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Earnings Per Share - Schedule of Computations of Basic and Diluted Earnings Per Share (Detail) - USD ($) $ / shares in Units, shares in Thousands, $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2025	Sep. 30, 2024	Sep. 30, 2025	Sep. 30, 2024
Earnings Per Share [Abstract]
Net income attributable to HCA Healthcare, Inc.	$ 1,643	$ 1,270	$ 4,906	$ 4,322
Weighted average common shares outstanding	232,891	256,763	239,615	260,770
Effect of dilutive incremental shares	3,290	3,154	2,844	3,217
Shares used for diluted earnings per share	236,181	259,917	242,459	263,987
Basic earnings	$ 7.05	$ 4.94	$ 20.47	$ 16.57
Diluted earnings	$ 6.96	$ 4.88	$ 20.23	$ 16.37

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