Despite the advances in treatment, there are low rates of liver metastasectomy for colorectal cancer with liver metastasis (CRLM) in the United States. The aim of this study was to investigate the association between likelihood of liver metastasectomy for CRLM and seeking care at1 versus 1 Commission on Cancer (CoC) hospital.We performed a retrospective analysis of the National Cancer Database (2011-2017) for patients with CRLM. Patients were grouped based on seeking care at 1 CoC hospital or1 CoC hospital. An adjusted multivariable Poisson regression interaction analysis was used to evaluate likelihood of liver metastasectomy for CRLM according to race and whether care was sought at1 CoC hospital.We identified 25,956 patients with CRLM without extra-hepatic disease. 23,088 (89.0%) patients visited 1 CoC hospital and 2868 (11.1%) visited1 CoC hospital. Black patients were less likely to seek care at1 CoC hospital (relative risk [RR] 0.68, confidence intervalCI 0.60-0.76, P 0.001). Undergoing liver metastasectomy was associated with higher likelihood of seeking care at1 CoC hospital (RR 1.27, CI 1.26-1.52, P 0.001). Among patients who sought care at1 CoC hospital, there was no significant difference between White and Black patients undergoing liver metastasectomy (RR 0.86, 95% CI 0.71-1.04, P = 0.11).Patients with CRLM who sought care at1 CoC hospital were more likely to undergo a liver metastasectomy. Among White and Black patients who sought care at1 CoC hospital, there was no difference in likelihood of undergoing a liver metastasectomy.