As of the July 2026 CMS release, the typical hospital in Maryland reported a median ER visit of 4 hr 1 min for patients treated and sent home, the longest of 48 states ranked; in North Dakota it was 1 hr 45 min, the shortest. Across all 4,100 reporting U.S. hospitals, the median was 2 hr 28 min.
What the data shows
- The longest median visits: Maryland (4 hr 1 min), Rhode Island (3 hr 38 min) and Massachusetts (3 hr 29 min).
- The shortest: North Dakota (1 hr 45 min), South Dakota (1 hr 52 min) and Nebraska (1 hr 54 min).
- 8 states have a typical hospital median of 3 hours or longer: Maryland, Rhode Island, Massachusetts, New York, Connecticut, Pennsylvania, North Carolina and New Jersey.
- 262 hospitals report a median ER visit of 4 hours or longer; California has the most (37).
- Delaware and Vermont have fewer than 10 reporting hospitals and are not ranked here; their figures are on the state pages.
Every ranked state
| Rank | State | Hospitals reporting | Median visit | vs. U.S. median |
|---|---|---|---|---|
| 1 | Maryland | 40 | 4 hr 1 min | +93 min |
| 2 | Rhode Island | 10 | 3 hr 38 min | +70 min |
| 3 | Massachusetts | 55 | 3 hr 29 min | +61 min |
| 4 | New York | 140 | 3 hr 24 min | +56 min |
| 5 | Connecticut | 26 | 3 hr 19 min | +51 min |
| 6 | Pennsylvania | 138 | 3 hr 8 min | +40 min |
| 7 | North Carolina | 96 | 3 hr 7 min | +39 min |
| 8 | New Jersey | 60 | 3 hr 5 min | +37 min |
| 9 | Arizona | 63 | 2 hr 56 min | +28 min |
| 10 | California | 273 | 2 hr 54 min | +26 min |
| 11 | Illinois | 156 | 2 hr 53 min | +25 min |
| 12 | New Mexico | 32 | 2 hr 48 min | +20 min |
| 13 | Washington | 76 | 2 hr 46 min | +18 min |
| 14 | Georgia | 124 | 2 hr 44 min | +16 min |
| 15 | Virginia | 80 | 2 hr 43 min | +15 min |
| 16 | Tennessee | 92 | 2 hr 41 min | +13 min |
| 17 | Michigan | 118 | 2 hr 38 min | +10 min |
| 18 | Oregon | 55 | 2 hr 37 min | +9 min |
| 19 | Maine | 30 | 2 hr 36 min | +8 min |
| 20 | Ohio | 140 | 2 hr 36 min | +8 min |
| 21 | South Carolina | 53 | 2 hr 36 min | +8 min |
| 22 | Nevada | 35 | 2 hr 32 min | +4 min |
| 23 | Missouri | 97 | 2 hr 31 min | +3 min |
| 24 | Florida | 179 | 2 hr 29 min | +1 min |
| 25 | New Hampshire | 26 | 2 hr 28 min | 0 min |
| 26 | Alabama | 79 | 2 hr 27 min | −1 min |
| 27 | Indiana | 108 | 2 hr 20 min | −8 min |
| 28 | Kentucky | 82 | 2 hr 20 min | −8 min |
| 29 | Texas | 336 | 2 hr 18 min | −10 min |
| 30 | West Virginia | 44 | 2 hr 18 min | −10 min |
| 31 | Wisconsin | 118 | 2 hr 16 min | −12 min |
| 32 | Colorado | 78 | 2 hr 14 min | −14 min |
| 33 | Alaska | 17 | 2 hr 10 min | −18 min |
| 34 | Arkansas | 66 | 2 hr 10 min | −18 min |
| 35 | Utah | 44 | 2 hr 9 min | −19 min |
| 36 | Hawaii | 20 | 2 hr 8 min | −20 min |
| 37 | Idaho | 38 | 2 hr 6 min | −22 min |
| 38 | Louisiana | 89 | 2 hr 6 min | −22 min |
| 39 | Minnesota | 120 | 2 hr 6 min | −22 min |
| 40 | Mississippi | 68 | 2 hr 4 min | −24 min |
| 41 | Oklahoma | 101 | 2 hr 2 min | −26 min |
| 42 | Iowa | 112 | 2 hr | −28 min |
| 43 | Wyoming | 22 | 2 hr | −28 min |
| 44 | Kansas | 117 | 1 hr 57 min | −31 min |
| 45 | Montana | 56 | 1 hr 55 min | −33 min |
| 46 | Nebraska | 83 | 1 hr 54 min | −34 min |
| 47 | South Dakota | 50 | 1 hr 52 min | −36 min |
| 48 | North Dakota | 43 | 1 hr 45 min | −43 min |
How this was measured
CMS measure OP-18b: the median time patients spent in the emergency department, from arrival to leaving, for patients treated and sent home (not admitted or transferred). Each hospital reports its own median; a state's figure here is the median across its reporting hospitals, not across all visits. Campuses CMS reports under one facility number count once. States with fewer than 10 reporting hospitals are not ranked.
Source: CMS Timely and Effective Care - Hospital (Provider Data Catalog, dataset yv7e-xc69), CMS release July 2026. Figures are a snapshot of that release and are not updated; a later release gets its own report. Not affiliated with CMS.
Use these figures
You're welcome to use and chart these numbers. Please credit and link to this page:
Hospitals In Each State analysis of CMS data (July 2026 release), https://www.hospitalsineachstate.com/reports/er-visit-times-by-state-july-2026/