P&P, Paid & Penalized

Public Medicare data, made visible.

Census division

East South Central

CMS cut 82 of the 247 hospitals in the East South Central with a payment decision for fiscal year 2026: 33.2%, against 24.9% nationally.

East South Central · FY2026Compared with the nation

1Hospitals cut

82

Of 247 with a payment decision

2Share cut

33.2%

+8.3 pts vs the nation (24.9%)

3Rank

1st of 9

Share cut, highest first, among the divisions

4Median score

0.1084

Nation: −0.0453

5Scored on all 6

136

Of 247 scored (55%; nation 66%)

6Scored without data

9

Hospitals CMS gave its worst score on a measure

7Estimated dollars

$28.5M estimate
9.3% of the nation’s $306M, this site’s estimate

Likely range $22.8–32.1M

8Per traditional Medicare stay

$67

The nation: $47

33% cut

Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 82 of 718 here Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 718 cut nationally · 82 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 South 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 South Central: 82 cut of 247 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
Alabama6829
Kentucky5621
Mississippi5018
Tennessee7314

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. 33.2% of hospitals here scored past CMS’s line, against 24.9% nationally; the middle score here is 0.1084, and nationally −0.0453.
0%5%10%15% −1.6 to −1.4: 4% here, 1% nationally−1.4 to −1.2: 2% here, 1% nationally−1.2 to −1.0: 2% here, 2% nationally−1.0 to −0.8: 7% here, 4% nationally−0.8 to −0.6: 5% here, 7% nationally−0.6 to −0.4: 6% here, 10% nationally−0.4 to −0.2: 13% here, 12% nationally−0.2 to 0.0: 7% here, 14% nationally0.0 to 0.2: 9% here, 12% nationally0.2 to 0.4: 12% here, 12% nationally0.4 to 0.6: 10% here, 8% nationally0.6 to 0.8: 8% here, 6% nationally0.8 to 1.0: 4% here, 4% nationally1.0 to 1.2: 7% here, 3% nationally1.2 to 1.4: 2% 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: 1% here, 0% nationally2.2 to 2.4: 1% here, 1% nationally CMS’s line −1.00.01.02.0 0%5%10%15% −1.6 to −1.4: 4% here, 1% nationally−1.4 to −1.2: 2% here, 1% nationally−1.2 to −1.0: 2% here, 2% nationally−1.0 to −0.8: 7% here, 4% nationally−0.8 to −0.6: 5% here, 7% nationally−0.6 to −0.4: 6% here, 10% nationally−0.4 to −0.2: 13% here, 12% nationally−0.2 to 0.0: 7% here, 14% nationally0.0 to 0.2: 9% here, 12% nationally0.2 to 0.4: 12% here, 12% nationally0.4 to 0.6: 10% here, 8% nationally0.6 to 0.8: 8% here, 6% nationally0.8 to 1.0: 4% here, 4% nationally1.0 to 1.2: 7% here, 3% nationally1.2 to 1.4: 2% 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: 1% here, 0% nationally2.2 to 2.4: 1% 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
−1.6−1.4940
−1.4−1.2417
−1.2−1.0651
−1.0−0.817126
−0.8−0.612204
−0.6−0.415290
−0.4−0.231357
−0.20.018407
0.00.223343
0.20.430333
0.40.624237
0.60.819173
0.81.09116
1.01.21791
1.21.4430
1.41.6221
1.61.8310
1.82.003
2.02.2213
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 MRSA (66% of its hospitals above the national median); best on SSI (43%).

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

Show table
MeasureHospitals with a valueHalf
PSI 9022555%
CLABSI15559%
CAUTI18743%
SSI15943%
CDI23746%
MRSA14466%

The East South Central across the line

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

Figure 4. 10 of the nation’s 141 hospitals within 0.05 of CMS’s line that this site estimates are the East South Central’s: 6 cut, about $3.1M by this site’s estimate, and 4 not cut, where a cut would have been about $861K.
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 BMH-Golden Triangle, Columbus, MS: score 0.3324; a cut would have been $377KEphraim McDowell Regional Medical Center, Danville, KY: score 0.3383; a cut would have been $195KHill Hospital of Sumter County, York, AL: score 0.3548; a cut would have been $1KVanderbilt Clarksville Hospital, Clarksville, TN: score 0.3721; a cut would have been $287KVanderbilt Bedford Hospital, Shelbyville, TN: score 0.3942; cut $62KMurray-Calloway County Hospital, Murray, KY: score 0.3966; cut $150KUniversity of Kentucky Hospital, Lexington, KY: score 0.3966; cut $1.6MBaptist Health Hardin, Elizabethtown, KY: score 0.4031; cut $388KDCH Regional Medical Center, Tuscaloosa, AL: score 0.4111; cut $824KHighlands ARH Regional Medical Center, Prestonsburg, KY: score 0.4116; cut $62K 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 South Central, year by year

Every hospital in the East South 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 South Central’s hospitals cut that year, then the nation’s.

Figure 5. The East South Central’s share cut was above the nation’s in 4 of the 11 years CMS cut anyone; 224 of its 312 hospitals have been cut at least once.
201520162017201820192020202120222023202420252026 No hospital scored or cut 15.6% · 21.9%13.8% · 23.4%15.5% · 24.0%25.4% · 23.6%23.2% · 25.0%23.4% · 25.0%24.8% · 24.9%24.2% · 25.0%28.2% · 24.9%28.6% · 24.8%33.2% · 24.9% Ever cut: 224 Never cut: 88 201520162017201820192020202120222023202420252026 No hospital scored or cut 15.6% · 21.9%13.8% · 23.4%15.5% · 24.0%25.4% · 23.6%23.2% · 25.0%23.4% · 25.0%24.8% · 24.9%24.2% · 25.0%28.2% · 24.9%28.6% · 24.8%33.2% · 24.9% Ever cut: 224 Never cut: 88

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
FY20153014715.6%21.9%
FY20162984113.8%23.4%
FY20172964615.5%24.0%
FY20182917425.4%23.6%
FY20192986923.2%25.0%
FY20202906823.4%25.0%
FY20212867124.8%24.9%
FY20222816824.2%25.0%
FY202300
FY20242487028.2%24.9%
FY20252557328.6%24.8%
FY20262478233.2%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)
Alabama68290.2561$6.7M
Kentucky56210.1861$8.8M
Mississippi50180.1923$5.8M
Tennessee7314−0.2186$7.2M

Every hospital in the East South 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 South Central: hospital-acquired conditions, FY2026. https://paidandpenalized.org/hacrp/division/east-south-central/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.