P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalSSM St Joseph Hospital West Estimated FY2026 net: −$532K×

Hospital record · FY2026CCN 260200

1Hospital

SSM St Joseph Hospital West

2Location

Lake Saint Louis, MO (Missouri’s hospitals on the map and in the table) 63367

St. Charles County

3Type

Not a teaching hospital · 100 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

0.3814

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$249K estimate
Likely $190⁠–⁠313K; about $107 per traditional Medicare stay

Cut 1%

$249K

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

For fiscal year 2026, CMS reports a Total HAC Score of 0.3814 for SSM St Joseph Hospital West and a payment reduction decision of Yes.

That is 1% of about $24.9M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year: about $107 per traditional Medicare stay.

Likely range $190–313K

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 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: 0.3814 This hospital 0.3814 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: 0.3814 This hospital 0.3814

Higher than 75% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 4 of 11 years

  1. 15Cut
  2. 16Cut
  3. 17No
  4. 18No
  5. 19Cut
  6. 20No
  7. 21No
  8. 22No
  9. 23—
  10. 24No
  11. 25No
  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 CLABSI down to the national median (0.559) would lower the score the most: by 0.3491, to 0.0323. That change alone would put the score under CMS’s line. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 4; CLABSI 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 58% 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 value0.9796

    Z-score−0.0621

    Part of score−0.0104

  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.

    added the most

    Central line–associated bloodstream infections

    Worse than 94% of the other 2,181 hospitals

    CMS value1.462

    Z-score1.9850

    Part of score+0.3308

  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 64% of the other 2,354 hospitals

    CMS value0.353

    Z-score−0.4677

    Part of score−0.0780

  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 54% of the other 2,269 hospitals

    CMS value0.855

    Z-score0.0081

    Part of score+0.0013

  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 86% 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 value0.090

    Z-score−1.1137

    Part of score−0.1856

  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 93% of the other 2,067 hospitals

    CMS value1.625

    Z-score1.9388

    Part of score+0.3231

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.97960.9623−0.0621−0.0104Worse than 58% of the other 2,808 hospitals
CLABSI1.4620.5591.9850+0.3308Worse than 94% of the other 2,181 hospitals
CAUTI0.3530.489−0.4677−0.0780Better than 64% of the other 2,354 hospitals
SSI0.8550.7950.0081+0.0013Worse than 54% of the other 2,269 hospitals
CDI0.0900.346−1.1137−0.1856Better than 86% of the other 2,766 hospitals
MRSA1.6250.6411.9388+0.3231Worse than 93% 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.

(−0.0621PSI 90+1.9850CLABSI−0.4677CAUTI+0.0081SSI−1.1137CDI+1.9388MRSA)÷6measures=0.3814Total HAC Score

This hospital’s score is 0.0022 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 0.3814, above CMS’s line.
1% cut PSI 90: z‑score −0.0621 divided by 6 = −0.0104PSI 90−0.0104 CLABSI: z‑score 1.9850 divided by 6 = +0.3308CLABSI+0.3308 CAUTI: z‑score −0.4677 divided by 6 = −0.0780CAUTI−0.0780 SSI: z‑score 0.0081 divided by 6 = +0.0013SSI+0.0013 CDI: z‑score −1.1137 divided by 6 = −0.1856CDI−0.1856 MRSA: z‑score 1.9388 divided by 6 = +0.3231MRSA+0.3231 Total HAC Score: 0.3814Score0.3814 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.4 1% cut PSI 90: z‑score −0.0621 divided by 6 = −0.0104PSI 90−0.0104 CLABSI: z‑score 1.9850 divided by 6 = +0.3308CLABSI+0.3308 CAUTI: z‑score −0.4677 divided by 6 = −0.0780CAUTI−0.0780 SSI: z‑score 0.0081 divided by 6 = +0.0013SSI+0.0013 CDI: z‑score −1.1137 divided by 6 = −0.1856CDI−0.1856 MRSA: z‑score 1.9388 divided by 6 = +0.3231MRSA+0.3231 Total HAC Score: 0.3814Score0.3814 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.4

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 90−0.0621−0.0104−0.0104
CLABSI1.9850+0.33080.3204
CAUTI−0.4677−0.07800.2424
SSI0.0081+0.00130.2437
CDI−1.1137−0.18560.0581
MRSA1.9388+0.32310.3812
Total HAC Score0.3814
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, 0.0022 over the highest score CMS didn’t cut, costs it about $249K 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 $249K at any score from 0.3799 $0at any score up to 0.3792 $249K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 0.3814 This hospital 0.3814 CMS’s line $0 at any score up to 0.3792 $249K at any score from 0.3799 $0at any score up to 0.3792 $249Kat 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: 0.3814 This hospital 0.3814

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−$248,809
This hospital0.3814−$248,809
CMS’s highest score2.3133−$248,809

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.

($25,164,586payment+$0readmissions−$283,653value-based)×1%the cut=$248,809HAC cut

$248,809HAC cut÷2,329traditional Medicare stays=$107per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $249K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to $0 and −$284K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $23,279,789
Outliers: unusually costly stays $35,152
Capital: buildings and equipment $1,849,645
Total, before the three programs $25,164,586
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (1.0000 − 1) $0
Value-based purchasing (HVBP) base × (0.9878 − 1) −$283,653
After these two $24,880,933
HAC Reduction Program 1% of everything above; likely $190⁠–⁠313K −$248,809
Net of the three programs likely −$626K to −$429K −$532,462

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)$23,279,789
Outliers: unusually costly stays$35,152
Capital: buildings and equipment$1,849,645
Total, before the three programs$25,164,586
Readmissions (HRRP) (base × (1.0000 − 1))$0
Value-based purchasing (HVBP) (base × (0.9878 − 1))−$283,653
After these two$24,880,933
HAC Reduction Program (1% of everything above; likely $190–313K)−$248,809
Net of the three programs (likely −$626K to −$429K)−$532,462

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 Score0.3814same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$249Ksame

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 0.3814 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 $249K, 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 900.9776 or lower
CLABSI1.456 or lower
CAUTI0.347 or lower
SSI0.847 or lower
CDI0.086 or lower
MRSA1.618 or lower

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 0.9796 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 1.462 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.353 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.855 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.090 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 1.625 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. CLABSI added the most to this hospital’s Total HAC Score of 0.3814 among its measured results: +0.3308.
  • PSI 90 −0.0104
  • CLABSI +0.3308
  • CAUTI −0.0780
  • SSI +0.0013
  • CDI −0.1856
  • MRSA +0.3231

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 90−0.0621−0.0104same
CLABSI1.9850+0.3308same
CAUTI−0.4677−0.0780same
SSI0.0081+0.0013same
CDI−1.1137−0.1856same
MRSA1.9388+0.3231same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/260200/

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 4 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 7.9250, higher than 88% of scores; cutFY2016: score 7.5000, higher than 83% of scores; cutFY2017: score 5.7400, higher than 56% of scores; not cutFY2018: score 0.0190, higher than 54% of scores; not cutFY2019: score 0.4, higher than 77% of scores; cutFY2020: score 0.1525, higher than 64% of scores; not cutFY2021: score −0.3362, higher than 28% of scores; not cutFY2022: score −0.0217, higher than 50% of scores; not cutFY2024: score 0.2450, higher than 68% of scores; not cutFY2025: score 0.1835, higher than 64% of scores; not cutFY2026: score 0.3814, higher than 75% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 7.9250, higher than 88% of scores; cutFY2016: score 7.5000, higher than 83% of scores; cutFY2017: score 5.7400, higher than 56% of scores; not cutFY2018: score 0.0190, higher than 54% of scores; not cutFY2019: score 0.4, higher than 77% of scores; cutFY2020: score 0.1525, higher than 64% of scores; not cutFY2021: score −0.3362, higher than 28% of scores; not cutFY2022: score −0.0217, higher than 50% of scores; not cutFY2024: score 0.2450, higher than 68% of scores; not cutFY2025: score 0.1835, higher than 64% of scores; not cutFY2026: score 0.3814, higher than 75% 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
FY20157.925088.0%cut
FY20167.500083.9%cut
FY20175.740056.9%not cut
FY20180.019054.6%not cut
FY20190.477.6%cut
FY20200.152564.3%not cut
FY2021−0.336228.8%not cut
FY2022−0.021750.8%not cut
FY2023no decision
FY20240.245068.4%not cut
FY20250.183564.6%not cut
FY20260.381475.2%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. 4 of its 6 infection measures ended lower than they started.
CLABSI 2.35 → 2.03 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 2.354CLABSI, 2018: 1.449CLABSI, 2019: 1.747CLABSI, 2021: 0.944CLABSI, 2022: 1.399CLABSI, 2023: 0.939CLABSI, 2024: 2.027 CAUTI 2.08 → 0.36 1 0 ’18’21’24 CAUTI, 2017: 2.081CAUTI, 2018: 0.682CAUTI, 2019: 0.736CAUTI, 2021: 0.589CAUTI, 2022: 0.600CAUTI, 2023: 0.344CAUTI, 2024: 0.362 SSI, colon 0.30 → 1.25 1 0 ’18’21’24 SSI, colon, 2017: 0.304SSI, colon, 2018: 0.000SSI, colon, 2019: 0.508SSI, colon, 2021: 0.000SSI, colon, 2022: 1.098SSI, colon, 2023: 0.375SSI, colon, 2024: 1.254 SSI, hysterectomy 0.00 → 0.99 1 0 ’18’21’24 SSI, hysterectomy, 2019: 0.000SSI, hysterectomy, 2021: 0.000SSI, hysterectomy, 2022: 0.000SSI, hysterectomy, 2023: 0.989 MRSA 2.38 → 1.90 1 0 ’18’21’24 MRSA, 2017: 2.381MRSA, 2018: 0.000MRSA, 2019: 1.065MRSA, 2021: 4.415MRSA, 2022: 2.198MRSA, 2023: 1.306MRSA, 2024: 1.903 C. diff 0.31 → 0.04 1 0 ’18’21’24 C. diff, 2017: 0.313C. diff, 2018: 0.299C. diff, 2019: 0.343C. diff, 2021: 0.538C. diff, 2022: 0.382C. diff, 2023: 0.145C. diff, 2024: 0.036 CLABSI 2.35 → 2.03 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 2.354CLABSI, 2018: 1.449CLABSI, 2019: 1.747CLABSI, 2021: 0.944CLABSI, 2022: 1.399CLABSI, 2023: 0.939CLABSI, 2024: 2.027 CAUTI 2.08 → 0.36 1 0 ’18’20’22’24 CAUTI, 2017: 2.081CAUTI, 2018: 0.682CAUTI, 2019: 0.736CAUTI, 2021: 0.589CAUTI, 2022: 0.600CAUTI, 2023: 0.344CAUTI, 2024: 0.362 SSI, colon 0.30 → 1.25 1 0 ’18’20’22’24 SSI, colon, 2017: 0.304SSI, colon, 2018: 0.000SSI, colon, 2019: 0.508SSI, colon, 2021: 0.000SSI, colon, 2022: 1.098SSI, colon, 2023: 0.375SSI, colon, 2024: 1.254 SSI, hysterectomy 0.00 → 0.99 1 0 ’18’20’22’24 SSI, hysterectomy, 2019: 0.000SSI, hysterectomy, 2021: 0.000SSI, hysterectomy, 2022: 0.000SSI, hysterectomy, 2023: 0.989 MRSA 2.38 → 1.90 1 0 ’18’20’22’24 MRSA, 2017: 2.381MRSA, 2018: 0.000MRSA, 2019: 1.065MRSA, 2021: 4.415MRSA, 2022: 2.198MRSA, 2023: 1.306MRSA, 2024: 1.903 C. diff 0.31 → 0.04 1 0 ’18’20’22’24 C. diff, 2017: 0.313C. diff, 2018: 0.299C. diff, 2019: 0.343C. diff, 2021: 0.538C. diff, 2022: 0.382C. diff, 2023: 0.145C. diff, 2024: 0.036

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
20172.3542.0810.3042.3810.313
20181.4490.6820.0000.0000.299
20191.7470.7360.5080.0001.0650.343
20210.9440.5890.0000.0004.4150.538
20221.3990.6001.0980.0002.1980.382
20230.9390.3440.3750.9891.3060.145
20242.0270.3621.2541.9030.036

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 Missouri, its score is higher than 86% of the other 61 scored there.

In St. Louis, MO-IL area, its score is higher than 92% of the other 26 scored there.

Figure 8. Its score is above the middle in all 8 groups it belongs to; the share cut runs from 11% (St. Louis, MO-IL area) to 26% (Nonprofit).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut Midwest region: CMS cut 174 of 683 (25%); middle score −0.0268Midwest region 683 hospitals25% cut Missouri: CMS cut 9 of 62 (15%); middle score 0.0016Missouri 62 hospitals15% cut St. Louis, MO-IL area: CMS cut 3 of 27 (11%); middle score −0.1591St. Louis, MO-IL area 27 hospitals11% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching 1,563 hospitals25% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds 1,193 hospitals23% 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: 0.3814 This hospital 0.3814 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut Midwest region: CMS cut 174 of 683 (25%); middle score −0.0268Midwest region683 hospitals25% cut Missouri: CMS cut 9 of 62 (15%); middle score 0.0016Missouri62 hospitals15% cut St. Louis, MO-IL area: CMS cut 3 of 27 (11%); middle score −0.1591St. Louis, MO-IL area27 hospitals11% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching1,563 hospitals25% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds1,193 hospitals23% 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: 0.3814 This hospital 0.3814

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%−0.045375%
Midwest region68317425%−0.026874%
Missouri62915%0.001686%
St. Louis, MO-IL area27311%−0.159192%
Not teaching1,56338925%−0.105375%
100 to 299 beds1,19327523%−0.073277%
Nonprofit1,83047826%−0.013474%
Urban2,24151023%−0.057477%
This hospital0.3814
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 none of the 8 nearest hospitals; the closest is 8 miles away.
5 mi10 mi8. Mercy Hospital Washington, Washington: score 0.0875, not cut, 21 miles87. Mercy Hospital St Louis, Saint Louis: score −0.3496, not cut, 20 miles76. SSM Health Depaul Hospital St Louis, Bridgeton: score −0.5429, not cut, 19 miles65. Barnes-Jewish West County Hospital, Creve Coeur: score −0.6126, not cut, 19 miles54. St Lukes Hospital, Chesterfield: score −0.1933, not cut, 18 miles43. SSM St Joseph Health Center, Saint Charles: score −0.0819, not cut, 16 miles32. Barnes-Jewish St Peters Hospital, Saint Peters: score 0.3634, not cut, 11 miles21. Progress West Hospital, Ofallon: score 0.1064, not cut, 8 miles1This hospital: SSM St Joseph Hospital West

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

Show table
HospitalMilesScoreDecision
Progress West Hospital, Ofallon, MO80.1064not cut
Barnes-Jewish St Peters Hospital, Saint Peters, MO110.3634not cut
SSM St Joseph Health Center, Saint Charles, MO16−0.0819not cut
St Lukes Hospital, Chesterfield, MO18−0.1933not cut
Barnes-Jewish West County Hospital, Creve Coeur, MO19−0.6126not cut
SSM Health Depaul Hospital St Louis, Bridgeton, MO19−0.5429not cut
Mercy Hospital St Louis, Saint Louis, MO20−0.3496not cut
Mercy Hospital Washington, Washington, MO210.0875not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Progress West HospitalOfallon, MO80.1064No cut$0Above the national median on 5 of 6 measures
2Barnes-Jewish St Peters HospitalSaint Peters, MO110.3634No cut$0Above the national median on 5 of 6 measures
3SSM St Joseph Health CenterSaint Charles, MO16−0.0819No cut$0Above the national median on 3 of 6 measures
4St Lukes HospitalChesterfield, MO18−0.1933No cut$0Above the national median on 1 of 6 measures
5Barnes-Jewish West County HospitalCreve Coeur, MO19−0.6126No cut$0Above the national median on 1 of 5 measures
6SSM Health Depaul Hospital St LouisBridgeton, MO19−0.5429No cut$0Above the national median on 2 of 6 measures
7Mercy Hospital St LouisSaint Louis, MO20−0.3496No cut$0Above the national median on 1 of 6 measures
8Mercy Hospital WashingtonWashington, MO210.0875No cut$0Above the national median on 3 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. SSM St Joseph Hospital West, Lake Saint Louis, MO: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/260200/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.