P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalStanislaus Surgical Hospital Estimated FY2026 net: $0×

Hospital record · FY2026CCN 050726

1Hospital

Stanislaus Surgical Hospital

2Location

Modesto, CA (California’s hospitals on the map and in the table) 95355

Stanislaus County

3Type

23 beds · Nonprofit

4Care Compare stars

Not Available

Overall rating, CMS Care Compare data of July 22, 2026
CMS footnote 16: There are too few measures or measure groups reported to calculate a star rating or measure group score.
Open on Care Compare (opens in a new tab)

5Total HAC Score

−0.1162

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $4K, likely $3⁠–⁠5K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of −0.1162 for Stanislaus Surgical Hospital and a payment reduction decision of No.

A cut would have taken about $4K estimate 1% of about $439K, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year. Its score was 0.4961 under 0.3799, the lowest score CMS cut.

Likely range $3–5K

Its score was at or below CMS’s line, so this program did not cut its Medicare payments for the year. The score compares hospitals with each other; it is not a grade of the quality of care.

CMS cut scores of 0.3799 and above.

Each year CMS cuts the hospitals with the highest quarter of scores, those above the 75th percentile, so the line moves with other hospitals’ scores.

highest 2.3133 1% cut Middle hospital: −0.0453 Middle hospital−0.0453 CMS’s line: 0.3799 and up CMS’s line0.3799 and up This hospital: −0.1162 This hospital −0.1162 lowest −1.4728 highest 2.3133 1% cut Middle hospital: −0.0453 Middle hospital−0.0453 CMS’s line: 0.3799 and up CMS’s line0.3799 and up This hospital: −0.1162 This hospital −0.1162

Higher than 44% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 2 of 11 years

  1. 15Cut
  2. 16Cut
  3. 17No
  4. 18No
  5. 19No
  6. 20No
  7. 21No
  8. 22No
  9. 23—
  10. 24No
  11. 25No
  12. 26No

CMS scored this hospital on a single measure, so that measure alone set its Total HAC Score.

Where the score came from

CMS scored this hospital on 1 of the 6 measures. On every measure a lower value is better. Each row puts the hospital among every hospital with a value: the gray columns are those hospitals, the tall tick is the national median, and the hatched ends score the same as CMS’s floor or cap.

Bringing PSI 90 down to the national median (0.9623) would lower the score the most: by 0.0663, to −0.1825. Try it in the what-if

Figure 1. This hospital has a published value for one measure, PSI 90, and it is above the national median.
  • This hospital
  • National median
  • Scores the same as CMS’s floor or cap
  1. PSI 90 (what it counts)

    Safety problems such as serious bedsores, falls that break a bone and blood clots after surgery, found by CMS in traditional Medicare claims. A value of 1 matches the national composite value.

    Patient safety and adverse events composite

    Worse than 54% of the other 2,808 hospitals

    estimate

    This site recomputes this measure’s z‑score from CMS’s published value. The recompute can differ from CMS’s z‑score by up to 0.0021. How this site estimates

    CMS value0.9718

    Z-score−0.1162

    Part of score−0.1162

  2. CLABSI (what it counts)

    Bloodstream infections tied to a central line, a tube often placed in a large vein in the neck, chest or groin. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Central line–associated bloodstream infections

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  3. CAUTI (what it counts)

    Urinary tract infections that start from a urinary catheter, a tube that drains the bladder. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Catheter-associated urinary tract infections

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  4. SSI (what it counts)

    Deep infections at the site of colon surgery or an abdominal hysterectomy, within a month of the operation, pooled into one measure. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Surgical site infections after colon surgery or abdominal hysterectomy

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  5. CDI (what it counts)

    C. diff infections, which cause diarrhea and inflammation of the colon, found by a lab test and starting in the hospital. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Clostridioides difficile (C. diff) infections

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  6. MRSA (what it counts)

    Bloodstream infections with MRSA, a germ that resists several antibiotics, found by a lab test and starting in the hospital. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    MRSA bloodstream infections

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.97180.9623−0.1162−0.1162Worse than 54% of the other 2,808 hospitals
CLABSIno value published0.559no value publishedno value publishedNot scored on this measure
CAUTIno value published0.489no value publishedno value publishedNot scored on this measure
SSIno value published0.795no value publishedno value publishedNot scored on this measure
CDIno value published0.346no value publishedno value publishedNot scored on this measure
MRSAno value published0.641no value publishedno value publishedNot scored on this measure

How the parts add up

CMS adds the z‑scores and divides by the number of measures scored, so each measure counts the same. Each bar below is one z‑score divided by 1; a bar right of zero raised the score and one left of zero lowered it.

(−0.1162PSI 90)÷1measures=−0.1162Total HAC Score

Added from the rounded z‑scores CMS published, the parts make −0.1162; CMS reports −0.1162. The small difference is rounding.

This hospital’s score is 0.4961 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to −0.1162, below CMS’s line.
1% cut PSI 90: z‑score −0.1162 divided by 1 = −0.1162PSI 90−0.1162 Total HAC Score: −0.1162Score−0.1162 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.10.00.10.20.30.4 1% cut PSI 90: z‑score −0.1162 divided by 1 = −0.1162PSI 90−0.1162 Total HAC Score: −0.1162Score−0.1162 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.10.00.10.20.30.4

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

Show table
MeasureZ-scorePart of the scoreRunning total
PSI 90−0.1162−0.1162−0.1162
Total HAC Score−0.1162
CMS’s line0.37920.3799

The money is a cliff

This program’s cut doesn’t grow with the score. Over CMS’s line, CMS cuts 1% of what traditional Medicare pays a hospital for inpatient stays that year; at or under the line, this program cuts nothing.

The chart draws what the cut would be for this hospital at any Total HAC Score, from this site’s estimate of its payments, with its own score marked.

Figure 3. The cut is a cliff, not a slope: this hospital’s score, 0.4961 under the lowest score CMS cut, costs it nothing; 0.4961 higher, the cut would have been about $4K by this site’s estimate, the same as at CMS’s highest score, 2.3133.
CMS’s line $0 at any score up to 0.3792 $4K at any score from 0.3799 $0at any score up to 0.3792 $4K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: −0.1162 This hospital −0.1162 CMS’s line $0 at any score up to 0.3792 $4K at any score from 0.3799 $0at any score up to 0.3792 $4Kat any score from 0.3799 −1.0−0.50.00.51.01.52.0 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: −0.1162 This hospital −0.1162

Under the axis, every Total HAC Score CMS published: 306 of the 2,929 scored within 0.1 of CMS’s line, on one side or the other.

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
ScoreTotal HAC ScoreEstimated HAC cut (whole dollars)
Any score up to 0.37920.3792$0
Any score from 0.37990.3799−$4,388
This hospital−0.1162$0
CMS’s highest score2.3133−$4,388

The money, line by line

This site estimates what traditional Medicare pays the hospital for a year of inpatient stays, from CMS’s FY2026 payment files, then applies Medicare’s three hospital quality programs: the readmissions and value-based adjustments to the base payment, and the HAC cut last, as the law sets.

The readmissions and value-based programs adjust only the base payment: the DRG rates times the hospital’s cases, and a Medicare-dependent hospital’s add-on. The HAC cut comes last and takes 1% of everything left, teaching, low-income-patient, outlier, capital and uncompensated care payments included.

($438,811payment+$0readmissions+$0value-based)×1%the cut=$4,388at stake

$4,388at stake÷22traditional Medicare stays=$199per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $4K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to $0 and $0.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $358,744
Outliers: unusually costly stays $45,223
Capital: buildings and equipment $34,844
Total, before the three programs $438,811
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (1.0000 − 1) $0
Value-based purchasing (HVBP) not in CMS’s value-based factors: no adjustment $0
After these two $438,811
HAC Reduction Program no cut; 1% would have been $4,388 $0
Net of the three programs $0

Not paid to this hospital: a Medicare-dependent hospital add-on, teaching payments, low-income-patient payments, a sole community hospital rate difference, a low-volume adjustment, and uncompensated care payments.

Whole dollars, so every line adds up; the estimate is not that precise. Each likely range spans the middle 80% of the misses this site’s estimate made for similar hospitals (or for a wider group, where there were too few) when it was checked against their FY2024 cost reports: one year’s check, not a promise of how often a hospital’s actual figure lands inside.

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
LineAmount (whole dollars)
DRG payments at the federal rates (the base)$358,744
Outliers: unusually costly stays$45,223
Capital: buildings and equipment$34,844
Total, before the three programs$438,811
Readmissions (HRRP) (base × (1.0000 − 1))$0
Value-based purchasing (HVBP) (not in CMS’s value-based factors: no adjustment)$0
After these two$438,811
HAC Reduction Program (no cut; 1% would have been $4,388)$0
Net of the three programs$0

What if a measure were different?

Change a measure’s value to see how this site recomputes the Total HAC Score, the payment reduction decision and, by its estimate, the money, starting from CMS’s values. The money doesn’t slide with the score: it drops off a cliff at CMS’s line.

The what-if needs JavaScript. Without it, the values below stay as they are.

Show table
CMS reportsHypothetical
Total HAC Score−0.1162same
Payment reduction decisionNosame
Payment cut0%same
Estimated HAC cut estimate$0same

CMS’s line: between 0.3792 and 0.3799

The faint ticks are CMS’s line in earlier years under the same formula, from about 0.300 (FY2022) to about 0.375 (FY2024). The line moves every year, so a hospital can cross it without changing anything.

CMS reports a Total HAC Score of −0.1162 and a payment reduction decision of No.

A what-if shows the formula’s arithmetic, not what a hospital could realistically change or how. CMS’s real result also depends on other hospitals.

How much cushion?

Staying at or under CMS’s line keeps about $4K out of this program’s cut, this site estimates: a score a hair over would cost all of it.

From CMS’s values, one measure at a time, with every other measure held at CMS’s value.

MeasureHighest value that keeps No
PSI 90up to 1.0426

Each measure weighs 1 ÷ 1 of the score.

Measure values

SIR 1.0 = as many infections as predicted · Lower is better

On each track the tick is the national median; shaded values score the same as the floor or cap, as this site fits them to CMS’s values.

CMS 0.9718 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.6981

Figure 5. Each bar is one measure’s part of this hospital’s Total HAC Score of −0.1162: its z‑score divided by 1, the number of measures scored.
  • PSI 90 −0.1162

A measure adds its z‑score divided by 1, the number of measures scored. Bars right of the center line raise the score. Hatched: assigned by CMS.

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

Show table
MeasureZ-scorePart of the scoreHypothetical
PSI 90−0.1162−0.1162same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/050726/

Among hospitals with a Yes or No payment decision, CMS cut those with a published Total HAC Score of 0.3799 or higher and none at 0.3792 or lower. Maryland’s hospitals are scored but not subject to the reduction.

Held fixed: every other hospital’s results, CMS’s line, and each measure’s mean, spread, floor and cap as this site fits them to CMS’s published values.

Year by year

Where this hospital’s score fell among every hospital’s, each year CMS published one. A score near the top is among the highest; the shaded band is where CMS cut. Places compare across years even where CMS changed how it builds the score.

Its longest run: cut 2 years in a row.

Figure 6. CMS cut this hospital in 2 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 8.0000, higher than 88% of scores; cutFY2016: score 8.0000, higher than 89% of scores; cutFY2017: score 1.4500, higher than 1% of scores; not cutFY2018: score −0.8101, higher than 11% of scores; not cutFY2019: score −0.7609, higher than 13% of scores; not cutFY2020: score −0.6776, higher than 13% of scores; not cutFY2021: score −0.4433, higher than 22% of scores; not cutFY2022: score −0.2441, higher than 34% of scores; not cutFY2024: score −0.1738, higher than 40% of scores; not cutFY2025: score −0.2056, higher than 37% of scores; not cutFY2026: score −0.1162, higher than 44% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 8.0000, higher than 88% of scores; cutFY2016: score 8.0000, higher than 89% of scores; cutFY2017: score 1.4500, higher than 1% of scores; not cutFY2018: score −0.8101, higher than 11% of scores; not cutFY2019: score −0.7609, higher than 13% of scores; not cutFY2020: score −0.6776, higher than 13% of scores; not cutFY2021: score −0.4433, higher than 22% of scores; not cutFY2022: score −0.2441, higher than 34% of scores; not cutFY2024: score −0.1738, higher than 40% of scores; not cutFY2025: score −0.2056, higher than 37% of scores; not cutFY2026: score −0.1162, higher than 44% of scores; not cut 151617181920212223242526

● Red: a year CMS cut it ○ Hollow: a year it didn’t

This site recomputes · 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 yearTotal HAC ScoreHigher than this share of scoresPayment reduction
FY20158.000088.5%cut
FY20168.000089.1%cut
FY20171.45001.8%not cut
FY2018−0.810111.6%not cut
FY2019−0.760913.3%not cut
FY2020−0.677613.9%not cut
FY2021−0.443322.2%not cut
FY2022−0.244134.6%not cut
FY2023no decision
FY2024−0.173840.2%not cut
FY2025−0.205637.5%not cut
FY2026−0.116244.8%not cut

Among hospitals like it

Each row is a group this hospital belongs to, drawn from every hospital in it with a payment decision. Red columns are hospitals past CMS’s line, the ones CMS cut; the short tick is the group’s middle score.

In California, its score is higher than 42% of the other 276 scored there.

Figure 7. Its score is below the middle in all 5 groups it belongs to; the share cut runs from 25% (All hospitals) to 28% (Fewer than 100 beds).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut West region: CMS cut 157 of 593 (26%); middle score −0.0302West region 593 hospitals26% cut California: CMS cut 76 of 277 (27%); middle score −0.0217California 277 hospitals27% cut Fewer than 100 beds: CMS cut 225 of 805 (28%); middle score −0.1154Fewer than 100 beds 805 hospitals28% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit 1,830 hospitals26% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1012 This hospital: −0.1162 This hospital −0.1162 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut West region: CMS cut 157 of 593 (26%); middle score −0.0302West region593 hospitals26% cut California: CMS cut 76 of 277 (27%); middle score −0.0217California277 hospitals27% cut Fewer than 100 beds: CMS cut 225 of 805 (28%); middle score −0.1154Fewer than 100 beds805 hospitals28% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit1,830 hospitals26% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1.5−1.0−0.50.00.51.01.52.0 This hospital: −0.1162 This hospital −0.1162

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

Show table
GroupWith a decisionHospitals cutShare cutMiddle scoreHospital higher than
All hospitals2,88671825%−0.045344%
West region59315726%−0.030243%
California2777627%−0.021742%
Fewer than 100 beds80522528%−0.115449%
Nonprofit1,83047826%−0.013442%
This hospital−0.1162
CMS’s line0.37920.3799

The nearest hospitals

The 8 closest hospitals with a Total HAC Score, in a straight line. The squares are each hospital’s measures in order: filled, above the national median; open, at or below it; hatched, assigned by CMS; blank, not scored.

Figure 8. CMS cut 2 of the 8 nearest hospitals; the closest is about a mile away.
5 mi10 mi25 mi8. Sutter Tracy Community Hospital, Tracy: score −0.3061, not cut, 27 miles87. San Joaquin General Hospital, French Camp: score 0.2186, not cut, 24 miles76. Kaiser Foundation Hospital Manteca, Manteca: score −0.2814, not cut, 18 miles65. Doctors Hospital of Manteca, Manteca: score 0.7677, cut, 16 miles54. Emanuel Medical Center, Turlock: score −0.4847, not cut, 12 miles43. Oak Valley Hospital District, Oakdale: score 1.0591, cut, 8 miles32. Doctors Medical Center, Modesto: score 0.2392, not cut, 2 miles21. Memorial Medical Center, Modesto: score −0.1466, not cut, about a mile1This hospital: Stanislaus Surgical Hospital

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

Show table
HospitalMilesScoreDecision
Memorial Medical Center, Modesto, CA1−0.1466not cut
Doctors Medical Center, Modesto, CA20.2392not cut
Oak Valley Hospital District, Oakdale, CA81.0591cut
Emanuel Medical Center, Turlock, CA12−0.4847not cut
Doctors Hospital of Manteca, Manteca, CA160.7677cut
Kaiser Foundation Hospital Manteca, Manteca, CA18−0.2814not cut
San Joaquin General Hospital, French Camp, CA240.2186not cut
Sutter Tracy Community Hospital, Tracy, CA27−0.3061not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Memorial Medical CenterModesto, CA1−0.1466No cut$0Above the national median on 2 of 6 measures
2Doctors Medical CenterModesto, CA20.2392No cut$0Above the national median on 3 of 6 measures
3Oak Valley Hospital DistrictOakdale, CA81.05911% cut$23KAbove the national median on 2 of 2 measures
4Emanuel Medical CenterTurlock, CA12−0.4847No cut$0Above the national median on 2 of 6 measures
5Doctors Hospital of MantecaManteca, CA160.76771% cut$115KAbove the national median on 4 of 5 measures
6Kaiser Foundation Hospital MantecaManteca, CA18−0.2814No cut$0Above the national median on 1 of 6 measures
7San Joaquin General HospitalFrench Camp, CA240.2186No cut$0Above the national median on 3 of 6 measures
8Sutter Tracy Community HospitalTracy, CA27−0.3061No cut$0Above the national median on 2 of 6 measures

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

CMS’s footnotes on this page

13
Results cannot be calculated for this reporting period.
5
Results are not available for this reporting period.

How the program works, and how to find another hospital

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. Stanislaus Surgical Hospital, Modesto, CA: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/050726/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.