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Supplemental Condensed Consolidating Financial Information - Schedule of Condensed Consolidating Statement of Cash Flows (Detail) - USD ($)
$ in Millions
 3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Cash flows from operating activities:        
Net income (loss) $ 764 $ 896 $ 2,872 $ 3,144
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:        
Changes in operating assets and liabilities     (306) (147)
Depreciation and amortization 647 582 1,902 1,697
Income taxes     51  
Losses (gains) on sales of facilities   (6) (17) (420)
Losses on retirement of debt 211 9 211 9
Amortization of debt issuance costs and discounts     23 23
Share-based compensation     263 204
Other     98 76
Net cash provided by (used in) operating activities     5,097 4,586
Cash flows from investing activities:        
Purchase of property and equipment     (2,884) (2,420)
Acquisition of hospitals and health care entities     (1,592) (1,056)
Disposition of hospitals and health care entities     49 802
Change in investments     35 65
Other     17 (6)
Net cash used in investing activities     (4,375) (2,615)
Cash flows from financing activities:        
Issuance of long-term debt     6,451 2,000
Net change in revolving credit facilities     (30) (330)
Repayment of long-term debt     (5,289) (1,652)
Distributions to noncontrolling interests     (404) (315)
Payment of debt issuance costs     (71) (24)
Payment of cash dividends     (414) (366)
Repurchases of common stock     (759) (1,195)
Other     (145) (232)
Net cash (used in) provided by financing activities     (661) (2,114)
Effect on exchange rate changes on cash and cash equivalents     (4) (11)
Change in cash and cash equivalents     57 (154)
Cash and cash equivalents at beginning of period     502 732
Cash and cash equivalents at end of period 559 578 559 578
HCA Healthcare, Inc. Issuer [Member]        
Cash flows from operating activities:        
Net income (loss) 612 759 2,434 2,723
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:        
Changes in operating assets and liabilities     (15) (15)
Income taxes     51  
Equity in earnings of affiliates     (2,504) (2,670)
Other     82 67
Net cash provided by (used in) operating activities     48 105
Cash flows from financing activities:        
Payment of cash dividends     (414) (366)
Repurchases of common stock     (759) (1,195)
Changes in intercompany balances with affiliates, net     1,253 1,697
Other     (128) (242)
Net cash (used in) provided by financing activities     (48) (106)
Effect on exchange rate changes on cash and cash equivalents     0  
Change in cash and cash equivalents     0 (1)
Cash and cash equivalents at beginning of period       1
Cash and cash equivalents at end of period 0   0  
HCA Inc. Issuer [Member]        
Cash flows from operating activities:        
Net income (loss) (946) (708) (2,485) (2,016)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:        
Changes in operating assets and liabilities     (69) (83)
Losses on retirement of debt 211 9 211 9
Amortization of debt issuance costs and discounts     23 23
Net cash provided by (used in) operating activities     (2,320) (2,067)
Cash flows from financing activities:        
Issuance of long-term debt     6,451 2,000
Net change in revolving credit facilities     (30) (330)
Repayment of long-term debt     (5,213) (1,566)
Payment of debt issuance costs     (71) (24)
Changes in intercompany balances with affiliates, net     1,183 1,987
Net cash (used in) provided by financing activities     2,320 2,067
Subsidiary Guarantors [Member]        
Cash flows from operating activities:        
Net income (loss) 1,487 1,275 4,574 4,151
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:        
Changes in operating assets and liabilities     (137) (154)
Depreciation and amortization 362 340 1,071 992
Losses (gains) on sales of facilities (2) (6) (9) (378)
Share-based compensation     263 204
Other     13  
Net cash provided by (used in) operating activities     5,775 4,815
Cash flows from investing activities:        
Purchase of property and equipment     (1,634) (1,425)
Acquisition of hospitals and health care entities     (39) (894)
Disposition of hospitals and health care entities     31 770
Change in investments     1 19
Other     (7) (18)
Net cash used in investing activities     (1,648) (1,548)
Cash flows from financing activities:        
Repayment of long-term debt     (45) (44)
Distributions to noncontrolling interests     (79) (63)
Changes in intercompany balances with affiliates, net     (4,047) (3,167)
Net cash (used in) provided by financing activities     (4,171) (3,274)
Change in cash and cash equivalents     (44) (7)
Cash and cash equivalents at beginning of period     174 112
Cash and cash equivalents at end of period 130 105 130 105
Subsidiary Non-Guarantors [Member]        
Cash flows from operating activities:        
Net income (loss) 267 298 853 956
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:        
Changes in operating assets and liabilities     (85) 105
Depreciation and amortization 285 242 831 705
Losses (gains) on sales of facilities 2 0 (8) (42)
Other     3 9
Net cash provided by (used in) operating activities     1,594 1,733
Cash flows from investing activities:        
Purchase of property and equipment     (1,250) (995)
Acquisition of hospitals and health care entities     (1,553) (162)
Disposition of hospitals and health care entities     18  
Change in investments     34 46
Other     24 12
Net cash used in investing activities     (2,727) (1,067)
Cash flows from financing activities:        
Repayment of long-term debt     (31) (42)
Distributions to noncontrolling interests     (325) (252)
Changes in intercompany balances with affiliates, net     1,611 (517)
Other     (17) 10
Net cash (used in) provided by financing activities     1,238 (801)
Effect on exchange rate changes on cash and cash equivalents     (4) (11)
Change in cash and cash equivalents     101 (146)
Cash and cash equivalents at beginning of period     328 619
Cash and cash equivalents at end of period 429 473 429 473
Eliminations [Member]        
Cash flows from operating activities:        
Net income (loss) $ (656) $ (728) (2,504) (2,670)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:        
Equity in earnings of affiliates     $ 2,504 $ 2,670