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Share-Based Compensation - Schedule of Stock Option Activity (Detail) (USD $)
In Millions, except Share data, unless otherwise specified
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Stock Options outstanding, Weighted Average Exercise Price, Beginning Balance $ 15.82us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice $ 11.56us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice $ 9.26us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice
Granted, Weighted Average Exercise Price $ 48.56us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice $ 37.49us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice $ 27.03us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice
Exercised, Weighted Average Exercise Price $ 9.15us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice $ 8.49us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice $ 7.60us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice
Cancelled, Weighted Average Exercise Price $ 29.54us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsForfeituresInPeriodWeightedAverageExercisePrice $ 25.50us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsForfeituresInPeriodWeightedAverageExercisePrice $ 9.49us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsForfeituresInPeriodWeightedAverageExercisePrice
Stock Options outstanding, Weighted Average Exercise Price, Ending Balance $ 21.39us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice $ 15.82us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice $ 11.56us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice
Options exercisable, Weighted Average Exercise Price $ 13.79us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice    
Options outstanding, Weighted Average Remaining Contractual Term 5 years 3 months 18 days    
Options exercisable, Weighted Average Remaining Contractual Term 3 years 10 months 24 days    
Options outstanding, Aggregate Intrinsic Value $ 1,549us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue    
Options exercisable, Aggregate Intrinsic Value $ 1,186us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableIntrinsicValue1    
Time Based Stock Options and SARs [Member]      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Stock Options Outstanding, Beginning Balance 16,809,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
/ us-gaap_StatementClassOfStockAxis
= hca_TimeBasedStockOptionsMember
19,191,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
/ us-gaap_StatementClassOfStockAxis
= hca_TimeBasedStockOptionsMember
21,739,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
/ us-gaap_StatementClassOfStockAxis
= hca_TimeBasedStockOptionsMember
Granted, Stock Options 1,723,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriod
/ us-gaap_StatementClassOfStockAxis
= hca_TimeBasedStockOptionsMember
2,432,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriod
/ us-gaap_StatementClassOfStockAxis
= hca_TimeBasedStockOptionsMember
3,174,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriod
/ us-gaap_StatementClassOfStockAxis
= hca_TimeBasedStockOptionsMember
Exercised, Stock Options (3,322,000)us-gaap_StockIssuedDuringPeriodSharesStockOptionsExercised
/ us-gaap_StatementClassOfStockAxis
= hca_TimeBasedStockOptionsMember
(4,498,000)us-gaap_StockIssuedDuringPeriodSharesStockOptionsExercised
/ us-gaap_StatementClassOfStockAxis
= hca_TimeBasedStockOptionsMember
(5,530,000)us-gaap_StockIssuedDuringPeriodSharesStockOptionsExercised
/ us-gaap_StatementClassOfStockAxis
= hca_TimeBasedStockOptionsMember
Cancelled, Stock Options (159,000)us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod
/ us-gaap_StatementClassOfStockAxis
= hca_TimeBasedStockOptionsMember
(316,000)us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod
/ us-gaap_StatementClassOfStockAxis
= hca_TimeBasedStockOptionsMember
(192,000)us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod
/ us-gaap_StatementClassOfStockAxis
= hca_TimeBasedStockOptionsMember
Stock Options Outstanding, Ending Balance 15,051,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
/ us-gaap_StatementClassOfStockAxis
= hca_TimeBasedStockOptionsMember
16,809,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
/ us-gaap_StatementClassOfStockAxis
= hca_TimeBasedStockOptionsMember
19,191,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
/ us-gaap_StatementClassOfStockAxis
= hca_TimeBasedStockOptionsMember
Stock Options Exercisable, Ending Balance 10,102,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableNumber
/ us-gaap_StatementClassOfStockAxis
= hca_TimeBasedStockOptionsMember
   
Performance Stock Options and SARs [Member]      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Stock Options Outstanding, Beginning Balance 18,377,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
/ us-gaap_StatementClassOfStockAxis
= hca_PerformanceStockOptionsMember
22,051,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
/ us-gaap_StatementClassOfStockAxis
= hca_PerformanceStockOptionsMember
24,573,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
/ us-gaap_StatementClassOfStockAxis
= hca_PerformanceStockOptionsMember
Granted, Stock Options 1,722,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriod
/ us-gaap_StatementClassOfStockAxis
= hca_PerformanceStockOptionsMember
2,432,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriod
/ us-gaap_StatementClassOfStockAxis
= hca_PerformanceStockOptionsMember
3,174,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriod
/ us-gaap_StatementClassOfStockAxis
= hca_PerformanceStockOptionsMember
Exercised, Stock Options (5,234,000)us-gaap_StockIssuedDuringPeriodSharesStockOptionsExercised
/ us-gaap_StatementClassOfStockAxis
= hca_PerformanceStockOptionsMember
(5,843,000)us-gaap_StockIssuedDuringPeriodSharesStockOptionsExercised
/ us-gaap_StatementClassOfStockAxis
= hca_PerformanceStockOptionsMember
(5,128,000)us-gaap_StockIssuedDuringPeriodSharesStockOptionsExercised
/ us-gaap_StatementClassOfStockAxis
= hca_PerformanceStockOptionsMember
Cancelled, Stock Options (121,000)us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod
/ us-gaap_StatementClassOfStockAxis
= hca_PerformanceStockOptionsMember
(263,000)us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod
/ us-gaap_StatementClassOfStockAxis
= hca_PerformanceStockOptionsMember
(568,000)us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod
/ us-gaap_StatementClassOfStockAxis
= hca_PerformanceStockOptionsMember
Stock Options Outstanding, Ending Balance 14,744,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
/ us-gaap_StatementClassOfStockAxis
= hca_PerformanceStockOptionsMember
18,377,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
/ us-gaap_StatementClassOfStockAxis
= hca_PerformanceStockOptionsMember
22,051,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
/ us-gaap_StatementClassOfStockAxis
= hca_PerformanceStockOptionsMember
Stock Options Exercisable, Ending Balance 9,796,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableNumber
/ us-gaap_StatementClassOfStockAxis
= hca_PerformanceStockOptionsMember
   
Total Stock Options and Stock SARs [Member]      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Stock Options Outstanding, Beginning Balance 35,186,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
/ us-gaap_StatementClassOfStockAxis
= hca_StockOptionAndStockAppreciationRightsMember
41,242,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
/ us-gaap_StatementClassOfStockAxis
= hca_StockOptionAndStockAppreciationRightsMember
46,312,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
/ us-gaap_StatementClassOfStockAxis
= hca_StockOptionAndStockAppreciationRightsMember
Granted, Stock Options 3,445,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriod
/ us-gaap_StatementClassOfStockAxis
= hca_StockOptionAndStockAppreciationRightsMember
4,864,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriod
/ us-gaap_StatementClassOfStockAxis
= hca_StockOptionAndStockAppreciationRightsMember
6,348,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriod
/ us-gaap_StatementClassOfStockAxis
= hca_StockOptionAndStockAppreciationRightsMember
Exercised, Stock Options (8,556,000)us-gaap_StockIssuedDuringPeriodSharesStockOptionsExercised
/ us-gaap_StatementClassOfStockAxis
= hca_StockOptionAndStockAppreciationRightsMember
(10,341,000)us-gaap_StockIssuedDuringPeriodSharesStockOptionsExercised
/ us-gaap_StatementClassOfStockAxis
= hca_StockOptionAndStockAppreciationRightsMember
(10,658,000)us-gaap_StockIssuedDuringPeriodSharesStockOptionsExercised
/ us-gaap_StatementClassOfStockAxis
= hca_StockOptionAndStockAppreciationRightsMember
Cancelled, Stock Options (280,000)us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod
/ us-gaap_StatementClassOfStockAxis
= hca_StockOptionAndStockAppreciationRightsMember
(579,000)us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod
/ us-gaap_StatementClassOfStockAxis
= hca_StockOptionAndStockAppreciationRightsMember
(760,000)us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod
/ us-gaap_StatementClassOfStockAxis
= hca_StockOptionAndStockAppreciationRightsMember
Stock Options Outstanding, Ending Balance 29,795,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
/ us-gaap_StatementClassOfStockAxis
= hca_StockOptionAndStockAppreciationRightsMember
35,186,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
/ us-gaap_StatementClassOfStockAxis
= hca_StockOptionAndStockAppreciationRightsMember
41,242,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
/ us-gaap_StatementClassOfStockAxis
= hca_StockOptionAndStockAppreciationRightsMember
Stock Options Exercisable, Ending Balance 19,898,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableNumber
/ us-gaap_StatementClassOfStockAxis
= hca_StockOptionAndStockAppreciationRightsMember