As of the July 2026 CMS release, 79% of the hospitals CMS rated in Utah have 4 or 5 stars, the highest share of 49 states, against 13% in Mississippi. Nationally, 42% of 3,157 rated hospitals have 4 or 5 stars.
What the data shows
- Highest share of 4- and 5-star hospitals: Utah (79%), Colorado (73%) and South Dakota (72%).
- Lowest: Mississippi (13%), New Mexico (17%) and Alabama (19%).
- Among ranked states, Mississippi has the highest share of 1-star hospitals: 12 of 52 rated (23%).
- Not every hospital gets an overall rating: 3,157 of the 5,343 hospitals on this site that appear in CMS's file have one. CMS gives no star rating to hospitals that report too few measures.
- Delaware has fewer than 10 rated hospitals and is not ranked here; see the state pages.
Every ranked state
| Rank by 4-5 star share | State | Rated hospitals | 4-5 stars | 1 star | Average |
|---|---|---|---|---|---|
| 1 | Utah | 29 | 79% | 0% | 4.2 |
| 2 | Colorado | 49 | 73% | 2% | 4.0 |
| 3 | South Dakota | 18 | 72% | 0% | 3.9 |
| 4 | Wisconsin | 86 | 64% | 2% | 3.8 |
| 5 | Nebraska | 36 | 64% | 0% | 3.5 |
| 6 | Rhode Island | 11 | 64% | 0% | 3.5 |
| 7 | Minnesota | 56 | 62% | 2% | 3.8 |
| 8 | Virginia | 76 | 61% | 0% | 3.7 |
| 9 | Pennsylvania | 131 | 56% | 3% | 3.5 |
| 10 | Ohio | 128 | 53% | 0% | 3.6 |
| 11 | South Carolina | 49 | 49% | 0% | 3.4 |
| 12 | Texas | 216 | 48% | 3% | 3.4 |
| 13 | Connecticut | 26 | 46% | 0% | 3.4 |
| 14 | Idaho | 22 | 45% | 0% | 3.5 |
| 15 | Oregon | 44 | 45% | 5% | 3.3 |
| 16 | Hawaii | 11 | 45% | 0% | 3.2 |
| 17 | Oklahoma | 62 | 45% | 3% | 3.3 |
| 18 | Iowa | 62 | 45% | 3% | 3.2 |
| 19 | North Carolina | 90 | 44% | 4% | 3.3 |
| 20 | Indiana | 91 | 44% | 2% | 3.4 |
| 21 | Wyoming | 16 | 44% | 0% | 3.4 |
| 22 | North Dakota | 16 | 44% | 6% | 3.3 |
| 23 | New Hampshire | 23 | 43% | 4% | 3.2 |
| 24 | Kansas | 55 | 42% | 4% | 3.2 |
| 25 | Missouri | 79 | 42% | 4% | 3.1 |
| 26 | Maine | 24 | 42% | 4% | 3.2 |
| 27 | California | 279 | 42% | 10% | 3.1 |
| 28 | Montana | 20 | 40% | 5% | 3.3 |
| 29 | Washington | 60 | 40% | 2% | 3.2 |
| 30 | New Jersey | 61 | 39% | 8% | 3.1 |
| 31 | Massachusetts | 54 | 39% | 4% | 3.2 |
| 32 | Michigan | 94 | 38% | 10% | 3.1 |
| 33 | Maryland | 42 | 38% | 5% | 3.3 |
| 34 | Florida | 168 | 36% | 10% | 3.1 |
| 35 | Tennessee | 72 | 36% | 8% | 3.1 |
| 36 | Illinois | 136 | 36% | 11% | 3.0 |
| 37 | Vermont | 12 | 33% | 8% | 3.3 |
| 38 | Arizona | 55 | 33% | 2% | 3.1 |
| 39 | Georgia | 84 | 32% | 10% | 2.9 |
| 40 | Alaska | 10 | 30% | 10% | 2.9 |
| 41 | Nevada | 25 | 28% | 0% | 3.0 |
| 42 | New York | 136 | 26% | 15% | 2.8 |
| 43 | West Virginia | 34 | 26% | 18% | 2.8 |
| 44 | Arkansas | 43 | 26% | 7% | 2.9 |
| 45 | Kentucky | 67 | 24% | 12% | 2.8 |
| 46 | Louisiana | 59 | 22% | 5% | 2.8 |
| 47 | Alabama | 58 | 19% | 7% | 2.7 |
| 48 | New Mexico | 23 | 17% | 13% | 2.5 |
| 49 | Mississippi | 52 | 13% | 23% | 2.3 |
How this was measured
CMS overall hospital star rating (1 to 5), from the Hospital General Information file. The rating summarizes up to five groups of measures (mortality, safety, readmission, patient experience, timely and effective care); it is not a patient review. Shares are of rated hospitals only, one row per CMS facility number. States with fewer than 10 rated hospitals are not ranked.
Source: CMS Hospital General Information (Provider Data Catalog, dataset xubh-q36u), 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/hospital-star-ratings-by-state-july-2026/