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Share-Based Compensation - Additional Information (Detail) (USD $)
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Apr. 30, 2014
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Weighted Average Fair Value of Stock Options Granted $ 19.13us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue $ 16.68us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue $ 13.16us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue  
Total Intrinsic Value of Stock Options $ 412,000,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue      
Unrecognized Compensation Cost Related to Nonvested Awards 110,000,000us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized      
Value of distribution per share     $ 6.50us-gaap_CommonStockDividendsPerShareCashPaid  
Value of distribution 0us-gaap_PaymentsOfCapitalDistribution 0us-gaap_PaymentsOfCapitalDistribution 3,142,000,000us-gaap_PaymentsOfCapitalDistribution  
Reduction of non vested stock options on exercise price of share-based awards     $ 6.50hca_ReductionOfNonVestedStockOptionsOnExercisePriceOfShareBasedAwards  
Employee Stock Purchase Plan ("ESPP") [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Common stock were reserved for issuance 11,772,000us-gaap_CommonStockCapitalSharesReservedForFutureIssuance
/ us-gaap_PlanNameAxis
= hca_EsppMember
    12,000,000us-gaap_CommonStockCapitalSharesReservedForFutureIssuance
/ us-gaap_PlanNameAxis
= hca_EsppMember
Compensation expense 2,000,000us-gaap_AllocatedShareBasedCompensationExpense
/ us-gaap_PlanNameAxis
= hca_EsppMember
     
Restricted Stock Units [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Unrecognized Compensation Cost Related to Nonvested Awards $ 243,000,000us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized
/ us-gaap_AwardTypeAxis
= us-gaap_RestrictedStockUnitsRSUMember
     
Restricted Stock Units [Member] | 2006 Stock Incentive Plan [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Granted, Stock Options 3,832,100us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriod
/ us-gaap_AwardTypeAxis
= us-gaap_RestrictedStockUnitsRSUMember
/ us-gaap_PlanNameAxis
= us-gaap_StockCompensationPlanMember
4,858,800us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriod
/ us-gaap_AwardTypeAxis
= us-gaap_RestrictedStockUnitsRSUMember
/ us-gaap_PlanNameAxis
= us-gaap_StockCompensationPlanMember
   
Stock Appreciation Rights (SARs) [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Granted, Stock Options 3,445,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriod
/ us-gaap_AwardTypeAxis
= us-gaap_StockAppreciationRightsSARSMember
4,864,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriod
/ us-gaap_AwardTypeAxis
= us-gaap_StockAppreciationRightsSARSMember
   
Vested, Stock Options 19,803,200us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsVestedNumberOfShares
/ us-gaap_AwardTypeAxis
= us-gaap_StockAppreciationRightsSARSMember
     
Shares Available for Future Grants 27,220,900us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAvailableForGrant
/ us-gaap_AwardTypeAxis
= us-gaap_StockAppreciationRightsSARSMember