High centering bases for hospital gurneys are disclosed. An example hospital gurney includes a sensor to detect a position of a foot pedal of the hospital gurney. The example high centering base includes a processor responsive to the sensor to create a movement instruction based on the position of the foot pedal. The example high centering base includes an actuator to move a first wheel based on the movement instruction, the first wheel located between a first end of the hospital gurney and a second end of the hospital gurney.