P&P, Paid & Penalized

Public Medicare data, made visible.

Census division

East North Central

CMS cut 118 of the 456 hospitals in the East North Central with a payment decision for fiscal year 2026: 25.9%, against 24.9% nationally.

East North Central · FY2026Compared with the nation

1Hospitals cut

118

Of 456 with a payment decision

2Share cut

25.9%

+1.0 pts vs the nation (24.9%)

3Rank

5th of 9

Share cut, highest first, among the divisions

4Median score

0.0102

Nation: −0.0453

5Scored on all 6

294

Of 456 scored (64%; nation 66%)

6Scored without data

5

Hospitals CMS gave its worst score on a measure

7Estimated dollars

$48.7M estimate
15.9% of the nation’s $306M, this site’s estimate

Likely range $38.4–56.3M

8Per traditional Medicare stay

$50

The nation: $47

26% cut

Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 118 of 718 here Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 718 cut nationally · 118 here
Every hospital in the nation with a payment decision, lowest score to highest, each as tall as its score (above the rule, worse than average); the solid hairlines are the East North Central’s, red where CMS cut.

On the map

Each dot is a hospital in CMS’s file: red, cut; ringed, not cut; gray, no decision. Pick one to open its page.

Figure 1. The East North Central: 118 cut of 456 with a payment decision.
  • Cut
  • Not cut
  • Not subject (Maryland) or no score

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
PlaceWith a decisionHospitals cut
Illinois11231
Indiana8010
Michigan8830
Ohio11431
Wisconsin6216

Its scores against the nation’s

The columns are this place’s hospitals; the outline is every hospital in the nation. Both are shares of their own hospitals, so a small place and the nation compare.

Figure 2. 25.9% of hospitals here scored past CMS’s line, against 24.9% nationally; the middle score here is 0.0102, and nationally −0.0453.
0%5%10%15% −1.6 to −1.4: 2% here, 1% nationally−1.4 to −1.2: 0% here, 1% nationally−1.2 to −1.0: 1% here, 2% nationally−1.0 to −0.8: 3% here, 4% nationally−0.8 to −0.6: 7% here, 7% nationally−0.6 to −0.4: 10% here, 10% nationally−0.4 to −0.2: 12% here, 12% nationally−0.2 to 0.0: 15% here, 14% nationally0.0 to 0.2: 12% here, 12% nationally0.2 to 0.4: 13% here, 12% nationally0.4 to 0.6: 8% here, 8% nationally0.6 to 0.8: 9% here, 6% nationally0.8 to 1.0: 5% here, 4% nationally1.0 to 1.2: 2% here, 3% nationally1.2 to 1.4: 0% here, 1% nationally1.4 to 1.6: 1% here, 1% nationally1.6 to 1.8: 1% here, 0% nationally1.8 to 2.0: 0% here, 0% nationally2.0 to 2.2: 0% here, 0% nationally2.2 to 2.4: 0% here, 1% nationally CMS’s line −1.00.01.02.0 0%5%10%15% −1.6 to −1.4: 2% here, 1% nationally−1.4 to −1.2: 0% here, 1% nationally−1.2 to −1.0: 1% here, 2% nationally−1.0 to −0.8: 3% here, 4% nationally−0.8 to −0.6: 7% here, 7% nationally−0.6 to −0.4: 10% here, 10% nationally−0.4 to −0.2: 12% here, 12% nationally−0.2 to 0.0: 15% here, 14% nationally0.0 to 0.2: 12% here, 12% nationally0.2 to 0.4: 13% here, 12% nationally0.4 to 0.6: 8% here, 8% nationally0.6 to 0.8: 9% here, 6% nationally0.8 to 1.0: 5% here, 4% nationally1.0 to 1.2: 2% here, 3% nationally1.2 to 1.4: 0% here, 1% nationally1.4 to 1.6: 1% here, 1% nationally1.6 to 1.8: 1% here, 0% nationally1.8 to 2.0: 0% here, 0% nationally2.0 to 2.2: 0% here, 0% nationally2.2 to 2.4: 0% here, 1% nationally CMS’s line −1.5−1.0−0.50.00.51.01.52.0

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
Score fromtoHereNation
−1.6−1.4740
−1.4−1.2017
−1.2−1.0451
−1.0−0.813126
−0.8−0.631204
−0.6−0.445290
−0.4−0.254357
−0.20.069407
0.00.254343
0.20.461333
0.40.635237
0.60.841173
0.81.021116
1.01.2891
1.21.4230
1.41.6421
1.61.8310
1.82.013
2.02.2113
2.22.4224

Measure by measure

For each measure, the share of this place’s hospitals with a value worse than the national median. Half would be ordinary; a stem to the right of the line is a measure where more hospitals here did worse.

Figure 3. Worst against the nation on CDI (61% of its hospitals above the national median); best on MRSA (45%).

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
MeasureHospitals with a valueHalf
PSI 9044646%
CLABSI33253%
CAUTI35854%
SSI36156%
CDI43361%
MRSA31345%

The East North Central across the line

The nation’s hospitals within 0.05 of CMS’s line that this site estimates, the East North Central’s in full ink: scores a hair apart, money all or nothing.

Figure 4. 18 of the nation’s 141 hospitals within 0.05 of CMS’s line that this site estimates are the East North Central’s: 5 cut, about $1.4M by this site’s estimate, and 13 not cut, where a cut would have been about $6.8M.
CMS’s line 82 not cut $52.8M at stake82 not cut$52.8M at stake 59 cut $29.8M cut59 cut$29.8M cut 0.340.360.380.400.42 Total HAC Score CMS’s line 82 not cut $52.8M at stake82 not cut$52.8M at stake 59 cut $29.8M cut59 cut$29.8M cut Southeastern Ohio Regional Medical Center, Cambridge, OH: score 0.3327; a cut would have been $94KBaptist Health Floyd, New Albany, IN: score 0.3429; a cut would have been $635KAmita Health Resurrection Medical Center, Chicago, IL: score 0.3433; a cut would have been $767KUniversity of WI Hospitals & Clinics Authority, Madison, WI: score 0.3436; a cut would have been $2.3MGenesis Hlth System dba Genesis Mdl Ctr-Illini, Silvis, IL: score 0.3446; a cut would have been $81KThe Women's Hospital, Newburgh, IN: score 0.3526; a cut would have been $7KDublin Methodist Hospital, Dublin, OH: score 0.3608; a cut would have been $260KAultman Hospital, Canton, OH: score 0.3612; a cut would have been $631KMarshfield Medical Center - Rice Lake, Rice Lake, WI: score 0.3725; a cut would have been $53KOSF Heart of Mary Medical Center, Urbana, IL: score 0.3745; a cut would have been $122KBeaumont Hospital, Troy, Troy, MI: score 0.376; a cut would have been $1.2MHuron Valley-Sinai Hospital, Commerce Township, MI: score 0.3772; a cut would have been $266KSt Vincent Heart Center, Carmel, IN: score 0.3776; a cut would have been $390KOSF Little Company of Mary Medical Center, Evergreen Park, IL: score 0.3837; cut $385KWyandotte Hospital and Medical Center, Wyandotte, MI: score 0.3894; cut $415KMadison Health, London, OH: score 0.3982; cut $30KHMHP St Elizabeth Boardman Health Center, Boardman, OH: score 0.3993; cut $342KBlanchard Valley Hospital, Findlay, OH: score 0.4095; cut $245K 0.340.360.380.400.42 Total HAC Score

3 more within 0.05 have no estimate, and Maryland’s 2 are exempt.

Estimate · Source: this site’s arithmetic on CMS’s FY2026 IPPS final rule files (the impact file, the rate tables and the value-based factors), its FY2026 HRRP supplemental file and HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
Side of the lineHospitalsEstimated cut, taken or not (whole dollars)
Under the line: not cut82$52,846,861
Over the line: cut59$29,847,503

The East North Central, year by year

Every hospital in the East North Central with a payment decision in any year, one sliver each, one row per fiscal year; red where CMS cut it. At the right of each row: the share of the East North Central’s hospitals cut that year, then the nation’s.

Figure 5. The East North Central’s share cut was above the nation’s in 4 of the 11 years CMS cut anyone; 377 of its 516 hospitals have been cut at least once.
201520162017201820192020202120222023202420252026 No hospital scored or cut 20.3% · 21.9%19.9% · 23.4%19.4% · 24.0%18.0% · 23.6%21.7% · 25.0%23.7% · 25.0%23.8% · 24.9%25.7% · 25.0%28.1% · 24.9%27.8% · 24.8%25.9% · 24.9% Ever cut: 377 Never cut: 139 201520162017201820192020202120222023202420252026 No hospital scored or cut 20.3% · 21.9%19.9% · 23.4%19.4% · 24.0%18.0% · 23.6%21.7% · 25.0%23.7% · 25.0%23.8% · 24.9%25.7% · 25.0%28.1% · 24.9%27.8% · 24.8%25.9% · 24.9% Ever cut: 377 Never cut: 139

Source: CMS, HACRP hospital files for fiscal years 2015 to 2026 (Provider Data Catalog, its archives and, for the oldest years, the Internet Archive’s copies), and CMS’s cut lists for FY2015 and FY2016.

Show table
Fiscal yearHospitals with a decisionCutShare cutNation
FY201549810120.3%21.9%
FY20164979919.9%23.4%
FY20174969619.4%24.0%
FY20184908818.0%23.6%
FY201949710821.7%25.0%
FY202048511523.7%25.0%
FY202148311523.8%24.9%
FY202247812325.7%25.0%
FY202300
FY202446213028.1%24.9%
FY202546112827.8%24.8%
FY202645611825.9%24.9%

Its states

Hospitals CMS cut, of those with a payment decision, and the middle score, by place.

PlaceWith a decisionHospitals cutShare cutMedian scoreEst. cut ($, modeled)
Illinois112310.0528$11.2M
Indiana8010−0.1841$3.0M
Michigan88300.0204$12.0M
Ohio114310.1059$18.3M
Wisconsin62160.0996$4.3M

Every hospital in the East North Central

The sortable table of this place’s hospitals needs JavaScript; the CSV file holds every hospital’s values.

Download all hospitals’ data (CSV) · Data dictionary · CMS’s dataset page

Download all hospitals’ data (CSV) · Data dictionary · CMS’s dataset page

Back to the national picture

A penalty reflects how CMS’s formula scored relative performance; it is not a verdict on the quality of care.

Cite this page

Paid & Penalized. East North Central: hospital-acquired conditions, FY2026. https://paidandpenalized.org/hacrp/division/east-north-central/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.