Oatmeal Healthoatmealhealth.com · public-data estimate, October 2026

Universal Health Services

Lung screening gap across 165 counties in Arizona, Arkansas, California, Colorado, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kentucky, Maryland, Massachusetts, Michigan, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Washington and Wisconsin

4.5Mto9Madults in its service area qualify for lung cancer screening and are not being screened

About 81,100 people here are diagnosed with lung cancer each year, and 63% are found at a late stage, when it is hardest to treat.

Explore the screening network
CAORIDMTNVCOUTWYNMAZ
165 counties27 acute care hospitalsService areaShowing the Arizona, California and Nevada region; all regions are mapped below.
5.4M to 11Madults likely qualify under USPSTF 2021 criteria (estimate)
46,000lung cancer deaths a year in these counties, 2020 to 2024
17.4%of eligible adults screened in these states, vs 18.2% nationally

Estimates from public data only; no patient information. Sources and method below.

Where the eligible adults live

The counties where most of Universal Health Services's Medicare inpatients live. Darker areas hold more adults who likely qualify, which is where outreach would start. Hover or tap any area for its estimate.

Arizona, California and Nevada

Florida, Georgia, North Carolina and South Carolina

Delaware, District of Columbia, Maryland, Massachusetts, New Jersey, New York, Pennsylvania and Virginia

Illinois, Michigan, Ohio, Pennsylvania and Wisconsin

Texas

Oklahoma and Texas

Plus 13 smaller areas listed in the table.

Adults likely eligible, per county

0+10,400+28,100+41,900+53,800+71,200+109,300+

Acute care hospital in this system

Counties in the service area

CountyStateAdults likely eligibleLung cancer deaths per 100kMedicare screens billed locally, 2024
Los Angeles CountyCalifornia341,600 to 644,90019.75,864
Cook CountyIllinois177,400 to 380,40026.98,348
Maricopa CountyArizona154,600 to 342,70023.52,977
Harris CountyTexas169,600 to 333,40023.52,976
Miami-Dade CountyFlorida106,400 to 313,20021.71,434
San Diego CountyCalifornia99,700 to 208,80021.62,544
Orange CountyCalifornia96,000 to 202,70020.21,029
Dallas CountyTexas88,000 to 187,00026.52,029
Clark CountyNevada112,900 to 186,10029.01,127
Broward CountyFlorida82,900 to 180,90022.9830
Bexar CountyTexas71,700 to 164,90022.21,098
Wayne CountyMichigan96,400 to 157,00037.13,271
Riverside CountyCalifornia89,200 to 152,70023.8181
Tarrant CountyTexas79,500 to 146,80027.7789
Palm Beach CountyFlorida65,200 to 145,20022.3965
King CountyWashington47,700 to 137,00021.51,484
San Bernardino CountyCalifornia77,900 to 132,20024.3219
Cuyahoga CountyOhio63,100 to 126,30033.32,512
Hillsborough CountyFlorida57,900 to 122,50028.31,024
Oakland CountyMichigan48,800 to 119,90027.12,397
Suffolk CountyNew York52,500 to 118,00025.01,658
Philadelphia CountyPennsylvania80,700 to 117,80035.12,930
Santa Clara CountyCalifornia46,700 to 110,40017.01,718
New York CountyNew York40,600 to 109,30015.94,603
Allegheny CountyPennsylvania61,300 to 109,10032.73,365
Middlesex CountyMassachusetts47,800 to 105,90024.62,029
Orange CountyFlorida52,000 to 105,20024.61,512
Nassau CountyNew York41,700 to 103,30019.31,644
Pinellas CountyFlorida49,700 to 101,80032.41,318
Alameda CountyCalifornia47,000 to 97,20019.6333
Pima CountyArizona39,300 to 92,70022.81,678
Sacramento CountyCalifornia57,300 to 92,20024.91,363
Fairfax CountyVirginia29,400 to 84,80014.71,080
Travis CountyTexas32,400 to 84,30018.51,171
Macomb CountyMichigan47,800 to 83,60038.7396
Lee CountyFlorida42,300 to 82,20025.82,671
Jefferson CountyKentucky41,600 to 81,60039.61,854
Wake CountyNorth Carolina34,700 to 80,90024.72,791
Shelby CountyTennessee47,400 to 80,70035.31,946
Mecklenburg CountyNorth Carolina35,600 to 79,30025.42,487
Marion CountyIndiana40,700 to 78,80043.51,967
El Paso CountyTexas30,100 to 75,50015.6162
Contra Costa CountyCalifornia36,300 to 75,20020.8941
Montgomery CountyPennsylvania38,000 to 73,60025.0633
DuPage CountyIllinois29,700 to 72,70023.31,418
Fulton CountyGeorgia30,800 to 72,40024.21,448
Duval CountyFlorida45,900 to 71,90035.41,673
Hidalgo CountyTexas30,600 to 71,20014.596
Montgomery CountyMaryland25,400 to 71,00015.92,276
Collin CountyTexas32,900 to 69,90020.4380
Milwaukee CountyWisconsin38,400 to 69,50034.33,468
Erie CountyNew York40,300 to 68,30032.41,944
Oklahoma CountyOklahoma33,200 to 67,80038.12,043
Gwinnett CountyGeorgia34,600 to 65,50023.0421
Polk CountyFlorida40,900 to 63,30034.6688
Brevard CountyFlorida33,600 to 61,70035.8955
Ventura CountyCalifornia29,200 to 60,50020.4399
Bucks CountyPennsylvania38,600 to 60,20027.5452
Worcester CountyMassachusetts37,300 to 59,50030.4923
Denton CountyTexas29,100 to 59,40023.769
Multnomah CountyOregon28,400 to 58,90027.01,119
Essex CountyMassachusetts32,900 to 58,00027.41,285
Pierce CountyWashington32,700 to 57,30030.01,133
Cobb CountyGeorgia25,000 to 57,20022.9989
Davidson CountyTennessee26,500 to 56,90033.33,252
Baltimore CountyMaryland31,000 to 56,60032.33,201
Fort Bend CountyTexas28,000 to 56,50018.1None billed locally
Prince George's CountyMaryland31,800 to 56,30020.5266
Volusia CountyFlorida33,900 to 56,30036.8866
Snohomish CountyWashington26,700 to 54,30029.01,403
Lake CountyIllinois24,700 to 53,80026.4561
Kent CountyMichigan25,500 to 53,60032.02,461
Pasco CountyFlorida33,000 to 52,90036.4242
DeKalb CountyGeorgia25,900 to 52,40021.0814
Kern CountyCalifornia34,900 to 52,10024.9239
Monmouth CountyNew Jersey23,500 to 51,20026.2218
Sarasota CountyFlorida24,100 to 51,10027.3747
Will CountyIllinois27,000 to 51,00033.4553
San Francisco CountyCalifornia22,900 to 49,90021.6452
Norfolk CountyMassachusetts23,500 to 48,90026.51,039
San Mateo CountyCalifornia19,700 to 48,80017.4623
Delaware CountyPennsylvania23,900 to 48,00031.0648
Ocean CountyNew Jersey31,300 to 47,80032.2426
El Paso CountyColorado22,700 to 47,50023.7350
Jefferson CountyColorado19,100 to 47,30019.0559
New Castle CountyDelaware22,500 to 46,70032.2405
Denver CountyColorado18,200 to 46,60020.7333
Chester CountyPennsylvania20,200 to 46,40024.7492
Arapahoe CountyColorado20,300 to 46,00019.41,412
Montgomery CountyTexas26,800 to 45,70029.517
Greenville CountySouth Carolina21,100 to 45,50029.31,711
Salt Lake CountyUtah25,300 to 45,30015.3138
Suffolk CountyMassachusetts22,100 to 44,90025.77,362
San Joaquin CountyCalifornia29,100 to 44,30024.652
Manatee CountyFlorida24,400 to 41,90026.6300
District of ColumbiaDistrict of Columbia15,600 to 41,80024.9800
Cameron CountyTexas15,900 to 41,70017.2None billed locally
Washoe CountyNevada21,100 to 41,40025.0194
Seminole CountyFlorida17,100 to 40,20026.670
Bristol CountyMassachusetts32,900 to 39,00036.61,122
Horry CountySouth Carolina28,300 to 38,90037.31,194
Anne Arundel CountyMaryland20,400 to 38,10028.7918
Plymouth CountyMassachusetts24,500 to 38,00028.7721
Marion CountyFlorida27,000 to 38,00040.1392
Camden CountyNew Jersey22,500 to 36,80029.9837
Lake CountyFlorida22,400 to 36,40031.6113
Pulaski CountyArkansas17,300 to 36,40036.81,926
Charleston CountySouth Carolina14,800 to 35,50026.92,239
Spokane CountyWashington20,800 to 35,40030.51,924
Hampden CountyMassachusetts23,400 to 34,70032.9619
Burlington CountyNew Jersey18,100 to 34,50027.6671
Polk CountyIowa19,900 to 34,50037.81,803
Ada CountyIdaho17,700 to 32,90023.2797
St. Lucie CountyFlorida20,800 to 32,30031.9132
Osceola CountyFlorida16,600 to 31,20026.9158
Richland CountySouth Carolina14,800 to 30,90033.576
Solano CountyCalifornia17,000 to 29,40026.355
Santa Barbara CountyCalifornia13,800 to 28,10020.2566
Placer CountyCalifornia14,300 to 27,60022.223
Brazoria CountyTexas14,200 to 27,50032.2171
Lexington CountySouth Carolina13,900 to 27,00036.756
Tulare CountyCalifornia17,400 to 27,00024.0162
Mercer CountyNew Jersey13,100 to 26,70022.9458
Yavapai CountyArizona14,500 to 26,70026.974
Sussex CountyDelaware18,100 to 25,90033.6646
Monterey CountyCalifornia14,900 to 25,50018.1434
Larimer CountyColorado11,300 to 25,00018.9744
Charlotte CountyFlorida14,600 to 24,10031.747
Webb CountyTexas8,600 to 23,90015.8None billed locally
Mohave CountyArizona17,300 to 23,70039.1119
Chatham CountyGeorgia12,900 to 21,80027.9589
Doña Ana CountyNew Mexico8,500 to 21,30021.482
Alachua CountyFlorida8,800 to 18,30030.51,434
Utah CountyUtah8,700 to 17,70010.971
Aiken CountySouth Carolina8,800 to 16,50034.025
El Dorado CountyCalifornia8,100 to 15,40019.7101
Kent CountyDelaware8,800 to 14,80038.5805
Ellis CountyTexas8,700 to 13,90032.1None billed locally
Highlands CountyFlorida7,000 to 11,80034.935
Cass CountyNorth Dakota5,700 to 11,80028.7614
Grayson CountyTexas7,400 to 10,90041.0325
Charles CountyMaryland6,700 to 10,40030.213
Randall CountyTexas5,400 to 10,20028.919
Potter CountyTexas5,800 to 9,10036.7145
Douglas CountyNevada2,900 to 6,00021.4None billed locally
Starr CountyTexas2,900 to 5,90019.3None billed locally
Lyon CountyNevada3,800 to 5,70031.2None billed locally
Maverick CountyTexas2,300 to 5,70020.6None billed locally
Nye CountyNevada4,700 to 5,60035.721
Garfield CountyOklahoma3,100 to 5,50037.6None billed locally
Bryan CountyOklahoma2,900 to 4,30050.5None billed locally
Lamar CountyTexas2,900 to 4,10046.0256
Cooke CountyTexas2,200 to 3,60038.3None billed locally
Fannin CountyTexas2,200 to 3,00047.4None billed locally
Edgefield CountySouth Carolina1,800 to 2,70032.4None billed locally
Churchill CountyNevada1,400 to 2,40031.926
Barnwell CountySouth Carolina1,500 to 2,00038.0None billed locally
Hutchinson CountyTexas960 to 1,80028.6None billed locally
Gray CountyTexas1,100 to 1,80045.5None billed locally
Marshall CountyOklahoma1,100 to 1,70053.1None billed locally
Choctaw CountyOklahoma1,100 to 1,60051.4None billed locally
Zapata CountyTexas640 to 1,40024.7None billed locally
Atoka CountyOklahoma1,000 to 1,30060.1None billed locally
Johnston CountyOklahoma750 to 1,10056.7None billed locally
Storey CountyNevada240 to 470—11

21 of the 165 counties had no Medicare lung screening reads billed from a local address in 2024. County names link to their Missing Millions page.

What closing the gap would mean

If screening in these counties rose from 17.4% to the national rate of 18.2%, about 45,600 to 91,000 more people would be screened each year.

In the National Lung Screening Trial, low-dose CT screening lowered lung cancer deaths by 20% compared with chest X-ray. Today about 63% of lung cancers here are found at a late stage.

Illustrative estimate: eligible adults (range) times the change in screening rate. Not a forecast or a guarantee.

Each year in these counties

81,100new lung cancers
51,100found at a late stage
46,300lung cancer deaths

NCI and CDC State Cancer Profiles, annual averages.

Screening at Universal Health Services today

Clinicians at Universal Health Services locations billed 684 low-dose CT lung screening reads to Medicare fee-for-service in 2024. Including Medicare Advantage and other insurers, we estimate about 1,500 to 4,100 screenings a year.

Most adults who qualify see a primary care clinician every year. We count 2,021 primary care clinicians, 44 pulmonologists and 25 thoracic surgeons practicing at Universal Health Services locations. A 20 pack-year smoking history is often missing from structured EHR fields, so many eligible patients are never flagged.

CMS Medicare Physician and Other Practitioners 2024 (CPT 71271); clinicians matched to Universal Health Services by practice address using the AHRQ Compendium of U.S. Health Systems 2023, so reads billed by outside radiology groups are not included. The all-payer estimate scales Medicare fee-for-service by the local Medicare Advantage share (53%, CMS) and, at the high end, by the share of eligible adults under 65 (65%).

27 acute care hospitals

  • South Texas Health SystemEdinburg, TX
  • Summerlin Hospital Medical CenterLas Vegas, NV
  • Texoma Medical CenterDenison, TX
  • George Washington Univ HospitalWashington, DC
  • Spring Valley Hospital Medical CenterLas Vegas, NV
  • Northwest Texas HospitalAmarillo, TX
  • Centennial Hills HospitalLas Vegas, NV
  • Valley Hospital Medical CenterLas Vegas, NV
  • Henderson HospitalHenderson, NV
  • Manatee Memorial HospitalBradenton, FL
  • Southwest Healthcare SystemMurrieta, CA
  • Wellington Regl Medical CenterWellington, FL

And 15 more acute care hospitals.

Find them, reach them, give radiologists a second opinion

LungIQ Find

Reads clinical notes, diagnoses and medications in the EHR and returns a ranked list of patients likely eligible, including those whose pack-year history is missing. Start with a CSV export refreshed every 1, 3 or 6 months, or connect through FHIR or HL7.

LungNAV Reach

An AI patient navigator that texts and calls patients in 70+ languages, answers questions about the scan, and hands each patient to your scheduling team or nurse navigators with a call summary.

LungAI Second opinion

Gives radiologists a malignancy risk score for each nodule, factoring in change since the prior scan, inside the PACS and CADe software they already use. The radiologist makes the final call.

LungAI is an investigational medical device and has not been cleared by FDA. It is not commercially available in the United States.

How we estimate the gap

Modeled estimates from public data. They are not a count of Universal Health Services patients and contain no patient information.

  • Service area: CMS Hospital Service Area File 2025 (counties within 120 miles of a system hospital holding 80% of its Medicare inpatients, plus any county with at least 1%); hospitals from the AHRQ Compendium of U.S. Health Systems, 2023.
  • Eligible adults, low estimate: Oatmeal Health Missing Millions (Census 2025 population, CDC PLACES smoking, USPSTF 2021).
  • Eligible adults, high estimate: University of Minnesota National Lung Cancer Screening Estimates (Haynes 2026), which also counts former smokers.
  • Screening rate: American Lung Association, State of Lung Cancer 2025.
  • Lung cancer cases and deaths: NCI and CDC State Cancer Profiles (incidence 2019 to 2023, deaths 2020 to 2024).
  • Screening volume: CMS Medicare Physician and Other Practitioners, 2024; CMS Medicare Advantage State/County Penetration, September 2026.

LungAI is an investigational medical device and has not been cleared by FDA. Oatmeal Health is preparing a 510(k) premarket notification. LungAI is not commercially available in the United States.

See Universal Health Services's own numbers

In a 30 minute review we replace these public estimates with counts from your own records and agree on what a first program would look like.

Request a private screening review