Abstract : Utilization of service health is increasing. The existence of health facilities affects the utilization of service health. Inequality in the distribution of health facilities causes a buildup of patients in certain health facilities. This study aimed to analyze the disparities and determinants associated with hospital inpatient utilization in Indonesia. This study analyzed secondary data from the 2016-2019 BPJS Health database. Univariate analysis to identify the distribution of hospitals in Indonesia, the dependent variable: hospitalization utilization rate; independent variables: gender, age, education, income, number of family members, average hospitalization costs, proportion of referrals from FKTP, readmission rate and history of non-communicable diseases. Bivariate analysis to see the correlation between variable independent with dependent. Multivariate analysis to see the effect of independent variables on variables depends on analyzing convergence speed between regions. The results show that the 2016-2019 trend data for the number of hospitals has yet to see a large shift in the number. The number of hospitals is more concentrated in Java, with the largest number of hospitals compared to other islands. Variables with a strong correlation with hospitalization rates, namely: university education, readmission rate, and chronic non-communicable diseases. The convergence test between regions shows that the gap in RITL rates between regions decreases at 110.9% annually. Increased rates do not follow the addition of hospitals in places that are difficult to reach.