# Critical Access Hospitals by State (2026): Which State Has the Most? | InstaMaps > 1,380 US critical access hospitals ranked by state, per 100k residents. Free to cite, every state has an embeddable interactive map. Source: https://get-instamaps.com/rankings/critical-access-hospitals [InstaMaps](/) [Store locator](/store-locator)[All tools](/tools)[Blog](/blog)[ Get Started Free ](https://workspace.google.com/marketplace/app/instamaps/103204565785?utm%5Fsource=get-instamaps&utm%5Fmedium=site&utm%5Fcampaign=toolheader) [โ† Data room](/data) 2026 State Rankings # Critical Access Hospitals by State: All 50 States Ranked All 1,380 US critical access hospitals, from Centers for Medicare & Medicaid Services (CMS) hospital data (July 2026), ranked by critical access hospitals per 100,000 residents. Every state links to its own map and CSV: free to cite, embed and download. ## Key takeaways * There are 1,380 critical access hospitals in the US (Centers for Medicare & Medicaid Services, July 2026). * Texas has the most: 93, or 6.7% of the US total. * Per person, North Dakota has the most: 4.64 per 100,000 residents. * The top five states (Texas, Kansas, Iowa, Minnesota and Nebraska) have 29% of them. * Connecticut, Delaware, Washington DC, Maryland, New Jersey and Rhode Island have none. ๐Ÿฅ‡ North Dakota 4.64 per 100k ยท 37 total ๐Ÿฅˆ Montana 4.4 per 100k ยท 50 total ๐Ÿฅ‰ South Dakota 4.22 per 100k ยท 39 total | # | State | Per 100k | Total | Share | | | -- | -------------- | -------- | ----- | ----- | ------------------------------------------------------------------- | | 1 | North Dakota | 4.64 | 37 | 2.7% | [Map + story โ†’](/rankings/critical-access-hospitals/north-dakota) | | 2 | Montana | 4.4 | 50 | 3.6% | [Map + story โ†’](/rankings/critical-access-hospitals/montana) | | 3 | South Dakota | 4.22 | 39 | 2.8% | [Map + story โ†’](/rankings/critical-access-hospitals/south-dakota) | | 4 | Nebraska | 3.09 | 62 | 4.5% | [Map + story โ†’](/rankings/critical-access-hospitals/nebraska) | | 5 | Wyoming | 3.06 | 18 | 1.3% | [Map + story โ†’](/rankings/critical-access-hospitals/wyoming) | | 6 | Kansas | 2.79 | 83 | 6% | [Map + story โ†’](/rankings/critical-access-hospitals/kansas) | | 7 | Iowa | 2.53 | 82 | 5.9% | [Map + story โ†’](/rankings/critical-access-hospitals/iowa) | | 8 | Alaska | 1.76 | 13 | 0.9% | [Map + story โ†’](/rankings/critical-access-hospitals/alaska) | | 9 | Minnesota | 1.31 | 76 | 5.5% | [Map + story โ†’](/rankings/critical-access-hospitals/minnesota) | | 10 | Idaho | 1.3 | 26 | 1.9% | [Map + story โ†’](/rankings/critical-access-hospitals/idaho) | | 11 | Maine | 1.28 | 18 | 1.3% | [Map + story โ†’](/rankings/critical-access-hospitals/maine) | | 12 | Vermont | 1.23 | 8 | 0.6% | [Map + story โ†’](/rankings/critical-access-hospitals/vermont) | | 13 | West Virginia | 1.19 | 21 | 1.5% | [Map + story โ†’](/rankings/critical-access-hospitals/west-virginia) | | 14 | Mississippi | 1.02 | 30 | 2.2% | [Map + story โ†’](/rankings/critical-access-hospitals/mississippi) | | 15 | Wisconsin | 0.97 | 58 | 4.2% | [Map + story โ†’](/rankings/critical-access-hospitals/wisconsin) | | 16 | Oklahoma | 0.95 | 39 | 2.8% | [Map + story โ†’](/rankings/critical-access-hospitals/oklahoma) | | 17 | Arkansas | 0.94 | 29 | 2.1% | [Map + story โ†’](/rankings/critical-access-hospitals/arkansas) | | 18 | New Hampshire | 0.92 | 13 | 0.9% | [Map + story โ†’](/rankings/critical-access-hospitals/new-hampshire) | | 19 | Hawaii | 0.62 | 9 | 0.7% | [Map + story โ†’](/rankings/critical-access-hospitals/hawaii) | | 20 | Kentucky | 0.61 | 28 | 2% | [Map + story โ†’](/rankings/critical-access-hospitals/kentucky) | | 21 | Louisiana | 0.59 | 27 | 2% | [Map + story โ†’](/rankings/critical-access-hospitals/louisiana) | | 22 | Oregon | 0.59 | 25 | 1.8% | [Map + story โ†’](/rankings/critical-access-hospitals/oregon) | | 23 | Missouri | 0.56 | 35 | 2.5% | [Map + story โ†’](/rankings/critical-access-hospitals/missouri) | | 24 | New Mexico | 0.56 | 12 | 0.9% | [Map + story โ†’](/rankings/critical-access-hospitals/new-mexico) | | 25 | Colorado | 0.54 | 32 | 2.3% | [Map + story โ†’](/rankings/critical-access-hospitals/colorado) | | 26 | Washington | 0.49 | 39 | 2.8% | [Map + story โ†’](/rankings/critical-access-hospitals/washington) | | 27 | Indiana | 0.48 | 33 | 2.4% | [Map + story โ†’](/rankings/critical-access-hospitals/indiana) | | 28 | Illinois | 0.43 | 55 | 4% | [Map + story โ†’](/rankings/critical-access-hospitals/illinois) | | 29 | Utah | 0.4 | 14 | 1% | [Map + story โ†’](/rankings/critical-access-hospitals/utah) | | 30 | Nevada | 0.4 | 13 | 0.9% | [Map + story โ†’](/rankings/critical-access-hospitals/nevada) | | 31 | Michigan | 0.35 | 35 | 2.5% | [Map + story โ†’](/rankings/critical-access-hospitals/michigan) | | 32 | Texas | 0.3 | 93 | 6.7% | [Map + story โ†’](/rankings/critical-access-hospitals/texas) | | 33 | Ohio | 0.28 | 33 | 2.4% | [Map + story โ†’](/rankings/critical-access-hospitals/ohio) | | 34 | Georgia | 0.28 | 31 | 2.2% | [Map + story โ†’](/rankings/critical-access-hospitals/georgia) | | 35 | Arizona | 0.22 | 17 | 1.2% | [Map + story โ†’](/rankings/critical-access-hospitals/arizona) | | 36 | Tennessee | 0.21 | 15 | 1.1% | [Map + story โ†’](/rankings/critical-access-hospitals/tennessee) | | 37 | North Carolina | 0.18 | 20 | 1.4% | [Map + story โ†’](/rankings/critical-access-hospitals/north-carolina) | | 38 | Alabama | 0.17 | 9 | 0.7% | [Map + story โ†’](/rankings/critical-access-hospitals/alabama) | | 39 | Pennsylvania | 0.13 | 17 | 1.2% | [Map + story โ†’](/rankings/critical-access-hospitals/pennsylvania) | | 40 | New York | 0.11 | 21 | 1.5% | [Map + story โ†’](/rankings/critical-access-hospitals/new-york) | | 41 | California | 0.1 | 38 | 2.8% | [Map + story โ†’](/rankings/critical-access-hospitals/california) | | 42 | Virginia | 0.09 | 8 | 0.6% | [Map + story โ†’](/rankings/critical-access-hospitals/virginia) | | 43 | Massachusetts | 0.06 | 4 | 0.3% | [Map + story โ†’](/rankings/critical-access-hospitals/massachusetts) | | 44 | Florida | 0.05 | 12 | 0.9% | [Map + story โ†’](/rankings/critical-access-hospitals/florida) | | 45 | South Carolina | 0.05 | 3 | 0.2% | [Map + story โ†’](/rankings/critical-access-hospitals/south-carolina) | | 46 | Connecticut | 0 | 0 | โ€“ | [Map + story โ†’](/rankings/critical-access-hospitals/connecticut) | | 47 | Delaware | 0 | 0 | โ€“ | [Map + story โ†’](/rankings/critical-access-hospitals/delaware) | | 48 | Washington DC | 0 | 0 | โ€“ | [Map + story โ†’](/rankings/critical-access-hospitals/washington-dc) | | 49 | Maryland | 0 | 0 | โ€“ | [Map + story โ†’](/rankings/critical-access-hospitals/maryland) | | 50 | New Jersey | 0 | 0 | โ€“ | [Map + story โ†’](/rankings/critical-access-hospitals/new-jersey) | | 51 | Rhode Island | 0 | 0 | โ€“ | [Map + story โ†’](/rankings/critical-access-hospitals/rhode-island) | ## Methodology & citation Source: [Centers for Medicare & Medicaid Services (CMS) hospital data](https://data.cms.gov/provider-data/), July 2026\. Every hospital CMS lists as critical access, geocoded from its address. Critical access means 25 beds or fewer, usually 35 miles or more from another hospital. Per-capita figures use US Census Bureau 2024 population estimates. Licence: U.S. government data: no copyright, free to reuse **Cite "Centers for Medicare & Medicaid Services, mapped by InstaMaps" with a link to this page.** [Download all 1,380 (CSV)](/downloads/critical-access-hospitals/us.csv) This ranking is a Google Sheet Every map on this site is just a spreadsheet of places. Map your own list โ€” customers, stores, sites โ€” with the free InstaMaps add-on. [Install InstaMaps โ€” Free](https://workspace.google.com/marketplace/app/instamaps/103204565785?utm%5Fsource=get-instamaps&utm%5Fmedium=site&utm%5Fcampaign=index)