22 hospitals with highest left-without-being-seen rates: CMS

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Becker’s has compiled a list of hospitals with the highest percentages of patients who left the emergency department without being seen using data from CMS’ provider data catalog. 

CMS’ Timely and Effective Care dataset, updated May 13, tracks self-reported data on the percentage of patients who left an ED before being seen in 2024. The measure applies to hospitals paid under the inpatient or outpatient prospective payment systems, as well as hospitals that voluntarily report data for Medicare, Medicare managed care and non-Medicare patients. VA and Defense Department hospitals are included in national averages. Read the full methodology here.

Note: LWBS rates vary significantly across hospitals for reasons this dataset does not capture. Trauma centers tend to report higher rates given patient complexity; safety-net hospitals often report higher rates due to crowding, boarding and a higher share of Medicaid and uninsured patients. Rural and suburban hospitals typically report lower rates because patients have fewer nearby alternatives, though lower volumes mean even a handful of departures can register as a high percentage.

To effectively assess ED performance, experts recommend benchmarking against a cohort of similar facilities. For a deeper look at how leaders can build a more accurate picture of ED performance, read more here.  

Below are 22 hospitals with the highest LWBS rates: 

Note: Due to a input error, incorrect data related to Anna Jaques Hospital’s left without being seen rate (LWBS) was reported to CMS for 2024. The hospital has submitted updated data to CMS, including its correct LWBS rate of 3.4% for 2024.

HospitalLWBS rateSample size (2024)
Anna Jaques Hospital (Newburyport, Mass.)23%19,211
Methodist Hospitals of Memphis (Tenn.)16%266,940
Garnet Health Medical Center Catskills (Callicoon, N.Y.)15%40
South Sunflower County Hospital (Indianola, Miss.)14%9,539
St. Bernard Hospital (Chicago)14%33,367
Providence Medford (Ore.) Medical Center13%34,543
Oroville (Calif.) Hospital13%26,276
University of Chicago Medical Center12%101,468
George Washington University Hospital (Washington, D.C.)12%53,634
Jefferson Einstein Philadelphia Hospital11%75,418
Temple University Hospital (Philadelphia)11%161,181
Elliot Hospital (Manchester, N.H.)11%59,794
Kern Medical Center (Bakersfield, Calif.)11%59,892
Banner-University Medical Center South Campus (Tucson, Ariz.)11%44,619
Lexington Medical Center (West Columbia, S.C.)10%98,102
University of Mississippi Medical Center (Jackson, Miss.)10%101,371
MercyOne Waterloo (Iowa) Medical Center10%15,611
Northwestern Memorial Hospital (Chicago)10%100,759
Thorek Memorial Hospital (Chicago)10%9,164
NorthShore University HealthSystem Evanston (Ill.) Hospital10%120,626
MedStar Georgetown University Hospital (Washington, D.C.)10%42,279
Ridgecrest (Calif.) Regional Hospital10%18,715

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