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Systems with the Most Rate-Reduction PotentialNational view of parent health systems compared to their own local-market benchmarks. Each system's hospitals are measured against their own city or state market, so a CA hospital at $130/hr isn't flagged if its neighbors pay similarly. Ranking reflects the average gap above local benchmarks — i.e., the headroom available to bring rates back in line.

Health systems with the most opportunity to bring current pay rates closer to their local markets

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Deeper cuts on demand, pay, and spend