Uncompensated Hospitalizations in Children’s Hospitals - Takeaways - MDSpire

Uncompensated Hospitalizations in Children’s Hospitals

  • By

  • James C. Gay

  • David C. Synhorst

  • Natalie Grills

  • Matthew Hall

  • June 1, 2026

  • 0 min

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  • 1

    Children's hospitals (CHs) often face financial challenges due to underpayment for services, with 3.4% of hospitalizations being uncompensated.

  • 2

    The study analyzed 199,300 hospitalizations across 10 CHs, revealing a mean revenue loss of $23.4 million per hospital in 2021.

  • 3

    Uncompensated hospitalizations were more common among shorter stays, lower complexity cases, and patients discharged against medical advice.

  • 4

    The total cost of uncompensated care across the studied CHs was $233.9 million, with an average cost of $33,105 per uncompensated encounter.

  • 5

    The findings highlight the financial strain on CHs, potentially threatening their ability to serve community healthcare needs.

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