The report uses hierarchical classification method to analyze the regional competitiveness of hospitals in Northwest China （including Shanxi，Xinjiang，Gansu，Ningxia，Qinghai ）. The comprehensive competitiveness of hospitals in northwest area is relatively low，which is at the end of the rankings among the seven areas，the competitiveness of top hospitals，prefecture-level hospitals and county-level hospitals was the lowest among the seven areas，while the development of private hospitals and Chinese medicine hospitals had a comparative advantage，but the development of hospitals in prefecture-level cities had made breakthroughs. As to the balance degree，apart from Shanxi province，the balance degree of hospitals in prefecture-level cities and county-level cities of other provinces is very low； the balance degree of the top 30 in Shanxi province is the highest，and the balance degree of the top 30 in Xinjiang is close to those in Gansu； the overall balance degree of the provincial top 10 in northwest area is relatively low，which mainly concentrates on the provincial cities.