P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalGreat Plains Health Estimated FY2026 net: −$220K×

Hospital record · FY2026CCN 280065

1Hospital

Great Plains Health

2Location

North Platte, NE (Nebraska’s hospitals on the map and in the table) 69101

Lincoln County

3Type

Not a teaching hospital · 116 beds · Nonprofit · Rural · Rural referral center · Sole community hospital

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

−0.1667

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $237K, likely $170⁠–⁠266K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of −0.1667 for Great Plains Health and a payment reduction decision of No.

A cut would have taken about $237K estimate 1% of about $23.7M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year. Its score was 0.5466 under 0.3799, the lowest score CMS cut.

Likely range $170–266K

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: −0.1667 This hospital −0.1667 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: −0.1667 This hospital −0.1667

Higher than 41% 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. 15Cut
  2. 16Cut
  3. 17Cut
  4. 18No
  5. 19No
  6. 20No
  7. 21No
  8. 22No
  9. 23—
  10. 24No
  11. 25No
  12. 26No

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 CAUTI down to the national median (0.489) would lower the score the most: by 0.2551, to −0.4218. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 3; CAUTI 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

    Better than 92% 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 value0.8114

    Z-score−1.2360

    Part of score−0.2060

  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 60% of the other 2,181 hospitals

    CMS value0.677

    Z-score0.1640

    Part of score+0.0273

  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.

    added the most

    Catheter-associated urinary tract infections

    Worse than 89% of the other 2,354 hospitals

    CMS value1.124

    Z-score1.3908

    Part of score+0.2318

  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

    Better than 70% of the other 2,269 hospitals

    CMS value0.487

    Z-score−0.6222

    Part of score−0.1037

  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 79% 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 value0.574

    Z-score0.7604

    Part of score+0.1267

  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

    Better than 87% of the other 2,067 hospitals

    CMS value0.000

    Z-score−1.4573

    Part of score−0.2429

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.81140.9623−1.2360−0.2060Better than 92% of the other 2,808 hospitals
CLABSI0.6770.5590.1640+0.0273Worse than 60% of the other 2,181 hospitals
CAUTI1.1240.4891.3908+0.2318Worse than 89% of the other 2,354 hospitals
SSI0.4870.795−0.6222−0.1037Better than 70% of the other 2,269 hospitals
CDI0.5740.3460.7604+0.1267Worse than 79% of the other 2,766 hospitals
MRSA0.0000.641−1.4573−0.2429Better than 87% 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.

(−1.2360PSI 90+0.1640CLABSI+1.3908CAUTI−0.6222SSI+0.7604CDI−1.4573MRSA)÷6measures=−0.1667Total HAC Score

Added from the rounded z‑scores CMS published, the parts make −0.1667; CMS reports −0.1667. The small difference is rounding.

This hospital’s score is 0.5466 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to −0.1667, below CMS’s line.
1% cut PSI 90: z‑score −1.2360 divided by 6 = −0.2060PSI 90−0.2060 CLABSI: z‑score 0.1640 divided by 6 = +0.0273CLABSI+0.0273 CAUTI: z‑score 1.3908 divided by 6 = +0.2318CAUTI+0.2318 SSI: z‑score −0.6222 divided by 6 = −0.1037SSI−0.1037 CDI: z‑score 0.7604 divided by 6 = +0.1267CDI+0.1267 MRSA: z‑score −1.4573 divided by 6 = −0.2429MRSA−0.2429 Total HAC Score: −0.1667Score−0.1667 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 −1.2360 divided by 6 = −0.2060PSI 90−0.2060 CLABSI: z‑score 0.1640 divided by 6 = +0.0273CLABSI+0.0273 CAUTI: z‑score 1.3908 divided by 6 = +0.2318CAUTI+0.2318 SSI: z‑score −0.6222 divided by 6 = −0.1037SSI−0.1037 CDI: z‑score 0.7604 divided by 6 = +0.1267CDI+0.1267 MRSA: z‑score −1.4573 divided by 6 = −0.2429MRSA−0.2429 Total HAC Score: −0.1667Score−0.1667 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 90−1.2360−0.2060−0.2060
CLABSI0.1640+0.0273−0.1787
CAUTI1.3908+0.23180.0531
SSI−0.6222−0.1037−0.0506
CDI0.7604+0.12670.0761
MRSA−1.4573−0.2429−0.1668
Total HAC Score−0.1667
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, 0.5466 under the lowest score CMS cut, costs it nothing; 0.5466 higher, the cut would have been about $237K 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 $237K at any score from 0.3799 $0at any score up to 0.3792 $237K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: −0.1667 This hospital −0.1667 CMS’s line $0 at any score up to 0.3792 $237K at any score from 0.3799 $0at any score up to 0.3792 $237Kat 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: −0.1667 This hospital −0.1667

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−$237,035
This hospital−0.1667$0
CMS’s highest score2.3133−$237,035

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.

($23,923,156payment−$111,230readmissions−$108,467value-based)×1%the cut=$237,035at stake

$237,035at stake÷1,877traditional Medicare stays=$126per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $237K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$111K and −$108K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $19,862,517
Many low-income patients (disproportionate share) $293,171
Outliers: unusually costly stays $469,351
Sole community hospital rate difference $1,720,536
Capital: buildings and equipment $1,577,581
Total, before the three programs $23,923,156
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9944 − 1) −$111,230
Value-based purchasing (HVBP) base × (0.9945 − 1) −$108,467
After these two $23,703,459
HAC Reduction Program no cut; 1% would have been $237,035 $0
Net of the three programs likely −$233K to −$153K −$219,697

Not paid to this hospital: a Medicare-dependent hospital add-on, teaching payments, 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)$19,862,517
Many low-income patients (disproportionate share)$293,171
Outliers: unusually costly stays$469,351
Sole community hospital rate difference$1,720,536
Capital: buildings and equipment$1,577,581
Total, before the three programs$23,923,156
Readmissions (HRRP) (base × (0.9944 − 1))−$111,230
Value-based purchasing (HVBP) (base × (0.9945 − 1))−$108,467
After these two$23,703,459
HAC Reduction Program (no cut; 1% would have been $237,035)$0
Net of the three programs (likely −$233K to −$153K)−$219,697

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−0.1667same
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 −0.1667 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 $237K 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 1.2805
CLABSIany value: every CLABSI value past the cap (1.572) scores the same
CAUTIany value: every CAUTI value past the cap (1.537) scores the same
SSIany value: every SSI value past the cap (2.118) scores the same
CDIany value: every CDI value past the cap (0.944) scores the same
MRSAup to 1.567

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 0.8114 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.677 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 1.124 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.487 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.574 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.000 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. CAUTI added the most to this hospital’s Total HAC Score of −0.1667 among its measured results: +0.2318.
  • PSI 90 −0.2060
  • CLABSI +0.0273
  • CAUTI +0.2318
  • SSI −0.1037
  • CDI +0.1267
  • MRSA −0.2429

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 90−1.2360−0.2060same
CLABSI0.1640+0.0273same
CAUTI1.3908+0.2318same
SSI−0.6222−0.1037same
CDI0.7604+0.1267same
MRSA−1.4573−0.2429same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/280065/

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 8.6250, higher than 93% of scores; cutFY2016: score 7.7500, higher than 86% of scores; cutFY2017: score 6.7200, higher than 78% of scores; cutFY2018: score −0.2150, higher than 36% of scores; not cutFY2019: score 0.0273, higher than 54% of scores; not cutFY2020: score −0.3563, higher than 27% of scores; not cutFY2021: score −0.7815, higher than 10% of scores; not cutFY2022: score −1.4432, higher than 0% of scores; not cutFY2024: score 0.1945, higher than 65% of scores; not cutFY2025: score 0.0863, higher than 58% of scores; not cutFY2026: score −0.1667, higher than 41% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 8.6250, higher than 93% of scores; cutFY2016: score 7.7500, higher than 86% of scores; cutFY2017: score 6.7200, higher than 78% of scores; cutFY2018: score −0.2150, higher than 36% of scores; not cutFY2019: score 0.0273, higher than 54% of scores; not cutFY2020: score −0.3563, higher than 27% of scores; not cutFY2021: score −0.7815, higher than 10% of scores; not cutFY2022: score −1.4432, higher than 0% of scores; not cutFY2024: score 0.1945, higher than 65% of scores; not cutFY2025: score 0.0863, higher than 58% of scores; not cutFY2026: score −0.1667, higher than 41% of scores; not cut 151617181920212223242526

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

This site recomputes · Source: CMS, HACRP hospital files for fiscal years 2015 to 2026 (Provider Data Catalog, its archives and, for the oldest years, the Internet Archive’s copies), and CMS’s cut lists for FY2015 and FY2016.

Show table
Fiscal yearTotal HAC ScoreHigher than this share of scoresPayment reduction
FY20158.625093.6%cut
FY20167.750086.8%cut
FY20176.720078.6%cut
FY2018−0.215036.1%not cut
FY20190.027354.2%not cut
FY2020−0.356327.0%not cut
FY2021−0.781510.0%not cut
FY2022−1.44320.4%not cut
FY2023no decision
FY20240.194565.8%not cut
FY20250.086358.7%not cut
FY2026−0.166741.4%not 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. 2 of its 3 infection measures ended lower than they started.
SSI, colon 0.83 → 0.00 1as predicted 0 ’18’21’24 Nation’s middle SSI, colon, 2017: 0.835SSI, colon, 2018: 0.000SSI, colon, 2019: 0.000SSI, colon, 2021: 1.808SSI, colon, 2022: 0.822SSI, colon, 2024: 0.000 MRSA 0.00 → 0.00 1 0 ’18’21’24 MRSA, 2018: 0.000MRSA, 2019: 0.000 C. diff 0.87 → 0.48 1 0 ’18’21’24 C. diff, 2017: 0.867C. diff, 2018: 0.119C. diff, 2019: 0.000C. diff, 2021: 0.152C. diff, 2022: 0.510C. diff, 2023: 0.670C. diff, 2024: 0.482 SSI, colon 0.83 → 0.00 1as predicted 0 ’18’20’22’24 Nation’s middle SSI, colon, 2017: 0.835SSI, colon, 2018: 0.000SSI, colon, 2019: 0.000SSI, colon, 2021: 1.808SSI, colon, 2022: 0.822SSI, colon, 2024: 0.000 MRSA 0.00 → 0.00 1 0 ’18’20’22’24 MRSA, 2018: 0.000MRSA, 2019: 0.000 C. diff 0.87 → 0.48 1 0 ’18’20’22’24 C. diff, 2017: 0.867C. diff, 2018: 0.119C. diff, 2019: 0.000C. diff, 2021: 0.152C. diff, 2022: 0.510C. diff, 2023: 0.670C. diff, 2024: 0.482

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 yearSSI, colonMRSAC. diff
20170.8350.867
20180.0000.0000.119
20190.0000.0000.000
20211.8080.152
20220.8220.510
20230.670
20240.0000.482

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 Nebraska, its score is higher than 43% of the other 23 scored there.

Figure 8. Its score is below the middle in all 7 groups it belongs to; the share cut runs from 23% (100 to 299 beds) to 32% (Rural).
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 Nebraska: CMS cut 6 of 24 (25%); middle score −0.0063Nebraska 24 hospitals25% 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 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: −0.1667 This hospital −0.1667 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 Nebraska: CMS cut 6 of 24 (25%); middle score −0.0063Nebraska24 hospitals25% 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 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: −0.1667 This hospital −0.1667

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%−0.045341%
Midwest region68317425%−0.026839%
Nebraska24625%−0.006343%
Not teaching1,56338925%−0.105346%
100 to 299 beds1,19327523%−0.073243%
Nonprofit1,83047826%−0.013438%
Rural61919632%0.022939%
This hospital−0.1667
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 1 of the 8 nearest hospitals; the closest is 92 miles away.
25 mi50 mi100 mi8. Pine Ridge IHS Hospital, Pine Ridge: score −1.4622, not cut, 167 miles87. Regional West Medical Center, Scottsbluff: score 0.2363, not cut, 159 miles76. Sterling Regional Medcenter, Sterling: score −0.8538, not cut, 133 miles65. Mary Lanning Healthcare, Hastings: score 0.2356, not cut, 130 miles54. CHI Health St. Francis, Grand Island: score 0.2624, not cut, 126 miles43. Grand Island Regional Medical Center, Grand Island: score 0.6275, cut, 125 miles32. CHI Health Good Samaritan, Kearney: score −0.5984, not cut, 93 miles21. Kearney Regional Medical Center, Kearney: score 0.3568, not cut, 92 miles1This hospital: Great Plains Health

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

Show table
HospitalMilesScoreDecision
Kearney Regional Medical Center, Kearney, NE920.3568not cut
CHI Health Good Samaritan, Kearney, NE93−0.5984not cut
Grand Island Regional Medical Center, Grand Island, NE1250.6275cut
CHI Health St. Francis, Grand Island, NE1260.2624not cut
Mary Lanning Healthcare, Hastings, NE1300.2356not cut
Sterling Regional Medcenter, Sterling, CO133−0.8538not cut
Regional West Medical Center, Scottsbluff, NE1590.2363not cut
Pine Ridge IHS Hospital, Pine Ridge, SD167−1.4622not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Kearney Regional Medical CenterKearney, NE920.3568No cut$0Above the national median on 3 of 6 measures
2CHI Health Good SamaritanKearney, NE93−0.5984No cut$0Above the national median on 2 of 6 measures
3Grand Island Regional Medical CenterGrand Island, NE1250.62751% cut$98KAbove the national median on 2 of 3 measures
4CHI Health St. FrancisGrand Island, NE1260.2624No cut$0Above the national median on 3 of 6 measures
5Mary Lanning HealthcareHastings, NE1300.2356No cut$0Above the national median on 3 of 6 measures
6Sterling Regional MedcenterSterling, CO133−0.8538No cut$0Above the national median on 0 of 2 measures
7Regional West Medical CenterScottsbluff, NE1590.2363No cut$0Above the national median on 5 of 6 measures
8Pine Ridge IHS HospitalPine Ridge, SD167−1.4622No cut$0Above the national median on 0 of 1 measures

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A penalty reflects how CMS’s formula scored relative performance; it is not a verdict on the quality of care.

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Paid & Penalized. Great Plains Health, North Platte, NE: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/280065/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.