P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalSinai Hospital of Baltimore×

Hospital record · FY2026CCN 210012

1Hospital

Sinai Hospital of Baltimore

2Location

Baltimore, MD (Maryland’s hospitals on the map and in the table) 21215

Baltimore City

3Type

Minor teaching · 413 beds · Nonprofit · Urban

4Care Compare stars

3 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

0.6934

As CMS reports it

6Payment reduction

N/A

7Estimated cut

$0

Maryland: exempt

Not subject

$0

Maryland’s hospitals are exempt from this program’s cut.

For fiscal year 2026, CMS reports a Total HAC Score of 0.6934 for Sinai Hospital of Baltimore and a payment reduction decision of N/A.

Maryland’s hospitals are scored but not subject to the reduction. 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 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: 0.6934 This hospital 0.6934 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: 0.6934 This hospital 0.6934

Higher than 87% of the other 2,928 scores CMS published (higher is worse).

CMS’s note on the payment reduction: Maryland hospitals are waived from receiving payment adjustments under the Program.

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 0.2444. 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 97% 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 value1.4729

    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

    Worse than 53% of the other 2,181 hospitals

    CMS value0.590

    Z-score−0.0378

    Part of score−0.0063

  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

    Better than 56% of the other 2,354 hospitals

    CMS value0.431

    Z-score−0.2797

    Part of score−0.0466

  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 88% of the other 2,269 hospitals

    CMS value1.615

    Z-score1.3100

    Part of score+0.2183

  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 67% 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 value0.468

    Z-score0.3500

    Part of score+0.0583

  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 66% of the other 2,067 hospitals

    CMS value0.844

    Z-score0.3066

    Part of score+0.0511

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.47290.96232.5111+0.4185Worse than 97% of the other 2,808 hospitals
CLABSI0.5900.559−0.0378−0.0063Worse than 53% of the other 2,181 hospitals
CAUTI0.4310.489−0.2797−0.0466Better than 56% of the other 2,354 hospitals
SSI1.6150.7951.3100+0.2183Worse than 88% of the other 2,269 hospitals
CDI0.4680.3460.3500+0.0583Worse than 67% of the other 2,766 hospitals
MRSA0.8440.6410.3066+0.0511Worse than 66% 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 90−0.0378CLABSI−0.2797CAUTI+1.3100SSI+0.3500CDI+0.3066MRSA)÷6measures=0.6934Total HAC Score

Figure 2. The parts add up to 0.6934, above CMS’s line.
1% cut PSI 90: z‑score 2.5111 divided by 6 = +0.4185PSI 90+0.4185 CLABSI: z‑score −0.0378 divided by 6 = −0.0063CLABSI−0.0063 CAUTI: z‑score −0.2797 divided by 6 = −0.0466CAUTI−0.0466 SSI: z‑score 1.3100 divided by 6 = +0.2183SSI+0.2183 CDI: z‑score 0.3500 divided by 6 = +0.0583CDI+0.0583 MRSA: z‑score 0.3066 divided by 6 = +0.0511MRSA+0.0511 Total HAC Score: 0.6934Score0.6934 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.20.40.60.8 1% cut PSI 90: z‑score 2.5111 divided by 6 = +0.4185PSI 90+0.4185 CLABSI: z‑score −0.0378 divided by 6 = −0.0063CLABSI−0.0063 CAUTI: z‑score −0.2797 divided by 6 = −0.0466CAUTI−0.0466 SSI: z‑score 1.3100 divided by 6 = +0.2183SSI+0.2183 CDI: z‑score 0.3500 divided by 6 = +0.0583CDI+0.0583 MRSA: z‑score 0.3066 divided by 6 = +0.0511MRSA+0.0511 Total HAC Score: 0.6934Score0.6934 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.20.40.60.8

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−0.0378−0.00630.4122
CAUTI−0.2797−0.04660.3656
SSI1.3100+0.21830.5839
CDI0.3500+0.05830.6422
MRSA0.3066+0.05110.6933
Total HAC Score0.6934
CMS’s line0.37920.3799

What if a measure were different?

Change a measure’s value to see how this site recomputes the Total HAC Score and the payment reduction decision, starting from CMS’s values.

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

Show table
CMS reportsHypothetical
Total HAC Score0.6934same
Payment reduction decisionN/A (not subject to the reduction)same

CMS reports a Total HAC Score of 0.6934 and a payment reduction decision of N/A (not subject to the reduction).

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.

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 1.4729 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.590 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.431 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 1.615 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.468 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.844 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 3. PSI 90 added the most to this hospital’s Total HAC Score of 0.6934 among its measured results: +0.4185.
  • PSI 90 +0.4185
  • CLABSI −0.0063
  • CAUTI −0.0466
  • SSI +0.2183
  • CDI +0.0583
  • MRSA +0.0511

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−0.0378−0.0063same
CAUTI−0.2797−0.0466same
SSI1.3100+0.2183same
CDI0.3500+0.0583same
MRSA0.3066+0.0511same

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 4. 6 of its 6 infection measures ended lower than they started.
CLABSI 0.60 → 0.39 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.601CLABSI, 2018: 0.920CLABSI, 2019: 1.139CLABSI, 2021: 0.570CLABSI, 2022: 0.400CLABSI, 2023: 0.764CLABSI, 2024: 0.390 CAUTI 1.23 → 0.30 1 0 ’18’21’24 CAUTI, 2017: 1.232CAUTI, 2018: 1.492CAUTI, 2019: 0.613CAUTI, 2021: 0.677CAUTI, 2022: 0.685CAUTI, 2023: 0.572CAUTI, 2024: 0.301 SSI, colon 3.24 → 0.80 1 0 ’18’21’24 SSI, colon, 2017: 3.243SSI, colon, 2018: 1.644SSI, colon, 2019: 0.913SSI, colon, 2021: 1.026SSI, colon, 2022: 0.565SSI, colon, 2023: 0.447SSI, colon, 2024: 0.796 SSI, hysterectomy 4.48 → 3.34 1 0 ’18’21’24 SSI, hysterectomy, 2017: 4.484SSI, hysterectomy, 2018: 2.967SSI, hysterectomy, 2019: 1.371SSI, hysterectomy, 2021: 4.793SSI, hysterectomy, 2022: 1.779SSI, hysterectomy, 2023: 5.291SSI, hysterectomy, 2024: 3.341 MRSA 0.88 → 0.58 1 0 ’18’21’24 MRSA, 2017: 0.880MRSA, 2018: 1.210MRSA, 2019: 0.696MRSA, 2021: 1.069MRSA, 2022: 1.298MRSA, 2023: 1.154MRSA, 2024: 0.583 C. diff 0.69 → 0.38 1 0 ’18’21’24 C. diff, 2017: 0.690C. diff, 2018: 0.877C. diff, 2019: 0.685C. diff, 2021: 0.678C. diff, 2022: 0.519C. diff, 2023: 0.552C. diff, 2024: 0.384 CLABSI 0.60 → 0.39 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.601CLABSI, 2018: 0.920CLABSI, 2019: 1.139CLABSI, 2021: 0.570CLABSI, 2022: 0.400CLABSI, 2023: 0.764CLABSI, 2024: 0.390 CAUTI 1.23 → 0.30 1 0 ’18’20’22’24 CAUTI, 2017: 1.232CAUTI, 2018: 1.492CAUTI, 2019: 0.613CAUTI, 2021: 0.677CAUTI, 2022: 0.685CAUTI, 2023: 0.572CAUTI, 2024: 0.301 SSI, colon 3.24 → 0.80 1 0 ’18’20’22’24 SSI, colon, 2017: 3.243SSI, colon, 2018: 1.644SSI, colon, 2019: 0.913SSI, colon, 2021: 1.026SSI, colon, 2022: 0.565SSI, colon, 2023: 0.447SSI, colon, 2024: 0.796 SSI, hysterectomy 4.48 → 3.34 1 0 ’18’20’22’24 SSI, hysterectomy, 2017: 4.484SSI, hysterectomy, 2018: 2.967SSI, hysterectomy, 2019: 1.371SSI, hysterectomy, 2021: 4.793SSI, hysterectomy, 2022: 1.779SSI, hysterectomy, 2023: 5.291SSI, hysterectomy, 2024: 3.341 MRSA 0.88 → 0.58 1 0 ’18’20’22’24 MRSA, 2017: 0.880MRSA, 2018: 1.210MRSA, 2019: 0.696MRSA, 2021: 1.069MRSA, 2022: 1.298MRSA, 2023: 1.154MRSA, 2024: 0.583 C. diff 0.69 → 0.38 1 0 ’18’20’22’24 C. diff, 2017: 0.690C. diff, 2018: 0.877C. diff, 2019: 0.685C. diff, 2021: 0.678C. diff, 2022: 0.519C. diff, 2023: 0.552C. diff, 2024: 0.384

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
20170.6011.2323.2434.4840.8800.690
20180.9201.4921.6442.9671.2100.877
20191.1390.6130.9131.3710.6960.685
20210.5700.6771.0264.7931.0690.678
20220.4000.6850.5651.7791.2980.519
20230.7640.5720.4475.2911.1540.552
20240.3900.3010.7963.3410.5830.384

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.

Figure 5. Its score is above the middle in all 6 groups it belongs to; the share cut runs from 21% (Minor teaching) to 26% (Nonprofit).
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 Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching 873 hospitals21% 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 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: 0.6934 This hospital 0.6934 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 Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching873 hospitals21% 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 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: 0.6934 This hospital 0.6934

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%−0.045387%
South region1,17426322%−0.105687%
Minor teaching87318121%−0.056791%
300 to 499 beds52311322%−0.038491%
Nonprofit1,83047826%−0.013487%
Urban2,24151023%−0.057489%
This hospital0.6934
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 6. CMS cut none of the 8 nearest hospitals; the closest is less than a mile away.
5 mi8. University of Maryland Medical Center, Baltimore: score 0.7646, not subject, 5 miles87. University of MD Medical Center Midtown Campus, Baltimore: score 1.3222, not subject, 4 miles76. UMD Rehabilitation & Orthopaedic Institute, Baltimore: score 1.9139, not subject, 4 miles65. MedStar Good Samaritan Hospital, Baltimore: score −0.2260, not subject, 4 miles54. University of MD St Joseph Medical Center, Towson: score −0.0806, not subject, 3 miles43. MedStar Union Memorial Hospital, Baltimore: score −0.5056, not subject, 3 miles32. Greater Baltimore Medical Center, Baltimore: score 0.2342, not subject, 3 miles21. Levindale Hebrew Geriatric Center and Hospital, Baltimore: score 0.4392, not subject, less than a mile1This hospital: Sinai Hospital of Baltimore

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

Show table
HospitalMilesScoreDecision
Levindale Hebrew Geriatric Center and Hospital, Baltimore, MDunder 10.4392not subject
Greater Baltimore Medical Center, Baltimore, MD30.2342not subject
MedStar Union Memorial Hospital, Baltimore, MD3−0.5056not subject
University of MD St Joseph Medical Center, Towson, MD3−0.0806not subject
MedStar Good Samaritan Hospital, Baltimore, MD4−0.2260not subject
UMD Rehabilitation & Orthopaedic Institute, Baltimore, MD41.9139not subject
University of MD Medical Center Midtown Campus, Baltimore, MD41.3222not subject
University of Maryland Medical Center, Baltimore, MD50.7646not subject

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Levindale Hebrew Geriatric Center and HospitalBaltimore, MDunder 10.4392N/A$0Above the national median on 2 of 3 measures
2Greater Baltimore Medical CenterBaltimore, MD30.2342N/A$0Above the national median on 3 of 6 measures
3MedStar Union Memorial HospitalBaltimore, MD3−0.5056N/A$0Above the national median on 2 of 5 measures
4University of MD St Joseph Medical CenterTowson, MD3−0.0806N/A$0Above the national median on 4 of 6 measures
5MedStar Good Samaritan HospitalBaltimore, MD4−0.2260N/A$0Above the national median on 4 of 6 measures
6UMD Rehabilitation & Orthopaedic InstituteBaltimore, MD41.9139N/A$0Above the national median on 6 of 6 measures
7University of MD Medical Center Midtown CampusBaltimore, MD41.3222N/A$0Above the national median on 5 of 6 measures
8University of Maryland Medical CenterBaltimore, MD50.7646N/A$0Above the national median on 6 of 6 measures

CMS’s footnotes on this page

a
Maryland hospitals are waived from receiving payment adjustments under the Program.

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. Sinai Hospital of Baltimore, Baltimore, MD: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/210012/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.