10 US cities providing accessible dialysis services
10 US cities providing accessible dialysis services
Access to dialysis care remains a life-or-death issue for the nearly currently on dialysis, according to National End Stage Renal Disease Census data. While the United States has made strides in expanding services, with 7,556 dialysis centers in the ESRD networks nationwide as of March 2025, regional disparities persist. Rural patients travel to reach care (an average of 15.9 miles, compared to 6.2 miles for urban patients), and approximately lack any dialysis facility.
, a national dialysis centers directory, highlights cities leading in dialysis access, based on facility data, state records, and patient satisfaction metrics.
Top cities for accessible dialysis services
1. Houston, Texas
offers high facility density through its DaVita and Fresenius locations, minimizing patient travel. Most sites in this city offer , including peritoneal and home hemodialysis.
2. Las Vegas, Nevada
With 13 DaVita centers rated four to five stars, the compact city design of supports shorter travel distances for residents and visitors.
3. Orlando/Celebration, Florida
Patients looking for dialysis care can find broad coverage across , with patient reviews highlighting strong and resources for visiting patients.
4. Atlanta, Georgia
An extensive network spans diverse neighborhoods in Georgia鈥檚 capital city and is supported by including social work, nutrition, and care coordination. also ranks highly for .
5. San Diego, California
features advanced options like and a strong reputation for patient satisfaction.
6. Chicago, Illinois
Dozens of and Fresenius centers in provide excellent urban access and multiple .
7. San Francisco Bay Area, California
The is known for clinical excellence. also leads in .
8. Salt Lake City, Utah
Compact geography in allows easy access to five-star , with solid peritoneal dialysis programs.
9. San Antonio, Texas
in , combined with culturally competent care and travel-friendly services, make this a top destination.
10. Myrtle Beach, South Carolina
is a coastal vacation hotspot offering and multiple DaVita centers throughout the region.
Key factors in dialysis accessibility
Top-performing cities average 4.1 centers per 100,000 residents, with 86% of all dialysis sessions occurring in urban areas, according to .
Although, urban centers offer more diverse services:
- offer peritoneal dialysis
- 28.5% offer home hemodialysis
- 16.0% offer late-shift dialysis
Patients in rural counties travel an average of 25.2 miles, compared to 5.5 miles in well-served cities, and in counties without facilities, . Greater travel distance is, including higher mortality and skipped treatments.
While these 10 cities stand out for accessible dialysis care, gaps remain. The closure of has only widened those divides.
The initiative aims to shift 80% of patients to home dialysis or transplant by 2025. These cities provide a roadmap to meet that goal.
For patients and families, living in or visiting these metros can lead to less travel, expanded care choices, and improved quality of life.
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