Access hospitals in Nevada	13
Critical Access hospitals in New Hampshire	13
Critical Access hospitals in New Mexico	13
Critical Access hospitals in Utah	13
Critical Access hospitals in Florida	12
Critical Access hospitals in Alabama	9
Critical Access hospitals in Hawaii	9
Critical Access hospitals in Vermont	8
Critical Access hospitals in Virginia	8
Critical Access hospitals in Massachusetts	4
Critical Access hospitals in South Carolina	3

Designation from the CMS Hospital General Information dataset. States with fewer than three are not listed separately; those hospitals still appear in the main state directory. How this data works.