The research object of this report is prefecture-level city hospital（including general hospital，hospital of traditional Chinese medicine，hospital of district level，not including provincial capital city，city with separate list）. The report analyzed the top 100 hospitals in prefecture-level cities from the perspectives of medical geographic distribution，competitiveness，resource allocation，medical technology，and operation. The research results show that the proportion of tertiary A hospital is 100%，and 98% are public hospitals. In addition to the top 100 prefecture-level city hospitals，the proportion of top 300 and top 500 private hospitals has decreased relative to last year，indicating that public hospitals still occupy the dominant position in the current medical service market，and private hospitals are facing greater operational pressure. The eastern region，especially East China，has an absolute lead in medical level，with Jiangsu and Guangdong having the largest number of hospitals in the rankings.