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The 10 busiest hospitals in North Carolina by inpatient discharges

Atrium Health Carolinas Medical Center has the most inpatient discharges of any hospital in North Carolina, 64,943, followed by Duke University Hospital in Durham (57,595) and Atrium Health Wake Forest Baptist Medical Center in Winston Salem (52,874). Together the 10 leaders hold 478,401 discharges in nine cities.

Updated Inpatient discharges from each hospital's latest Medicare cost reportHow we ranked

Rank by
Location
North Carolina
  1. Atrium Health Carolinas Medical CenterCharlotte · Advocate Health64,943discharges1,219beds
  2. Duke University HospitalDurham · Duke University57,595discharges1,266beds
  3. Atrium Health Wake Forest Baptist Medical CenterWinston Salem · Advocate Health52,874discharges857beds
  4. Mission HospitalAsheville · HCA Healthcare50,611discharges757beds
  5. ECU Health Medical CenterGreenville · University Health Systems of Eastern Carolina46,711discharges1,013beds
  6. Cone Health Moses Cone HospitalGreensboro · Risant Health43,272discharges806beds
  7. Novant Health Forsyth Medical CenterWinston Salem · Novant Health43,083discharges967beds
  8. Novant Health New Hanover Regional Medical CenterWilmington · Novant Health41,645discharges752beds
  9. Cape Fear Valley Medical CenterFayetteville · Cape Fear Valley Health39,052discharges798beds
  10. WakeMed Raleigh CampusRaleigh · Advocate Health38,615discharges721beds

The 10 highest of 124 North Carolina hospitals that report inpatient discharges. Ranks compare size, not quality of care.

Every hospital in North Carolina

The 10 top North Carolina hospitals hold 43% of all inpatient discharges

124 North Carolina hospitals report inpatient discharges, 1,111,975 inpatient discharges in all. The 10 on this list hold 478,401 of it. The median hospital has 3,370 discharges, so Atrium Health Carolinas Medical Center is about 19 times that size.

of all inpatient discharges at North Carolina hospitals that report them
43%
the size of the median North Carolina hospital, which has 3,370 discharges
19×
of the 124 North Carolina hospitals that report inpatient discharges
8.1%

How we ranked the top North Carolina hospitals

Measure
Inpatient discharges from each hospital's latest Medicare cost report.
What counts as a hospital
One CMS certification number. A hospital with several campuses under one number counts once.
Field
124 North Carolina hospitals in the Dmand AI database report inpatient discharges.
Ties
Hospitals with the same number share a rank.
What a rank means
Size only. A rank compares inpatient discharges; it says nothing about quality of care.
Refresh
Monthly. Updated Oct 28, 2026.

FAQ

Questions about the top North Carolina hospitals

Answers from the same data, updated monthly.

What is the busiest hospital in North Carolina?

Atrium Health Carolinas Medical Center in Charlotte, with 64,943 discharges. Duke University Hospital is second with 57,595.

What are the top 10 North Carolina hospitals by inpatient discharges?

Atrium Health Carolinas Medical Center (64,943), Duke University Hospital (57,595), Atrium Health Wake Forest Baptist Medical Center (52,874), Mission Hospital (50,611), ECU Health Medical Center (46,711), Cone Health Moses Cone Hospital (43,272), Novant Health Forsyth Medical Center (43,083), Novant Health New Hanover Regional Medical Center (41,645), Cape Fear Valley Medical Center (39,052), WakeMed Raleigh Campus (38,615).

How many inpatient discharges does a typical North Carolina hospital have?

The median North Carolina hospital that reports inpatient discharges has 3,370 discharges, out of 124 that report them.

How often is this list updated?

Every month, when the Dmand AI database refreshes. This version is from Oct 28, 2026.

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    The 10 busiest hospitals in Georgia by inpatient discharges

    The same ranking for Georgia hospitals.

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    The national ranking by inpatient discharges.

  • Insight

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    Epic runs 56% of North Carolina hospitals with an EHR on file.

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