Top 10 Most Cost-Efficient Hospitals Achieve Great Outcomes for Less

Lown Institute Hospitals Index reveals the hospitals that provide high-quality care at lower costs.

Feb. 25, 2026 at 6:07am

The Lown Institute Hospitals Index has identified the top 10 most cost-efficient acute care hospitals in the U.S., which achieved average 30-day mortality rates under 7% and average Medicare payments under $16,000 per patient - well below the national averages. These high-performing hospitals demonstrate that it's possible to deliver excellent clinical outcomes while keeping costs down.

Why it matters

With healthcare affordability a growing concern, the Lown Index findings show there are hospitals that can provide great value by achieving strong clinical results at lower costs. Understanding the practices and strategies of these cost-efficient hospitals could help inform efforts to improve the overall value of healthcare delivery across the country.

The details

The Lown Institute Hospitals Index measures hospital performance across clinical outcomes, value of care, and health equity. Its cost efficiency metric looks at risk-standardized 30-day mortality rates compared to risk-adjusted Medicare spending. The top 10 most cost-efficient acute care hospitals on this metric include Davie Medical Center, Northwestern Medicine Lake Forest Hospital, Brigham and Women's Faulkner Hospital, and others. These hospitals achieved average mortality rates under 7% and average Medicare payments under $16,000 per patient - significantly better than the national averages of 9.5% mortality and $17,500 in payments.

  • The Lown Index data covers hospital performance from 2020 to 2022.

The players

Lown Institute Hospitals Index

A hospital ranking system that measures performance across clinical outcomes, value of care, and health equity.

Davie Medical Center

A hospital located in Bermuda Run, North Carolina that was identified as one of the top 10 most cost-efficient acute care hospitals.

Northwestern Medicine Lake Forest Hospital

A hospital located in Lake Forest, Illinois that was identified as one of the top 10 most cost-efficient acute care hospitals.

Brigham and Women's Faulkner Hospital

A hospital located in Boston, Massachusetts that was identified as one of the top 10 most cost-efficient acute care hospitals.

Got photos? Submit your photos here. ›

The takeaway

The Lown Institute Hospitals Index findings demonstrate that it's possible for hospitals to deliver excellent clinical outcomes while also keeping costs down, providing a model for how the healthcare system can improve affordability and value. Understanding the practices of these high-performing, cost-efficient hospitals could help inform broader efforts to improve the overall value of healthcare delivery nationwide.