America's Top 20 Metros, Ranked for Healthcare (2024)

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Healthcare in the United States’ biggest cities matters more than ever as Americans increasingly choose urban lifestyles.

How do America’s most populous metros compare on healthcare? Cost, access and quality vary widely.

An ER visit can run five times as much in San Francisco as in Minneapolis. Dallas has 12 highly rated hospitals while Miami, Atlanta and Detroit have only two each.

Meanwhile, your risk of catching COVID-19 is lowest in Seattle. But beware if you go to Detroit or Miami. Both cities are tops in terms of risk.

From Los Angeles to New York City, HealthCareInsider analyzed the top 20 metropolitan regions to see which offers the best healthcare.

Compare the cities on individual health metrics in the map above, and view the chart and table below for final rankings on cost, quality and access.

ACCESS

• Hospital Beds Per 1000 People
  Best City: San Diego
  Worst City: Washington D.C.
• Nurses Per 1,000 Jobs
  Best City: Philadelphia
  Worst City: Washington D.C.
• Surgeons Per 1,000 People
  Best City: Boston
  Worst City: Atlanta
• Mental Health And Substance Abuse Social Workers Per 1,000 Jobs
  Best City: Boston
  Worst City: Houston and Atlanta tie
• Total Healthcare Workers Per 1,000 Jobs
  Best City: Philadelphia
  Worst City: San Francisco
• Visits To Dentist Or Dental Clinic In The Previous Year Among Adults Aged 18+ (%)
  Best City: Seattle
  Worst City: Detroit and Dallas tie

QUALITY

• Hospital Satisfaction: Patient Ratings (1-5)
  Best City: Dallas
  Worst City: Miami
• Percent Receiving Preventive Services 65+
  Best City: Washington D.C.
  Worst City: New York
• Percent Receiving Adequate Prenatal Care
  Best City: San Francisco
  Worst City: Houston
• Life Expectancy
  Best City: San Francisco
  Worst City: Detroit
• Percent Uninsured
  Best City: Boston
  Worst City: Dallas
• COVID Local Risk
  Best City: Seattle
  Worst City: Detroit and Miami tie
• Cardiovascular Deaths Per 100,000
  Best City: Boston
  Worst City: Miami

COST

• Insurance Premium (average ACA silver plan)
  Best City: Atlanta
  Worst City: Washington D.C.
• Healthcare Cost Index (*average healthcare service prices compared to the national average)
  Best City: Baltimore
  Worst City: San Francisco
• Angioplasty (open blocked coronary arteries)
  Best City: Riverside-San Bernardino
  Worst City: New York
• Ambulance Transportation
  Best City: Baltimore
  Worst City: Dallas
• Emergency Department Visit
  Best City: Minneapolis-St. Paul
  Worst City: San Francisco
• Simple Dental Cleaning
  Best City: Boston
  Worst City: New York
• Average Colonoscopy
  Best City: Chicago
  Worst City: San Francisco

Methodology

In order to determine which most populous U.S. cities offers the best healthcare, HealthCareInsider compared 20 urban areas across three categories: 1) Cost, 2) Access, and 3) Quality.

We evaluated these categories using the 20 measures below. For each measure, cities were graded on a 100-point scale. A score of 100 represented the best performance.

Lastly, we added each metro’s score across all measures to rank America’s 20 top cities.

Sources: Data used to create this ranking were collected from the U.S. Bureau of Labor Statistics, Centers for Medicare & Medicaid Services, United States Census Bureau, NYU Langone Health City Health Dashboard, Kaiser Family Foundation, FAIR Health, Turquoise Health and HealthCare.com research.