SHELF
                             UNDERWRITING AGREEMENT

                                 March 17, 1994

Columbia/HCA Healthcare Corporation
201 West Main Street
Louisville, Kentucky 40202

Dear Sirs:

    We  (the "Managers") are acting on behalf of the underwriter or underwriters
(including ourselves) named below (such underwriter or underwriters being herein
called the  "Underwriters"),  and  we understand  that  Columbia/HCA  Healthcare
Corporation,  a Delaware corporation (the "Company"), proposes to issue and sell
$150,000,000 aggregate principal amount of its  7.15% Notes  due March 30,  2004
(the  "Notes").  The Notes  are  sometimes referred  to  herein as  the "Offered
Securities." The Offered Securities will be issued pursuant to the provisions of
an Indenture dated as of December 15, 1993 (the "Indenture") between the Company
and The First National Bank of Chicago, as Trustee (the "Trustee").

    Subject to the terms and conditions  set forth or incorporated by  reference
herein,  the  Company  hereby  agrees  to sell  and  the  Underwriters  agree to
purchase, severally and  not jointly,  the respective principal  amounts of  the
Notes set forth below opposite their names at a purchase price of 99.094% of the
principal amount of the Notes.



                                                                              PRINCIPAL AMOUNT
                                                                                  OF NOTES
                                                                              ----------------
                                                                           
Salomon Brothers Inc........................................................  $     37,500,000
J.P. Morgan Securities Inc..................................................        37,500,000
Morgan Stanley & Co. Incorporated...........................................        37,500,000
Prudential Securities Incorporated..........................................        37,500,000
                                                                              ----------------
  Total.....................................................................  $    150,000,000
                                                                              ----------------
                                                                              ----------------


    The  Underwriters will pay for the  Offered Securities upon delivery
thereof at the offices of Salomon Brothers Inc or through the facilities of the
Depository Trust Company  at 9:00 a.m.  (New York time)  on  March 24, 1994.
The time and date of such payment and delivery are hereinafter referred to
as the Closing Date.

    The Offered Securities shall have the terms set forth in the Prospectus
dated  November 22,  1993, and  the Prospectus  Supplement dated  March 17,
1994, including the following:


                      
Public Offering Price:   99.744% of principal amount
Purchase Price:          99.094% of principal amount
Maturity Date:           March 30, 2004
Interest Rate:           7.15%
Redemption Provisions:   Not redeemable prior to maturity
Interest Payment Dates:  March 30 and September 30, commencing September 30,  1994.
                         Interest accrues from March 24, 1994
Current Ratings:         Standard & Poor's Corporation -- BBB+
                         Moody's Investor Service -- A3


    All  provisions contained  in the  document entitled  Underwriting Agreement
Standard Provisions (Debt Securities), a copy  of which is attached hereto,  are
herein  incorporated by reference in their entirety  and shall be deemed to be a
part  of   this  Agreement   to  the   same  extent   as  if   such   provisions

had been set forth in full herein, except that (i) if any term defined in such
document is otherwise defined  herein, the  definition set  forth herein  shall
control, (ii) all references in such document to a type of security that is not
an Offered Security shall not be  deemed to be  a part of  this Agreement,  and
(iii)  all references in such document to a type of agreement that has not been
entered into in connection with the transactions contemplated hereby shall not
be deemed to be a part of this Agreement.

    Please confirm your agreement by having an authorized officer sign a copy of
this Agreement in the space set forth below.

                                      Very truly yours,

                                      SALOMON BROTHERS INC

                                      J.P. MORGAN SECURITIES INC.

                                      MORGAN STANLEY & CO. INCORPORATED

                                      PRUDENTIAL SECURITIES INCORPORATED

                                      By: SALOMON BROTHERS INC

                                      Acting severally on behalf of itself
                                      and the several Underwriters named herein
                                      By: ______________________________________
                                      Name: ____________________________________
                                      Title: ___________________________________

Accepted:
COLUMBIA/HCA HEALTHCARE
 CORPORATION
By: _____________________________
Name: ___________________________
Title: __________________________

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