P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalPikeville Medical Center Estimated FY2026 net: −$889K×

Hospital record · FY2026CCN 180044

1Hospital

Pikeville Medical Center

2Location

Pikeville, KY (Kentucky’s hospitals on the map and in the table) 41501

Pike County

3Type

Not a teaching hospital · 340 beds · Nonprofit · Rural · Rural referral center · Sole community hospital

4Care Compare stars

1 of 5 stars

Overall rating, CMS Care Compare data of July 22, 2026
Open on Care Compare (opens in a new tab)

5Total HAC Score

1.0519

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$491K estimate
Likely $400⁠–⁠534K; about $176 per traditional Medicare stay

Cut 1%

$491K

cut from its FY2026 Medicare inpatient payments, this site estimates estimate

For fiscal year 2026, CMS reports a Total HAC Score of 1.0519 for Pikeville Medical Center and a payment reduction decision of Yes.

That is 1% of about $49.1M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year: about $176 per traditional Medicare stay.

Likely range $400–534K

Its score was above CMS’s line, so CMS cut its Medicare inpatient payments by 1% 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.

lowest −1.4728 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: 1.0519 This hospital 1.0519 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: 1.0519 This hospital 1.0519

Higher than 94% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 3 of 11 years

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

Where the score came from

CMS scored this hospital on all 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 0.4490, to 0.6029. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 5; PSI 90 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.

    added the most

    Patient safety and adverse events composite

    Worse than 99% 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 value1.7387

    Z-score2.5111

    Part of score+0.4185

  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

    Better than 64% of the other 2,181 hospitals

    CMS value0.412

    Z-score−0.4507

    Part of score−0.0751

  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

    Worse than 88% of the other 2,354 hospitals

    CMS value1.093

    Z-score1.3161

    Part of score+0.2194

  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

    Worse than 85% of the other 2,269 hospitals

    CMS value1.546

    Z-score1.1918

    Part of score+0.1986

  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

    Worse than 90% 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 value0.788

    Z-score1.5890

    Part of score+0.2648

  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

    Worse than 61% of the other 2,067 hospitals

    CMS value0.771

    Z-score0.1540

    Part of score+0.0257

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.73870.96232.5111+0.4185Worse than 99% of the other 2,808 hospitals
CLABSI0.4120.559−0.4507−0.0751Better than 64% of the other 2,181 hospitals
CAUTI1.0930.4891.3161+0.2194Worse than 88% of the other 2,354 hospitals
SSI1.5460.7951.1918+0.1986Worse than 85% of the other 2,269 hospitals
CDI0.7880.3461.5890+0.2648Worse than 90% of the other 2,766 hospitals
MRSA0.7710.6410.1540+0.0257Worse than 61% of the other 2,067 hospitals

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 6; a bar right of zero raised the score and one left of zero lowered it.

(2.5111PSI 90−0.4507CLABSI+1.3161CAUTI+1.1918SSI+1.5890CDI+0.1540MRSA)÷6measures=1.0519Total HAC Score

This hospital’s score is 0.6727 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 1.0519, above CMS’s line.
1% cut PSI 90: z‑score 2.5111 divided by 6 = +0.4185PSI 90+0.4185 CLABSI: z‑score −0.4507 divided by 6 = −0.0751CLABSI−0.0751 CAUTI: z‑score 1.3161 divided by 6 = +0.2194CAUTI+0.2194 SSI: z‑score 1.1918 divided by 6 = +0.1986SSI+0.1986 CDI: z‑score 1.5890 divided by 6 = +0.2648CDI+0.2648 MRSA: z‑score 0.1540 divided by 6 = +0.0257MRSA+0.0257 Total HAC Score: 1.0519Score1.0519 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.20.40.60.81.01.2 1% cut PSI 90: z‑score 2.5111 divided by 6 = +0.4185PSI 90+0.4185 CLABSI: z‑score −0.4507 divided by 6 = −0.0751CLABSI−0.0751 CAUTI: z‑score 1.3161 divided by 6 = +0.2194CAUTI+0.2194 SSI: z‑score 1.1918 divided by 6 = +0.1986SSI+0.1986 CDI: z‑score 1.5890 divided by 6 = +0.2648CDI+0.2648 MRSA: z‑score 0.1540 divided by 6 = +0.0257MRSA+0.0257 Total HAC Score: 1.0519Score1.0519 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.20.40.60.81.01.2

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 902.5111+0.41850.4185
CLABSI−0.4507−0.07510.3434
CAUTI1.3161+0.21940.5628
SSI1.1918+0.19860.7614
CDI1.5890+0.26481.0262
MRSA0.1540+0.02571.0519
Total HAC Score1.0519
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, 0.6727 over the highest score CMS didn’t cut, costs it about $491K by this site’s estimate, and at CMS’s highest score, 2.3133, the cut would be the same.
CMS’s line $0 at any score up to 0.3792 $491K at any score from 0.3799 $0at any score up to 0.3792 $491K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 1.0519 This hospital 1.0519 CMS’s line $0 at any score up to 0.3792 $491K at any score from 0.3799 $0at any score up to 0.3792 $491Kat 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: 1.0519 This hospital 1.0519

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−$491,401
This hospital1.0519−$491,401
CMS’s highest score2.3133−$491,401

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.

($49,537,763payment−$274,341readmissions−$123,274value-based)×1%the cut=$491,401HAC cut

$491,401HAC cut÷2,786traditional Medicare stays=$176per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $491K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to −$274K and −$123K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $31,533,498
Teaching (indirect medical education) $113,521
Many low-income patients (disproportionate share) $1,627,128
Outliers: unusually costly stays $2,415,466
Sole community hospital rate difference $11,252,017
Capital: buildings and equipment $2,596,133
Total, before the three programs $49,537,763
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9913 − 1) −$274,341
Value-based purchasing (HVBP) base × (0.9961 − 1) −$123,274
After these two $49,140,148
HAC Reduction Program 1% of everything above; likely $400⁠–⁠534K −$491,401
Net of the three programs likely −$967K to −$751K −$889,016

Not paid to this hospital: a Medicare-dependent hospital add-on, teaching payments on Medicare Advantage stays, 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)$31,533,498
Teaching (indirect medical education)$113,521
Many low-income patients (disproportionate share)$1,627,128
Outliers: unusually costly stays$2,415,466
Sole community hospital rate difference$11,252,017
Capital: buildings and equipment$2,596,133
Total, before the three programs$49,537,763
Readmissions (HRRP) (base × (0.9913 − 1))−$274,341
Value-based purchasing (HVBP) (base × (0.9961 − 1))−$123,274
After these two$49,140,148
HAC Reduction Program (1% of everything above; likely $400–534K)−$491,401
Net of the three programs (likely −$967K to −$751K)−$889,016

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 Score1.0519same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$491Ksame

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 1.0519 and a payment reduction decision of Yes.

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.

What would it take?

Getting under CMS’s line would keep about $491K, this site estimates: the whole cut, however far under the score lands.

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

MeasureValue that would read No
PSI 90not possible with this measure alone
CLABSInot possible with this measure alone
CAUTInot possible with this measure alone
SSInot possible with this measure alone
CDInot possible with this measure alone
MRSAnot possible with this measure alone

Each measure weighs 1 ÷ 6 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 1.7387 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.412 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 1.093 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 1.546 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.788 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.771 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. PSI 90 added the most to this hospital’s Total HAC Score of 1.0519 among its measured results: +0.4185.
  • PSI 90 +0.4185
  • CLABSI −0.0751
  • CAUTI +0.2194
  • SSI +0.1986
  • CDI +0.2648
  • MRSA +0.0257

A measure adds its z‑score divided by 6, 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 902.5111+0.4185same
CLABSI−0.4507−0.0751same
CAUTI1.3161+0.2194same
SSI1.1918+0.1986same
CDI1.5890+0.2648same
MRSA0.1540+0.0257same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/180044/

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 3 years in a row.

Figure 6. CMS cut this hospital in 3 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 5.4500, higher than 50% of scores; not cutFY2016: score 4.2500, higher than 27% of scores; not cutFY2017: score 4.3200, higher than 31% of scores; not cutFY2018: score −0.0388, higher than 47% of scores; not cutFY2019: score 0.0655, higher than 57% of scores; not cutFY2020: score 0.1758, higher than 65% of scores; not cutFY2021: score 0.2270, higher than 69% of scores; not cutFY2022: score 0.2943, higher than 74% of scores; not cutFY2024: score 0.6649, higher than 85% of scores; cutFY2025: score 1.1080, higher than 95% of scores; cutFY2026: score 1.0519, higher than 94% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 5.4500, higher than 50% of scores; not cutFY2016: score 4.2500, higher than 27% of scores; not cutFY2017: score 4.3200, higher than 31% of scores; not cutFY2018: score −0.0388, higher than 47% of scores; not cutFY2019: score 0.0655, higher than 57% of scores; not cutFY2020: score 0.1758, higher than 65% of scores; not cutFY2021: score 0.2270, higher than 69% of scores; not cutFY2022: score 0.2943, higher than 74% of scores; not cutFY2024: score 0.6649, higher than 85% of scores; cutFY2025: score 1.1080, higher than 95% of scores; cutFY2026: score 1.0519, higher than 94% of scores; 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
FY20155.450050.0%not cut
FY20164.250027.2%not cut
FY20174.320031.0%not cut
FY2018−0.038847.9%not cut
FY20190.065557.9%not cut
FY20200.175865.6%not cut
FY20210.227069.5%not cut
FY20220.294374.4%not cut
FY2023no decision
FY20240.664985.2%cut
FY20251.108095.6%cut
FY20261.051994.7%cut

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 7. 3 of its 6 infection measures ended lower than they started.
CLABSI 0.35 → 0.55 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.353CLABSI, 2018: 0.436CLABSI, 2019: 0.611CLABSI, 2021: 0.943CLABSI, 2022: 1.083CLABSI, 2023: 0.318CLABSI, 2024: 0.546 CAUTI 0.36 → 1.05 1 0 ’18’21’24 CAUTI, 2017: 0.359CAUTI, 2018: 0.548CAUTI, 2019: 0.405CAUTI, 2021: 0.737CAUTI, 2022: 0.689CAUTI, 2023: 1.124CAUTI, 2024: 1.051 SSI, colon 0.00 → 1.54 1 0 ’18’21’24 SSI, colon, 2017: 0.000SSI, colon, 2018: 0.000SSI, colon, 2019: 0.545SSI, colon, 2021: 0.669SSI, colon, 2022: 0.994SSI, colon, 2023: 1.748SSI, colon, 2024: 1.545 SSI, hysterectomy 0.42 → 0.00 1 0 ’18’21’24 SSI, hysterectomy, 2017: 0.425SSI, hysterectomy, 2018: 0.000SSI, hysterectomy, 2019: 0.000 MRSA 1.36 → 0.56 1 0 ’18’21’24 MRSA, 2017: 1.362MRSA, 2018: 1.044MRSA, 2019: 0.611MRSA, 2021: 1.330MRSA, 2022: 0.868MRSA, 2023: 0.958MRSA, 2024: 0.555 C. diff 0.98 → 0.57 1 0 ’18’21’24 C. diff, 2017: 0.981C. diff, 2018: 0.901C. diff, 2019: 0.872C. diff, 2021: 0.615C. diff, 2022: 1.157C. diff, 2023: 0.968C. diff, 2024: 0.571 CLABSI 0.35 → 0.55 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.353CLABSI, 2018: 0.436CLABSI, 2019: 0.611CLABSI, 2021: 0.943CLABSI, 2022: 1.083CLABSI, 2023: 0.318CLABSI, 2024: 0.546 CAUTI 0.36 → 1.05 1 0 ’18’20’22’24 CAUTI, 2017: 0.359CAUTI, 2018: 0.548CAUTI, 2019: 0.405CAUTI, 2021: 0.737CAUTI, 2022: 0.689CAUTI, 2023: 1.124CAUTI, 2024: 1.051 SSI, colon 0.00 → 1.54 1 0 ’18’20’22’24 SSI, colon, 2017: 0.000SSI, colon, 2018: 0.000SSI, colon, 2019: 0.545SSI, colon, 2021: 0.669SSI, colon, 2022: 0.994SSI, colon, 2023: 1.748SSI, colon, 2024: 1.545 SSI, hysterectomy 0.42 → 0.00 1 0 ’18’20’22’24 SSI, hysterectomy, 2017: 0.425SSI, hysterectomy, 2018: 0.000SSI, hysterectomy, 2019: 0.000 MRSA 1.36 → 0.56 1 0 ’18’20’22’24 MRSA, 2017: 1.362MRSA, 2018: 1.044MRSA, 2019: 0.611MRSA, 2021: 1.330MRSA, 2022: 0.868MRSA, 2023: 0.958MRSA, 2024: 0.555 C. diff 0.98 → 0.57 1 0 ’18’20’22’24 C. diff, 2017: 0.981C. diff, 2018: 0.901C. diff, 2019: 0.872C. diff, 2021: 0.615C. diff, 2022: 1.157C. diff, 2023: 0.968C. diff, 2024: 0.571

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 yearCLABSICAUTISSI, colonSSI, hysterectomyMRSAC. diff
20170.3530.3590.0000.4251.3620.981
20180.4360.5480.0000.0001.0440.901
20190.6110.4050.5450.0000.6110.872
20210.9430.7370.6691.3300.615
20221.0830.6890.9940.8681.157
20230.3181.1241.7480.9580.968
20240.5461.0511.5450.5550.571

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 Kentucky, its score is higher than 90% of the other 55 scored there.

Figure 8. Its score is above the middle in all 7 groups it belongs to; the share cut runs from 22% (300 to 499 beds) to 38% (Kentucky).
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 Kentucky: CMS cut 21 of 56 (38%); middle score 0.1861Kentucky 56 hospitals38% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching 1,563 hospitals25% cut 300 to 499 beds: CMS cut 113 of 523 (22%); middle score −0.0384300 to 499 beds 523 hospitals22% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit 1,830 hospitals26% cut Rural: CMS cut 196 of 619 (32%); middle score 0.0229Rural 619 hospitals32% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1012 This hospital: 1.0519 This hospital 1.0519 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 Kentucky: CMS cut 21 of 56 (38%); middle score 0.1861Kentucky56 hospitals38% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching1,563 hospitals25% cut 300 to 499 beds: CMS cut 113 of 523 (22%); middle score −0.0384300 to 499 beds523 hospitals22% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit1,830 hospitals26% cut Rural: CMS cut 196 of 619 (32%); middle score 0.0229Rural619 hospitals32% 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: 1.0519 This hospital 1.0519

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%−0.045394%
South region1,17426322%−0.105694%
Kentucky562138%0.186190%
Not teaching1,56338925%−0.105393%
300 to 499 beds52311322%−0.038498%
Nonprofit1,83047826%−0.013495%
Rural61919632%0.022990%
This hospital1.0519
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 9. CMS cut 3 of the 8 nearest hospitals; the closest is 17 miles away.
5 mi10 mi25 mi8. Hazard ARH Regional Medical Center, Hazard: score 0.5086, cut, 42 miles87. Three Rivers Medical Center, Louisa: score −0.6938, not cut, 41 miles76. Logan Regional Medical Center, Logan: score 1.3213, cut, 37 miles65. Whitesburg ARH Hospital, Whitesburg: score −0.5670, not cut, 32 miles54. Buchanan General Hospital, Grundy: score −0.2578, not cut, 29 miles43. Paintsville ARH Hospital, Paintsville: score −0.8061, not cut, 27 miles32. Highlands ARH Regional Medical Center, Prestonsburg: score 0.4116, cut, 21 miles21. Tug Valley ARH Regional Medical Center, South Williamson: score −0.3108, not cut, 17 miles1This hospital: Pikeville Medical Center

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

Show table
HospitalMilesScoreDecision
Tug Valley ARH Regional Medical Center, South Williamson, KY17−0.3108not cut
Highlands ARH Regional Medical Center, Prestonsburg, KY210.4116cut
Paintsville ARH Hospital, Paintsville, KY27−0.8061not cut
Buchanan General Hospital, Grundy, VA29−0.2578not cut
Whitesburg ARH Hospital, Whitesburg, KY32−0.5670not cut
Logan Regional Medical Center, Logan, WV371.3213cut
Three Rivers Medical Center, Louisa, KY41−0.6938not cut
Hazard ARH Regional Medical Center, Hazard, KY420.5086cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Tug Valley ARH Regional Medical CenterSouth Williamson, KY17−0.3108No cut$0Above the national median on 1 of 3 measures
2Highlands ARH Regional Medical CenterPrestonsburg, KY210.41161% cut$62KAbove the national median on 4 of 6 measures
3Paintsville ARH HospitalPaintsville, KY27−0.8061No cut$0Above the national median on 1 of 2 measures
4Buchanan General HospitalGrundy, VA29−0.2578No cut$0Above the national median on 2 of 3 measures
5Whitesburg ARH HospitalWhitesburg, KY32−0.5670No cut$0Above the national median on 1 of 4 measures
6Logan Regional Medical CenterLogan, WV371.32131% cut$125KAbove the national median on 5 of 6 measures
7Three Rivers Medical CenterLouisa, KY41−0.6938No cut$0Above the national median on 0 of 3 measures
8Hazard ARH Regional Medical CenterHazard, KY420.50861% cut$160KAbove the national median on 4 of 6 measures

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

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. Pikeville Medical Center, Pikeville, KY: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/180044/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.