BOSTON (CBS) – There’s a surprise in the new U.S. News & World Report annual rankings of the nation’s best hospitals.

(Photo by Jodi Hilton/Getty Images)

This year there is just one Massachusetts hospital in the top 20. Massachusetts General Hospital comes in at number 4, trailing Johns Hopkins in Baltimore, the Cleveland Clinic and the top-ranked Mayo Clinic in Rochester, Minnesota.


But, for the first time in 24 years, Brigham and Women’s Hospital in Boston did not make the top 20. The hospital’s chief quality officer told the Boston Globe that’s largely because of a change in the way the rankings are done.

“While we are disappointed that we are not included on the Honor Roll this year, we are confident that high-quality care we provide to our patients has not wavered,” the hospital said in a statement Tuesday.

“While it is wonderful to receive awards and accolades, they do not define us as an institution. What matters most is the hope that we bring to patients and their loved ones who turn to us for the high-quality, compassionate care that our dedicated employees deliver every day in our local, national and global communities.”

The Dana-Farber – Brigham and Women’s Cancer Center came in fourth for cancer care.

Mass. General is fifth in cardiology and heart surgery.

Boston Children’s Hospital is ranked as the nation’s best children’s hospital.