P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalBayCare Hospital Wesley Chapel Estimated FY2026 net: +$5K×

Hospital record · FY2026CCN 100362

1Hospital

BayCare Hospital Wesley Chapel

2Location

Wesley Chapel, FL (Florida’s hospitals on the map and in the table) 33544

Pasco County

3Type

Not a teaching hospital · 86 beds · For-profit · Urban

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

−0.1369

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $66K, likely $48⁠–⁠82K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of −0.1369 for BayCare Hospital Wesley Chapel and a payment reduction decision of No.

A cut would have taken about $66K estimate 1% of about $6.6M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year. Its score was 0.5168 under 0.3799, the lowest score CMS cut.

Likely range $48–82K

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: −0.1369 This hospital −0.1369 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: −0.1369 This hospital −0.1369

Higher than 43% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Never cut in 2 years

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

In FY2025, CMS reports a payment reduction decision for this hospital but no Total HAC Score.

Where the score came from

CMS scored this hospital on 3 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 SSI down to the national median (0.795) would lower the score the most: by 0.0485, to −0.1854. Try it in the what-if

Figure 1. Of its 3 measures with a value, this hospital is above the national median on 2; SSI added the most to its score.
  • 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 51% 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 value0.9659

    Z-score−0.1573

    Part of score−0.0524

  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.

    added the most

    Surgical site infections after colon surgery or abdominal hysterectomy

    Worse than 56% of the other 2,269 hospitals

    CMS value0.880

    Z-score0.0510

    Part of score+0.0170

  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

    Better than 57% of the other 2,766 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 0.0071. How this site estimates

    CMS value0.299

    Z-score−0.3044

    Part of score−0.1015

  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 900.96590.9623−0.1573−0.0524Worse than 51% 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
SSI0.8800.7950.0510+0.0170Worse than 56% of the other 2,269 hospitals
CDI0.2990.346−0.3044−0.1015Better than 57% of the other 2,766 hospitals
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 3; a bar right of zero raised the score and one left of zero lowered it.

(−0.1573PSI 90+0.0510SSI−0.3044CDI)÷3measures=−0.1369Total HAC Score

Added from the rounded z‑scores CMS published, the parts make −0.1369; CMS reports −0.1369. The small difference is rounding.

This hospital’s score is 0.5168 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to −0.1369, below CMS’s line.
1% cut PSI 90: z‑score −0.1573 divided by 3 = −0.0524PSI 90−0.0524 SSI: z‑score 0.0510 divided by 3 = +0.0170SSI+0.0170 CDI: z‑score −0.3044 divided by 3 = −0.1015CDI−0.1015 Total HAC Score: −0.1369Score−0.1369 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.2−0.10.00.10.20.30.4 1% cut PSI 90: z‑score −0.1573 divided by 3 = −0.0524PSI 90−0.0524 SSI: z‑score 0.0510 divided by 3 = +0.0170SSI+0.0170 CDI: z‑score −0.3044 divided by 3 = −0.1015CDI−0.1015 Total HAC Score: −0.1369Score−0.1369 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.2−0.10.00.10.20.30.4

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 90−0.1573−0.0524−0.0524
SSI0.0510+0.0170−0.0354
CDI−0.3044−0.1015−0.1369
Total HAC Score−0.1369
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, 0.5168 under the lowest score CMS cut, costs it nothing; 0.5168 higher, the cut would have been about $66K 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 $66K at any score from 0.3799 $0at any score up to 0.3792 $66K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: −0.1369 This hospital −0.1369 CMS’s line $0 at any score up to 0.3792 $66K at any score from 0.3799 $0at any score up to 0.3792 $66Kat 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: −0.1369 This hospital −0.1369

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−$65,965
This hospital−0.1369$0
CMS’s highest score2.3133−$65,965

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.

($6,591,459payment+$0readmissions+$5,073value-based)×1%the cut=$65,965at stake

$65,965at stake÷537traditional Medicare stays=$123per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $66K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to $0 and +$5K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $5,526,384
Many low-income patients (disproportionate share) $60,845
Outliers: unusually costly stays $365,128
Capital: buildings and equipment $639,102
Total, before the three programs $6,591,459
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (1.0000 − 1) $0
Value-based purchasing (HVBP) base × (1.0009 − 1) +$5,073
After these two $6,596,532
HAC Reduction Program no cut; 1% would have been $65,965 $0
Net of the three programs likely $4⁠–⁠6K +$5,073

Not paid to this hospital: a Medicare-dependent hospital add-on, teaching 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)$5,526,384
Many low-income patients (disproportionate share)$60,845
Outliers: unusually costly stays$365,128
Capital: buildings and equipment$639,102
Total, before the three programs$6,591,459
Readmissions (HRRP) (base × (1.0000 − 1))$0
Value-based purchasing (HVBP) (base × (1.0009 − 1))+$5,073
After these two$6,596,532
HAC Reduction Program (no cut; 1% would have been $65,965)$0
Net of the three programs (likely $4–6K)+$5,073

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−0.1369same
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 −0.1369 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 $66K 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 1.1875
SSIup to 1.783
CDIup to 0.698

Each measure weighs 1 ÷ 3 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 0.9659 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.2327

CMS 0.880 · median 0.795 · cap 2.118 · each 0.1 = 0.0571

CMS 0.299 · median 0.346 · cap 0.944 · each 0.1 = 0.1291

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Figure 5. SSI added the most to this hospital’s Total HAC Score of −0.1369 among its measured results: +0.0170.
  • PSI 90 −0.0524
  • SSI +0.0170
  • CDI −0.1015

A measure adds its z‑score divided by 3, 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 90−0.1573−0.0524same
SSI0.0510+0.0170same
CDI−0.3044−0.1015same

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.

Its infections, year by year

This hospital’s infection rate against prediction for each calendar year Care Compare published one, on each measure with at least two years of results (black), over the nation’s middle hospital (gray). Below the dashed line at one, fewer infections than predicted. Each year is measured against the same fixed baseline, not against other hospitals, so unlike the score they can all improve at once.

Figure 6. 0 of its 1 infection measures ended lower than they started.
C. diff 0.00 → 0.49 1as predicted 0 ’18’21’24 Nation’s middle C. diff, 2023: 0.000C. diff, 2024: 0.489 C. diff 0.00 → 0.49 1as predicted 0 ’18’20’22’24 Nation’s middle C. diff, 2023: 0.000C. diff, 2024: 0.489

Source: CMS Care Compare, healthcare-associated infections by hospital, calendar years 2017 to 2024 (Provider Data Catalog archives; the oldest year through the Internet Archive’s copy).

Show table
Calendar yearC. diff
20230.000
20240.489

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 Florida, its score is higher than 56% of the other 164 scored there.

In Tampa, FL area, its score is higher than 68% of the other 16 scored there.

Figure 7. Its score is above the middle in 3 of the 8 groups it belongs to; the share cut runs from 11% (Florida) to 28% (Fewer than 100 beds).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut South region: CMS cut 263 of 1,174 (22%); middle score −0.1056South region 1,174 hospitals22% cut Florida: CMS cut 18 of 165 (11%); middle score −0.1935Florida 165 hospitals11% cut Tampa, FL area: CMS cut 2 of 17 (12%); middle score −0.4655Tampa, FL area 17 hospitals12% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching 1,563 hospitals25% cut Fewer than 100 beds: CMS cut 225 of 805 (28%); middle score −0.1154Fewer than 100 beds 805 hospitals28% cut For-profit: CMS cut 98 of 651 (15%); middle score −0.2590For-profit 651 hospitals15% cut Urban: CMS cut 510 of 2,241 (23%); middle score −0.0574Urban 2,241 hospitals23% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1012 This hospital: −0.1369 This hospital −0.1369 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut South region: CMS cut 263 of 1,174 (22%); middle score −0.1056South region1,174 hospitals22% cut Florida: CMS cut 18 of 165 (11%); middle score −0.1935Florida165 hospitals11% cut Tampa, FL area: CMS cut 2 of 17 (12%); middle score −0.4655Tampa, FL area17 hospitals12% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching1,563 hospitals25% cut Fewer than 100 beds: CMS cut 225 of 805 (28%); middle score −0.1154Fewer than 100 beds805 hospitals28% cut For-profit: CMS cut 98 of 651 (15%); middle score −0.2590For-profit651 hospitals15% cut Urban: CMS cut 510 of 2,241 (23%); middle score −0.0574Urban2,241 hospitals23% 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: −0.1369 This hospital −0.1369

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%−0.045343%
South region1,17426322%−0.105648%
Florida1651811%−0.193556%
Tampa, FL area17212%−0.465568%
Not teaching1,56338925%−0.105348%
Fewer than 100 beds80522528%−0.115448%
For-profit6519815%−0.259058%
Urban2,24151023%−0.057444%
This hospital−0.1369
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 1 of the 8 nearest hospitals; the closest is 2 miles away.
5 mi10 mi8. South Florida Baptist Hospital, Plant City: score 0.3639, not cut, 19 miles87. HCA Florida Trinity Hospital, Trinity: score −0.4239, not cut, 19 miles76. St Josephs Hospital, Tampa: score −0.4870, not cut, 19 miles65. AdventHealth Carrollwood, Tampa: score −0.9093, not cut, 17 miles54. AdventHealth Dade City, Dade City: score −1.0729, not cut, 13 miles43. AdventHealth Tampa, Tampa: score 0.4057, cut, 11 miles32. Adventhealth Zephyrhills, Zephyrhills: score −0.5141, not cut, 8 miles21. AdventHealth Wesley Chapel, Wesley Chapel: score −0.4998, not cut, 2 miles1This hospital: BayCare Hospital Wesley Chapel

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

Show table
HospitalMilesScoreDecision
AdventHealth Wesley Chapel, Wesley Chapel, FL2−0.4998not cut
Adventhealth Zephyrhills, Zephyrhills, FL8−0.5141not cut
AdventHealth Tampa, Tampa, FL110.4057cut
AdventHealth Dade City, Dade City, FL13−1.0729not cut
AdventHealth Carrollwood, Tampa, FL17−0.9093not cut
St Josephs Hospital, Tampa, FL19−0.4870not cut
HCA Florida Trinity Hospital, Trinity, FL19−0.4239not cut
South Florida Baptist Hospital, Plant City, FL190.3639not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1AdventHealth Wesley ChapelWesley Chapel, FL2−0.4998No cut$0Above the national median on 1 of 6 measures
2Adventhealth ZephyrhillsZephyrhills, FL8−0.5141No cut$0Above the national median on 1 of 6 measures
3AdventHealth TampaTampa, FL110.40571% cut$847KAbove the national median on 4 of 6 measures
4AdventHealth Dade CityDade City, FL13−1.0729No cut$0Above the national median on 0 of 6 measures
5AdventHealth CarrollwoodTampa, FL17−0.9093No cut$0Above the national median on 0 of 6 measures
6St Josephs HospitalTampa, FL19−0.4870No cut$0Above the national median on 1 of 6 measures
7HCA Florida Trinity HospitalTrinity, FL19−0.4239No cut$0Above the national median on 1 of 6 measures
8South Florida Baptist HospitalPlant City, FL190.3639No cut$0Above the national median on 4 of 6 measures

CMS’s footnotes on this page

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

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. BayCare Hospital Wesley Chapel, Wesley Chapel, FL: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/100362/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.