P&P, Paid & Penalized

Public Medicare data, made visible.

Census division

West South Central

CMS cut 86 of the 438 hospitals in the West South Central with a payment decision for fiscal year 2026: 19.6%, against 24.9% nationally.

West South Central · FY2026Compared with the nation

1Hospitals cut

86

Of 438 with a payment decision

2Share cut

19.6%

−5.2 pts vs the nation (24.9%)

3Rank

8th of 9

Share cut, highest first, among the divisions

4Median score

−0.1826

Nation: −0.0453

5Scored on all 6

226

Of 438 scored (52%; nation 66%)

6Scored without data

14

Hospitals CMS gave its worst score on a measure

7Estimated dollars

$24.5M estimate
from 83 of its 86 cut hospitals8.0% of the nation’s $306M, this site’s estimate

Likely range $19.4–28.2M

8Per traditional Medicare stay

$34

The nation: $47

20% cut

Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 86 of 718 here Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 718 cut nationally · 86 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 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 West South Central: 86 cut of 438 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
Arkansas3914
Louisiana7625
Oklahoma6815
Texas25532

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. 19.6% of hospitals here scored past CMS’s line, against 24.9% nationally; the middle score here is −0.1826, and nationally −0.0453.
0%5%10%15% −1.6 to −1.4: 2% here, 1% nationally−1.4 to −1.2: 1% here, 1% nationally−1.2 to −1.0: 3% here, 2% nationally−1.0 to −0.8: 6% here, 4% nationally−0.8 to −0.6: 10% here, 7% nationally−0.6 to −0.4: 11% here, 10% nationally−0.4 to −0.2: 16% here, 12% nationally−0.2 to 0.0: 13% here, 14% nationally0.0 to 0.2: 12% here, 12% nationally0.2 to 0.4: 8% here, 12% nationally0.4 to 0.6: 6% here, 8% nationally0.6 to 0.8: 4% here, 6% nationally0.8 to 1.0: 3% here, 4% nationally1.0 to 1.2: 3% 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: 1% here, 0% nationally2.2 to 2.4: 2% 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: 1% here, 1% nationally−1.2 to −1.0: 3% here, 2% nationally−1.0 to −0.8: 6% here, 4% nationally−0.8 to −0.6: 10% here, 7% nationally−0.6 to −0.4: 11% here, 10% nationally−0.4 to −0.2: 16% here, 12% nationally−0.2 to 0.0: 13% here, 14% nationally0.0 to 0.2: 12% here, 12% nationally0.2 to 0.4: 8% here, 12% nationally0.4 to 0.6: 6% here, 8% nationally0.6 to 0.8: 4% here, 6% nationally0.8 to 1.0: 3% here, 4% nationally1.0 to 1.2: 3% 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: 1% here, 0% nationally2.2 to 2.4: 2% 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
−1.6−1.4840
−1.4−1.2517
−1.2−1.01151
−1.0−0.828126
−0.8−0.642204
−0.6−0.447290
−0.4−0.268357
−0.20.055407
0.00.251343
0.20.437333
0.40.628237
0.60.816173
0.81.012116
1.01.21291
1.21.4230
1.41.6021
1.61.8110
1.82.013
2.02.2413
2.22.41024

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 (53% of its hospitals above the national median); best on CDI (32%).

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

Show table
MeasureHospitals with a valueHalf
PSI 9040649%
CLABSI26247%
CAUTI29139%
SSI28449%
CDI37032%
MRSA23953%

The West South Central across the line

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

Figure 4. 12 of the nation’s 141 hospitals within 0.05 of CMS’s line that this site estimates are the West South Central’s: 7 cut, about $3.9M by this site’s estimate, and 5 not cut, where a cut would have been about $3.4M.
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 Faith Community Hospital, Jacksboro, TX: score 0.3315; a cut would have been $31KCHRISTUS Santa Rosa Medical Center, San Antonio, TX: score 0.3349; a cut would have been $932KMedical City Lewisville, Lewisville, TX: score 0.3494; a cut would have been $210KHarris Health, Houston, TX: score 0.3776; a cut would have been $2.0MNorth Oaks Medical Center, Hammond, LA: score 0.379; a cut would have been $295KSpringhill Medical Center, Springhill, LA: score 0.3887; cut $20KJPS Health Network, Fort Worth, TX: score 0.3934; cut $1.3MSt Marys Regional Medical Center, Russellville, AR: score 0.3993; cut $113KUnited Regional Health Care System, Wichita Falls, TX: score 0.4055; cut $746KMethodist Dallas Medical Center, Dallas, TX: score 0.408; cut $582KHillcrest Hospital Pryor, Pryor, OK: score 0.4226; cut $18KAscension St John Medical Center, Tulsa, OK: score 0.4282; cut $1.1M 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 South Central, year by year

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

Figure 5. The West South Central’s share cut was above the nation’s in 0 of the 11 years CMS cut anyone; 385 of its 591 hospitals have been cut at least once.
201520162017201820192020202120222023202420252026 No hospital scored or cut 13.9% · 21.9%18.8% · 23.4%20.4% · 24.0%19.8% · 23.6%22.0% · 25.0%20.7% · 25.0%19.7% · 24.9%16.8% · 25.0%23.8% · 24.9%20.8% · 24.8%19.6% · 24.9% Ever cut: 385 Never cut: 206 201520162017201820192020202120222023202420252026 No hospital scored or cut 13.9% · 21.9%18.8% · 23.4%20.4% · 24.0%19.8% · 23.6%22.0% · 25.0%20.7% · 25.0%19.7% · 24.9%16.8% · 25.0%23.8% · 24.9%20.8% · 24.8%19.6% · 24.9% Ever cut: 385 Never cut: 206

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
FY20155277313.9%21.9%
FY20165119618.8%23.4%
FY201751010420.4%24.0%
FY201850410019.8%23.6%
FY201951411322.0%25.0%
FY202049710320.7%25.0%
FY20214829519.7%24.9%
FY20224768016.8%25.0%
FY202300
FY202444510623.8%24.9%
FY20254429220.8%24.8%
FY20264388619.6%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)
Arkansas3914−0.0371$4.8M
Louisiana76250.0583$4.8M
Oklahoma6815−0.1556$4.5Mfrom 14 of its 15 cut hospitals
Texas25532−0.2368$10.4Mfrom 30 of its 32 cut hospitals

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