P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalNebraska Spine Hospital, LLC Estimated FY2026 net: −$103K×

Hospital record · FY2026CCN 280133

1Hospital

Nebraska Spine Hospital, LLC

2Location

Omaha, NE (Nebraska’s hospitals on the map and in the table) 68122

Douglas County

3Type

Not a teaching hospital · 34 beds · For-profit · Urban

4Care Compare stars

Not Available

Overall rating, CMS Care Compare data of July 22, 2026
CMS footnote 16: There are too few measures or measure groups reported to calculate a star rating or measure group score.
CMS footnote 23: The data are based on claims that the hospital or facility submitted to CMS. The hospital or facility has reported discrepancies in their claims data.
Open on Care Compare (opens in a new tab)

5Total HAC Score

1.0027

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$103K estimate
Likely $76⁠–⁠128K; about $364 per traditional Medicare stay

Cut 1%

$103K

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

For fiscal year 2026, CMS reports a Total HAC Score of 1.0027 for Nebraska Spine Hospital, LLC and a payment reduction decision of Yes.

That is 1% of about $10.3M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year: about $364 per traditional Medicare stay.

Likely range $76–128K

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: 1.0027 This hospital 1.0027 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: 1.0027 This hospital 1.0027

Higher than 93% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 2 of 11 years

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

In FY2018, CMS reports a payment reduction decision for this hospital but no Total HAC Score.

CMS’s note on the score: The data are based on claims that the hospital or facility submitted to CMS. The hospital or facility has reported discrepancies in their claims data.

CMS scored this hospital on a single measure, so that measure alone set its Total HAC Score.

Where the score came from

CMS scored this hospital on 1 of the 6 measures. On every measure a lower value is better. Each row puts the hospital among every hospital with a value: the gray columns are those hospitals, the tall tick is the national median, and the hatched ends score the same as CMS’s floor or cap.

Bringing PSI 90 down to the national median (0.9623) would lower the score the most: by 1.1854, to −0.1827. That change alone would put the score under CMS’s line. Try it in the what-if

Figure 1. This hospital has a published value for one measure, PSI 90, and it is above the national median.
  • 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 84% of the other 2,808 hospitals

    CMS footnote 23: The data are based on claims that the hospital or facility submitted to CMS. The hospital or facility has reported discrepancies in their claims data.

    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 value1.1321

    Z-score1.0027

    Part of score+1.0027

  2. CLABSI (what it counts)

    Bloodstream infections tied to a central line, a tube often placed in a large vein in the neck, chest or groin. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Central line–associated bloodstream infections

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  3. CAUTI (what it counts)

    Urinary tract infections that start from a urinary catheter, a tube that drains the bladder. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Catheter-associated urinary tract infections

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  4. SSI (what it counts)

    Deep infections at the site of colon surgery or an abdominal hysterectomy, within a month of the operation, pooled into one measure. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Surgical site infections after colon surgery or abdominal hysterectomy

    Not scored on this measure

    CMS footnote 12: This measure does not apply to this hospital for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  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

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  6. MRSA (what it counts)

    Bloodstream infections with MRSA, a germ that resists several antibiotics, found by a lab test and starting in the hospital. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    MRSA bloodstream infections

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.13210.96231.0027+1.0027Worse than 84% of the other 2,808 hospitals
CLABSIno value published0.559no value publishedno value publishedNot scored on this measure
CAUTIno value published0.489no value publishedno value publishedNot scored on this measure
SSIno value published0.795no value publishedno value publishedNot scored on this measure
CDIno value published0.346no value publishedno value publishedNot scored on this measure
MRSAno value published0.641no value publishedno value publishedNot scored on this measure

How the parts add up

CMS adds the z‑scores and divides by the number of measures scored, so each measure counts the same. Each bar below is one z‑score divided by 1; a bar right of zero raised the score and one left of zero lowered it.

(1.0027PSI 90)÷1measures=1.0027Total HAC Score

This hospital’s score is 0.6235 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 1.0027, above CMS’s line.
1% cut PSI 90: z‑score 1.0027 divided by 1 = +1.0027PSI 90+1.0027 Total HAC Score: 1.0027Score1.0027 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.20.40.60.81.0 1% cut PSI 90: z‑score 1.0027 divided by 1 = +1.0027PSI 90+1.0027 Total HAC Score: 1.0027Score1.0027 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.20.40.60.81.0

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 901.0027+1.00271.0027
Total HAC Score1.0027
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, 0.6235 over the highest score CMS didn’t cut, costs it about $103K 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 $103K at any score from 0.3799 $0at any score up to 0.3792 $103K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 1.0027 This hospital 1.0027 CMS’s line $0 at any score up to 0.3792 $103K at any score from 0.3799 $0at any score up to 0.3792 $103Kat 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: 1.0027 This hospital 1.0027

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−$103,311
This hospital1.0027−$103,311
CMS’s highest score2.3133−$103,311

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.

($10,331,099payment+$0readmissions+$0value-based)×1%the cut=$103,311HAC cut

$103,311HAC cut÷284traditional Medicare stays=$364per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $103K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to $0 and $0.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $9,565,593
Outliers: unusually costly stays $21,427
Capital: buildings and equipment $744,079
Total, before the three programs $10,331,099
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) not in CMS’s readmissions file: no adjustment $0
Value-based purchasing (HVBP) not in CMS’s value-based factors: no adjustment $0
After these two $10,331,099
HAC Reduction Program 1% of everything above; likely $76⁠–⁠128K −$103,311
Net of the three programs likely −$132K to −$75K −$103,311

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)$9,565,593
Outliers: unusually costly stays$21,427
Capital: buildings and equipment$744,079
Total, before the three programs$10,331,099
Readmissions (HRRP) (not in CMS’s readmissions file: no adjustment)$0
Value-based purchasing (HVBP) (not in CMS’s value-based factors: no adjustment)$0
After these two$10,331,099
HAC Reduction Program (1% of everything above; likely $76–128K)−$103,311
Net of the three programs (likely −$132K to −$75K)−$103,311

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 Score1.0027same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$103Ksame

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 1.0027 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 $103K, 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 901.0427 or lower

Each measure weighs 1 ÷ 1 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 1.1321 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.6981

Figure 5. PSI 90 added the most to this hospital’s Total HAC Score of 1.0027 among its measured results: +1.0027.
  • PSI 90 +1.0027

A measure adds its z‑score divided by 1, 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 901.0027+1.0027same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/280133/

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.

Figure 6. CMS cut this hospital in 2 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 7.0000, higher than 73% of scores; not cutFY2016: score 7.0000, higher than 76% of scores; cutFY2017: score 1.6000, higher than 3% of scores; not cutFY2019: score −1.3414, higher than 4% of scores; not cutFY2020: score −0.9953, higher than 6% of scores; not cutFY2021: score −0.9306, higher than 6% of scores; not cutFY2022: score −0.3256, higher than 29% of scores; not cutFY2024: score −0.7943, higher than 8% of scores; not cutFY2025: score −0.8414, higher than 7% of scores; not cutFY2026: score 1.0027, higher than 93% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 7.0000, higher than 73% of scores; not cutFY2016: score 7.0000, higher than 76% of scores; cutFY2017: score 1.6000, higher than 3% of scores; not cutFY2019: score −1.3414, higher than 4% of scores; not cutFY2020: score −0.9953, higher than 6% of scores; not cutFY2021: score −0.9306, higher than 6% of scores; not cutFY2022: score −0.3256, higher than 29% of scores; not cutFY2024: score −0.7943, higher than 8% of scores; not cutFY2025: score −0.8414, higher than 7% of scores; not cutFY2026: score 1.0027, higher than 93% 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
FY20157.000073.6%not cut
FY20167.000076.6%cut
FY20171.60003.0%not cut
FY2018Not Availablenot cut, with no score published
FY2019−1.34144.8%not cut
FY2020−0.99536.1%not cut
FY2021−0.93066.7%not cut
FY2022−0.325629.1%not cut
FY2023no decision
FY2024−0.79438.2%not cut
FY2025−0.84147.7%not cut
FY20261.002793.7%cut

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 95% of the other 23 scored there.

In Omaha, NE-IA area, its score is higher than 100% of the other 11 scored there.

Figure 7. Its score is above the middle in all 8 groups it belongs to; the share cut runs from 15% (For-profit) to 28% (Fewer than 100 beds).
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 Omaha, NE-IA area: CMS cut 3 of 12 (25%); middle score −0.2822Omaha, NE-IA area 12 hospitals25% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching 1,563 hospitals25% cut Fewer than 100 beds: CMS cut 225 of 805 (28%); middle score −0.1154Fewer than 100 beds 805 hospitals28% cut For-profit: CMS cut 98 of 651 (15%); middle score −0.2590For-profit 651 hospitals15% cut Urban: CMS cut 510 of 2,241 (23%); middle score −0.0574Urban 2,241 hospitals23% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1012 This hospital: 1.0027 This hospital 1.0027 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 Omaha, NE-IA area: CMS cut 3 of 12 (25%); middle score −0.2822Omaha, NE-IA area12 hospitals25% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching1,563 hospitals25% cut Fewer than 100 beds: CMS cut 225 of 805 (28%); middle score −0.1154Fewer than 100 beds805 hospitals28% cut For-profit: CMS cut 98 of 651 (15%); middle score −0.2590For-profit651 hospitals15% cut Urban: CMS cut 510 of 2,241 (23%); middle score −0.0574Urban2,241 hospitals23% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1.5−1.0−0.50.00.51.01.52.0 This hospital: 1.0027 This hospital 1.0027

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%−0.045393%
Midwest region68317425%−0.026895%
Nebraska24625%−0.006395%
Omaha, NE-IA area12325%−0.2822100%
Not teaching1,56338925%−0.105392%
Fewer than 100 beds80522528%−0.115486%
For-profit6519815%−0.259095%
Urban2,24151023%−0.057495%
This hospital1.0027
CMS’s line0.37920.3799

The nearest hospitals

The 8 closest hospitals with a Total HAC Score, in a straight line. The squares are each hospital’s measures in order: filled, above the national median; open, at or below it; hatched, assigned by CMS; blank, not scored.

Figure 8. CMS cut 1 of the 8 nearest hospitals; the closest is less than a mile away.
5 mi10 mi8. CHI Health Mercy Council Bluffs, Council Bluffs: score −0.0259, not cut, 13 miles87. CHI Health Lakeside, Omaha: score −0.4107, not cut, 11 miles76. Nebraska Orthopaedic Hospital, Omaha: score −0.1867, not cut, 10 miles65. CHI Health Bergan Mercy, Omaha: score −0.5216, not cut, 9 miles54. Midwest Surgical Hospital LLC, Omaha: score −0.7399, not cut, 7 miles43. The Nebraska Medical Center, Omaha: score 0.1187, not cut, 7 miles32. The Nebraska Methodist Hospital, Omaha: score 0.3984, cut, 7 miles21. CHI Health Immanuel, Omaha: score −0.3776, not cut, less than a mile1This hospital: Nebraska Spine Hospital, LLC

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

Show table
HospitalMilesScoreDecision
CHI Health Immanuel, Omaha, NEunder 1−0.3776not cut
The Nebraska Methodist Hospital, Omaha, NE70.3984cut
The Nebraska Medical Center, Omaha, NE70.1187not cut
Midwest Surgical Hospital LLC, Omaha, NE7−0.7399not cut
CHI Health Bergan Mercy, Omaha, NE9−0.5216not cut
Nebraska Orthopaedic Hospital, Omaha, NE10−0.1867not cut
CHI Health Lakeside, Omaha, NE11−0.4107not cut
CHI Health Mercy Council Bluffs, Council Bluffs, IA13−0.0259not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1CHI Health ImmanuelOmaha, NEunder 1−0.3776No cut$0Above the national median on 1 of 6 measures
2The Nebraska Methodist HospitalOmaha, NE70.39841% cut$946KAbove the national median on 5 of 6 measures
3The Nebraska Medical CenterOmaha, NE70.1187No cut$0Above the national median on 3 of 6 measures
4Midwest Surgical Hospital LLCOmaha, NE7−0.7399No cut$0Above the national median on 0 of 1 measures
5CHI Health Bergan MercyOmaha, NE9−0.5216No cut$0Above the national median on 1 of 6 measures
6Nebraska Orthopaedic HospitalOmaha, NE10−0.1867No cut$0Above the national median on 0 of 1 measures
7CHI Health LakesideOmaha, NE11−0.4107No cut$0Above the national median on 2 of 6 measures
8CHI Health Mercy Council BluffsCouncil Bluffs, IA13−0.0259No cut$0Above the national median on 3 of 6 measures

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

CMS’s footnotes on this page

23
The data are based on claims that the hospital or facility submitted to CMS. The hospital or facility has reported discrepancies in their claims data.
13
Results cannot be calculated for this reporting period.
5
Results are not available for this reporting period.
12
This measure does not apply to this hospital for this reporting period.

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. Nebraska Spine Hospital, LLC, Omaha, NE: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/280133/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.