The Best Way for Hospitals to Dispose of Mattresses

October 9, 2025

Hospitals across the U.S. face one of the trickiest waste streams to manage: used mattresses. Unlike ordinary furniture, a hospital mattress can’t just be thrown away. Many are contaminated with blood, fluids, or pathogens, which makes them regulated medical waste. Others may look clean but still fall into compliance gray areas. Add in disposal costs, environmental concerns, and strict regulations.


According to the EPA, hospitals generate over 5 million tons of waste every year, with each bed producing 25–30 pounds daily (EPA, Secure Waste). Mattresses are some of the bulkiest items in that stream, and improper handling can lead to fines of up to $25,000 per violation per day.


So, what is the best way for hospitals to dispose of mattresses?

Two healthcare workers moving a hospital bed in a room. Both wear masks.

1. Follow the rules


Hospitals must comply with both federal and state regulations. At the federal level, the Resource Conservation and Recovery Act (RCRA) sets standards for hazardous and solid waste. States also have different regulations. For example, California’s Medical Waste Management Act requires that contaminated items be treated by approved methods before final disposal.



Overall, a mattress that looks ordinary might still be medical waste if contamination is possible. Treating every mattress with the right process avoids mistakes.

2. Handle safely from start to finish


The safest approach is to:


  • Inspect and segregate every mattress to determine if it is contaminated.
  • Contain and protect contaminated mattresses with leak-proof wrapping.
  • Use trained staff with protective equipment to avoid unnecessary exposure.

This prevents risks inside the hospital and during transport.

3. Keep a clear paper trail


Hospitals should always insist on chain of custody documentation. Disposal manifests and certificates of destruction prove that mattresses were handled in line with regulations. This protects the hospital during audits and eliminates uncertainty about where the waste ended up.

4. Choose a provider that goes beyond disposal


Simply dumping mattresses in a landfill is not enough. The best disposal method is one that is compliant and sustainable:


  • Contaminated mattresses are treated with approved methods (like autoclaving) to make them safe.
  • Once treated, mattresses are broken down. Steel, foam, and fabrics can often be recycled.
  • Non-contaminated mattresses are directly sent to recycling facilities instead of landfills.



This approach not only reduces environmental impact but also supports hospital sustainability commitments.

Hospital Mattress Disposal Made Safer, Smarter, and More Sustainable

The Mattress Guy handles every mattress correctly from the moment it leaves a patient’s room to its final destination. We operate the only dedicated mattress recycling facility in the San Francisco Bay Area.


Our mattress disposal services for establishments go beyond “pick up and haul away.”


  • We inspect and segregate every mattress to determine the right handling.
  • Contaminated mattresses are transported safely by mattress specialists and transporters.
  • We work with different establishments and make sure we follow industry-specific protocols.
  • Mattresses are treated and recycled, with steel, foam, and fabrics recovered wherever possible.


Because we run our own facility, we keep full control of the process:


  • Strict recycling procedures you can trust
  • No middlemen, which means lower costs for you
  • Local facility = faster turnaround and better service


Partner with a mattress pickup and recycling service that is safe, compliant, and environmentally responsible. Make mattress disposal one less thing to worry about.
Talk to us today about how we can make mattress disposal simple and compliant for your hospital.

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