Find a dialysis center near you
As of the October 2026 CMS release, there are 7,392 Medicare-certified dialysis centers in the 50 states and territories on this site. 6,945 have a cms star rating, and 23% of those have 4 or 5 stars (average 2.8). Texas has the most, with 744.
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Dialysis centers7,392Medicare-certified, in 50 states and territories
Rated 4-5 stars23%of 6,945 with a cms star rating
Average rating2.8stars out of 5
About dialysis centers
Dialysis centers treat people whose kidneys have failed, usually with in-center hemodialysis three times a week. Many also train patients to dialyze at home with peritoneal dialysis or home hemodialysis. Every Medicare-certified center reports to CMS, which publishes a star rating and how each center's patient outcomes compare with what would be expected for its patients.
CMS's 1-5 star rating for dialysis centers, built from patient survival, hospital admissions, readmissions, transfusions, infections and other outcomes, adjusted for how sick each center's patients are.
Where the highest-rated dialysis centers are
Share of rated dialysis centers with 4 or 5 stars, by state
Cities with the most dialysis centers
Houston, TX
98
dialysis centers
Chicago, IL
74
dialysis centers
San Antonio, TX
52
dialysis centers
Philadelphia, PA
47
dialysis centers
Brooklyn, NY
45
dialysis centers
Miami, FL
41
dialysis centers
Los Angeles, CA
39
dialysis centers
Bronx, NY
36
dialysis centers
Memphis, TN
36
dialysis centers
Jacksonville, FL
33
dialysis centers
Baltimore, MD
32
dialysis centers
Dallas, TX
30
dialysis centers
Fort Worth, TX
29
dialysis centers
Cincinnati, OH
27
dialysis centers
Atlanta, GA
26
dialysis centers
El Paso, TX
26
dialysis centers
Dialysis centers by state
Click a column to sort. Choose a state for every dialysis center in it, by city.
| State | Dialysis centers | Average stars | Rated 4-5 stars |
|---|---|---|---|
| Alabama | 172 | 2.6 | |
| Alaska | 7 | 4.2 | |
| Arizona | 123 | 2.7 | |
| Arkansas | 65 | 2.1 | |
| California | 734 | 3.3 | |
| Colorado | 83 | 3.7 | |
| Connecticut | 49 | 3.4 | |
| Delaware | 34 | 2.4 | |
| Florida | 535 | 2.2 | |
| Georgia | 356 | 2.4 | |
| Hawaii | 41 | 3.5 | |
| Idaho | 28 | 2.9 | |
| Illinois | 334 | 2.7 | |
| Indiana | 153 | 2.7 | |
| Iowa | 61 | 3.0 | |
| Kansas | 59 | 3.2 | |
| Kentucky | 121 | 2.6 | |
| Louisiana | 168 | 2.7 | |
| Maine | 20 | 3.1 | |
| Maryland | 170 | 3.0 | |
| Massachusetts | 83 | 3.6 | |
| Michigan | 219 | 2.6 | |
| Minnesota | 113 | 3.0 | |
| Mississippi | 98 | 2.3 | |
| Missouri | 148 | 2.4 | |
| Montana | 19 | 2.4 | |
| Nebraska | 36 | 2.8 | |
| Nevada | 52 | 2.2 | |
| New Hampshire | 20 | 3.2 | |
| New Jersey | 192 | 3.5 | |
| New Mexico | 60 | 2.4 | |
| New York | 338 | 3.0 | |
| North Carolina | 252 | 3.0 | |
| North Dakota | 16 | 2.2 | |
| Ohio | 310 | 2.4 | |
| Oklahoma | 82 | 2.3 | |
| Oregon | 69 | 2.6 | |
| Pennsylvania | 298 | 2.9 | |
| Rhode Island | 16 | 3.9 | |
| South Carolina | 148 | 2.8 | |
| South Dakota | 26 | 3.7 | |
| Tennessee | 189 | 2.4 | |
| Texas | 744 | 2.8 | |
| Utah | 51 | 3.3 | |
| Vermont | 8 | 2.3 | |
| Virginia | 206 | 2.8 | |
| Washington | 113 | 2.9 | |
| West Virginia | 40 | 1.7 | |
| Wisconsin | 122 | 2.7 | |
| Wyoming | 11 | 2.9 |
The largest dialysis chains
Chain owner as reported to CMS. Most U.S. dialysis centers belong to one of two companies.
| Chain | Centers | Share | Average stars |
|---|---|---|---|
| DaVita | 2,792 | 38% | 3.0 |
| Fresenius Medical Care | 2,649 | 36% | 2.7 |
| US Renal Care | 466 | 6% | 3.0 |
| Dialysis Clinic | 240 | 3% | 2.5 |
| American Renal Associates | 215 | 3% | 2.8 |
| Other | 96 | 1% | 2.0 |
| Kaiser Permanente | 21 | 0% | 4.0 |
| State Owned | 19 | 0% | 1.8 |
Questions about dialysis centers
How many dialysis centers are there in the U.S.?
CMS lists 7,392 Medicare-certified dialysis centers as of its October 2026 release. Texas has the most (744), followed by California (734), Florida (535), Georgia (356).
Which states have the highest-rated dialysis centers?
Among states with at least 10 rated dialysis centers, the highest share with 4 or 5 stars is in Rhode Island (63%), South Dakota (59%), Colorado (54%), Massachusetts (52%), New Jersey (48%). Nationally the share is 23%.
How does Medicare rate dialysis centers?
CMS's 1-5 star rating for dialysis centers, built from patient survival, hospital admissions, readmissions, transfusions, infections and other outcomes, adjusted for how sick each center's patients are. Ratings are relative: CMS sets the cut-offs so that each star level covers a share of dialysis centers nationally.
How do I choose a dialysis center?
Look at the star rating and at the outcome verdicts, then at practical things: distance (most patients go three times a week), whether the center has an evening shift if you work, and whether it offers training for home dialysis if you might want it later. Visit, and ask how many patients each nurse looks after.
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Source: CMS Dialysis Facility Compare (Provider Data Catalog dataset 23ew-n7w9). Figures are as CMS published them (October 2026 release); this site is not affiliated with CMS. About the data.