“Top 300 prefecture-level city hospitals” and “top 300 county-level hospitals” represent the best development level of prefecture-level cities and county-level cities in China. This paper analyzes the data of hospitals in the above-mentioned levels from 2014 to 2018 in the Ailibi database，and explains the competitive advantages and existing problems of the benchmark hospitals at the prefectural and county levels through horizontal and vertical comparison，so as to provide data support for the further development of the hospitals. The results show that the number of beds in the top 300 prefecture hospitals continues to grow，but at a slower pace. The human resources of the hospitals are increasing，the number of medical technicians is increasing，and the number of employees with senior titles is increasing. The total service volume of the top 300 prefecture/county hospitals continues to rise，but the growth rate is relatively slow，among which the growth rate of discharge volume is higher than the growth rate of door emergency department，the number of doctors per capita service door emergency department decreases，the number of doctors per capita service hospital keeps increasing，and the effect of hierarchical diagnosis and treatment begins to appear.