Objective: To understand the status quo of class B equipment in public hospitals in Xinjiang area, and provide data support for the formulation of class B medical equipment configuration planning. Methods: The current status of the class B medical equipment in 55 public hospitals of Xinjiang area were investigated to fill the questionnaire and statistically described. Results: In the 55 public medical institutions in Xinjiang in 2021, there were 48 CTs, 29 MRs, 13 linear accelerators, and 1 PET/CT. In terms of equipment utilization, the capacity utilization ratio of CT, MR, linear accelerator, and PET/CT were 50.1%, 73.76%, 87.09%, and 63.43% respectively. The utilization efficiency was low, and all types of equipment were been fully utilized to their maximum poten- tial, indicating that there was still room for improvement. Conclusion: The configuration of Class B large-scale medical equipment in Xinjiang region was relatively complete, but the distribution was uneven. The utilization rate of equipment in primary medical institu- tions was low, and the management of basic data related to large medical equipment was loose, which should be further strengthened.