P&P, Paid & Penalized

Public Medicare data, made visible.

Census division

West North Central

CMS cut 56 of the 227 hospitals in the West North Central with a payment decision for fiscal year 2026: 24.7%, against 24.9% nationally.

West North Central · FY2026Compared with the nation

1Hospitals cut

56

Of 227 with a payment decision

2Share cut

24.7%

−0.2 pts vs the nation (24.9%)

3Rank

6th of 9

Share cut, highest first, among the divisions

4Median score

−0.0645

Nation: −0.0453

5Scored on all 6

127

Of 227 scored (56%; nation 66%)

6Scored without data

1

Hospitals CMS gave its worst score on a measure

7Estimated dollars

$18.4M estimate
6.0% of the nation’s $306M, this site’s estimate

Likely range $14.5–21.1M

8Per traditional Medicare stay

$39

The nation: $47

25% cut

Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 56 of 718 here Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 718 cut nationally · 56 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 West 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 West North Central: 56 cut of 227 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
Iowa3016
Kansas4410
Minnesota4511
Missouri629
Nebraska246
North Dakota61
South Dakota163

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. 24.7% of hospitals here scored past CMS’s line, against 24.9% nationally; the middle score here is −0.0645, and nationally −0.0453.
0%5%10%15% −1.6 to −1.4: 1% 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: 4% here, 4% nationally−0.8 to −0.6: 8% here, 7% nationally−0.6 to −0.4: 11% here, 10% nationally−0.4 to −0.2: 13% here, 12% nationally−0.2 to 0.0: 17% here, 14% nationally0.0 to 0.2: 11% here, 12% nationally0.2 to 0.4: 10% here, 12% nationally0.4 to 0.6: 9% here, 8% nationally0.6 to 0.8: 3% here, 6% nationally0.8 to 1.0: 6% here, 4% nationally1.0 to 1.2: 5% here, 3% nationally1.2 to 1.4: 0% here, 1% nationally1.4 to 1.6: 0% here, 1% nationally1.6 to 1.8: 0% 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: 1% 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: 4% here, 4% nationally−0.8 to −0.6: 8% here, 7% nationally−0.6 to −0.4: 11% here, 10% nationally−0.4 to −0.2: 13% here, 12% nationally−0.2 to 0.0: 17% here, 14% nationally0.0 to 0.2: 11% here, 12% nationally0.2 to 0.4: 10% here, 12% nationally0.4 to 0.6: 9% here, 8% nationally0.6 to 0.8: 3% here, 6% nationally0.8 to 1.0: 6% here, 4% nationally1.0 to 1.2: 5% here, 3% nationally1.2 to 1.4: 0% here, 1% nationally1.4 to 1.6: 0% here, 1% nationally1.6 to 1.8: 0% 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
−1.6−1.4240
−1.4−1.2117
−1.2−1.0251
−1.0−0.88126
−0.8−0.619204
−0.6−0.424290
−0.4−0.229357
−0.20.038407
0.00.225343
0.20.423333
0.40.620237
0.60.87173
0.81.014116
1.01.21191
1.21.4130
1.41.6121
1.61.8110
1.82.003
2.02.2013
2.22.4124

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 (55% of its hospitals above the national median); best on MRSA (37%).

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

Show table
MeasureHospitals with a valueHalf
PSI 9022350%
CLABSI14550%
CAUTI15851%
SSI16754%
CDI21255%
MRSA13137%

The West North Central across the line

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

Figure 4. 16 of the nation’s 141 hospitals within 0.05 of CMS’s line that this site estimates are the West North Central’s: 7 cut, about $2.0M by this site’s estimate, and 9 not cut, where a cut would have been about $2.5M.
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 Citizens Memorial Hospital, Bolivar, MO: score 0.34; a cut would have been $74KKansas Heart Hospital, Wichita, KS: score 0.3418; a cut would have been $128KRidgeview Medical Center, Waconia, MN: score 0.3419; a cut would have been $170KChristian Hospital Northeast, Saint Louis, MO: score 0.3501; a cut would have been $446KGrand Itasca Clinic and Hospital, Grand Rapids, MN: score 0.3564; a cut would have been $78KKearney Regional Medical Center, Kearney, NE: score 0.3568; a cut would have been $248KAvera McKennan Hospital & University Health Center, Sioux Falls, SD: score 0.3618; a cut would have been $1.1MBarnes-Jewish St Peters Hospital, Saint Peters, MO: score 0.3634; a cut would have been $223KWinona Health Services, Winona, MN: score 0.3649; a cut would have been $40KFinley Hospital, Dubuque, IA: score 0.3806; cut $181KSSM St Joseph Hospital West, Lake Saint Louis, MO: score 0.3814; cut $249KSalina Surgical Hospital, Salina, KS: score 0.3882; cut $64KThe Nebraska Methodist Hospital, Omaha, NE: score 0.3984; cut $946KLake Region Healthcare Corporation, Fergus Falls, MN: score 0.4034; cut $55KOverland Park Reg Med Ctr, Overland Park, KS: score 0.4059; cut $484KLakes Regional Healthcare, Spirit Lake, IA: score 0.4133; cut $48K 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 West North Central, year by year

Every hospital in the West 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 West North Central’s hospitals cut that year, then the nation’s.

Figure 5. The West North Central’s share cut was above the nation’s in 1 of the 11 years CMS cut anyone; 189 of its 271 hospitals have been cut at least once.
201520162017201820192020202120222023202420252026 No hospital scored or cut 21.4% · 21.9%23.7% · 23.4%15.8% · 24.0%15.4% · 23.6%22.3% · 25.0%24.2% · 25.0%23.8% · 24.9%22.5% · 25.0%21.0% · 24.9%23.9% · 24.8%24.7% · 24.9% Ever cut: 189 Never cut: 82 201520162017201820192020202120222023202420252026 No hospital scored or cut 21.4% · 21.9%23.7% · 23.4%15.8% · 24.0%15.4% · 23.6%22.3% · 25.0%24.2% · 25.0%23.8% · 24.9%22.5% · 25.0%21.0% · 24.9%23.9% · 24.8%24.7% · 24.9% Ever cut: 189 Never cut: 82

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
FY20152625621.4%21.9%
FY20162576123.7%23.4%
FY20172594115.8%24.0%
FY20182533915.4%23.6%
FY20192565722.3%25.0%
FY20202526124.2%25.0%
FY20212485923.8%24.9%
FY20222445522.5%25.0%
FY202300
FY20242334921.0%24.9%
FY20252305523.9%24.8%
FY20262275624.7%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)
Iowa30160.3970$5.3M
Kansas4410−0.1856$1.8M
Minnesota4511−0.0442$1.5M
Missouri6290.0016$7.5M
Nebraska246−0.0063$1.8M
North Dakota61−0.2361$326K
South Dakota163−0.5089$262K

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