Ranked list
The 10 largest hospitals in Georgia by net patient revenue
The same ranking for Georgia hospitals.
Ranked listRefreshed monthly
The 10 largest hospitals in North Carolina by net patient revenue
Duke University Hospital has the most net patient revenue of any hospital in North Carolina, $4.84 billion, followed by Atrium Health Carolinas Medical Center in Charlotte ($4.44B) and UNC Hospitals in Chapel Hill ($3.61B). Together the 10 leaders account for $28.06 billion in net patient revenue in eight cities.
- Duke University Hospital$4.84B1,266beds
- Atrium Health Carolinas Medical Center$4.44B1,219beds
- UNC Hospitals$3.61B842beds
- Atrium Health Wake Forest Baptist Medical Center$2.99B857beds
- Novant Health Presbyterian Medical Center$2.41B537beds
- Novant Health New Hanover Regional Medical Center$2.39B752beds
- Cone Health Moses Cone Hospital$1.95B806beds
- ECU Health Medical Center$1.87B1,013beds
- UNC Health Rex$1.81B485beds
- Novant Health Forsyth Medical Center$1.73B967beds
The 10 highest of 122 North Carolina hospitals that report net patient revenue. Ranks compare size, not quality of care.
Every hospital in North CarolinaThe 10 top North Carolina hospitals hold 54% of all net patient revenue
122 North Carolina hospitals report net patient revenue, $51.57 billion in all. The 10 on this list hold $28.06 billion of it. The median hospital has $120.4 million in net patient revenue, so Duke University Hospital is about 40 times that size.
- of all net patient revenue at North Carolina hospitals that report them
- 54%
- the size of the median North Carolina hospital, which has $120.4 million in net patient revenue
- 40×
- of the 122 North Carolina hospitals that report net patient revenue
- 8.2%
How we ranked the top North Carolina hospitals
- Measure
- Net patient revenue 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
- 122 North Carolina hospitals in the Dmand AI database report net patient revenue.
- Ties
- Hospitals with the same number share a rank.
- What a rank means
- Size only. A rank compares net patient revenue; 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.
Which North Carolina hospital has the most net patient revenue?
Duke University Hospital in Durham, with $4.84 billion in net patient revenue. Atrium Health Carolinas Medical Center is second with $4.44B.
What are the top 10 North Carolina hospitals by net patient revenue?
Duke University Hospital ($4.84B), Atrium Health Carolinas Medical Center ($4.44B), UNC Hospitals ($3.61B), Atrium Health Wake Forest Baptist Medical Center ($2.99B), Novant Health Presbyterian Medical Center ($2.41B), Novant Health New Hanover Regional Medical Center ($2.39B), Cone Health Moses Cone Hospital ($1.95B), ECU Health Medical Center ($1.87B), UNC Health Rex ($1.81B), Novant Health Forsyth Medical Center ($1.73B).
How many net patient revenue does a typical North Carolina hospital have?
The median North Carolina hospital that reports net patient revenue has $120.4 million in net patient revenue, out of 122 that report them.
How often is this list updated?
Every month, when the Dmand AI database refreshes. This version is from Oct 28, 2026.
More ranked lists
Every ranked listRanked list
The 10 largest hospitals in the US by net patient revenue
The national ranking by net patient revenue.
Insight
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Epic runs 56% of North Carolina hospitals with an EHR on file.
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