P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalErie County Medical Center Estimated FY2026 net: −$920K×

Hospital record · FY2026CCN 330219

1Hospital

Erie County Medical Center

2Location

Buffalo, NY (New York’s hospitals on the map and in the table) 14215

Erie County

3Type

Major teaching · 526 beds · Nonprofit · Urban · Rural referral center

4Care Compare stars

2 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

0.5420

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$677K estimate
Likely $551⁠–⁠736K; about $308 per traditional Medicare stay

Cut 1%

$677K

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

For fiscal year 2026, CMS reports a Total HAC Score of 0.5420 for Erie County Medical Center and a payment reduction decision of Yes.

That is 1% of about $67.7M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year plus the teaching payments Medicare makes on its Medicare Advantage patients’ stays: about $308 per traditional Medicare stay.

Likely range $551–736K

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: 0.5420 This hospital 0.5420 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: 0.5420 This hospital 0.5420

Higher than 81% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 7 of 11 years

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

Where the score came from

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

Bringing PSI 90 down to the national median (0.9623) would lower the score the most: by 0.4490, to 0.0930. 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; PSI 90 added the most to its score.
  • This hospital
  • National median
  • Scores the same as CMS’s floor or cap
  1. PSI 90 (what it counts)

    Safety problems such as serious bedsores, falls that break a bone and blood clots after surgery, found by CMS in traditional Medicare claims. A value of 1 matches the national composite value.

    added the most

    Patient safety and adverse events composite

    Worse than 99% of the other 2,808 hospitals

    estimate

    This site recomputes this measure’s z‑score from CMS’s published value. The recompute can differ from CMS’s z‑score by up to 0.0021. How this site estimates

    CMS value2.1065

    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 60% of the other 2,181 hospitals

    CMS value0.671

    Z-score0.1501

    Part of score+0.0250

  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 67% of the other 2,354 hospitals

    CMS value0.327

    Z-score−0.5304

    Part of score−0.0884

  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 78% of the other 2,269 hospitals

    CMS value1.295

    Z-score0.7619

    Part of score+0.1270

  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 75% 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 value0.530

    Z-score0.5900

    Part of score+0.0983

  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 55% of the other 2,067 hospitals

    CMS value0.587

    Z-score−0.2305

    Part of score−0.0384

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 902.10650.96232.5111+0.4185Worse than 99% of the other 2,808 hospitals
CLABSI0.6710.5590.1501+0.0250Worse than 60% of the other 2,181 hospitals
CAUTI0.3270.489−0.5304−0.0884Better than 67% of the other 2,354 hospitals
SSI1.2950.7950.7619+0.1270Worse than 78% of the other 2,269 hospitals
CDI0.5300.3460.5900+0.0983Worse than 75% of the other 2,766 hospitals
MRSA0.5870.641−0.2305−0.0384Better than 55% 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+0.1501CLABSI−0.5304CAUTI+0.7619SSI+0.5900CDI−0.2305MRSA)÷6measures=0.5420Total HAC Score

This hospital’s score is 0.1628 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 0.5420, above CMS’s line.
1% cut PSI 90: z‑score 2.5111 divided by 6 = +0.4185PSI 90+0.4185 CLABSI: z‑score 0.1501 divided by 6 = +0.0250CLABSI+0.0250 CAUTI: z‑score −0.5304 divided by 6 = −0.0884CAUTI−0.0884 SSI: z‑score 0.7619 divided by 6 = +0.1270SSI+0.1270 CDI: z‑score 0.5900 divided by 6 = +0.0983CDI+0.0983 MRSA: z‑score −0.2305 divided by 6 = −0.0384MRSA−0.0384 Total HAC Score: 0.5420Score0.5420 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.40.50.6 1% cut PSI 90: z‑score 2.5111 divided by 6 = +0.4185PSI 90+0.4185 CLABSI: z‑score 0.1501 divided by 6 = +0.0250CLABSI+0.0250 CAUTI: z‑score −0.5304 divided by 6 = −0.0884CAUTI−0.0884 SSI: z‑score 0.7619 divided by 6 = +0.1270SSI+0.1270 CDI: z‑score 0.5900 divided by 6 = +0.0983CDI+0.0983 MRSA: z‑score −0.2305 divided by 6 = −0.0384MRSA−0.0384 Total HAC Score: 0.5420Score0.5420 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.40.50.6

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
CLABSI0.1501+0.02500.4435
CAUTI−0.5304−0.08840.3551
SSI0.7619+0.12700.4821
CDI0.5900+0.09830.5804
MRSA−0.2305−0.03840.5420
Total HAC Score0.5420
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, and of the teaching payments Medicare makes on its Medicare Advantage stays; 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, 0.1628 over the highest score CMS didn’t cut, costs it about $677K 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 $677K at any score from 0.3799 $0at any score up to 0.3792 $677K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 0.5420 This hospital 0.5420 CMS’s line $0 at any score up to 0.3792 $677K at any score from 0.3799 $0at any score up to 0.3792 $677Kat 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: 0.5420 This hospital 0.5420

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−$676,968
This hospital0.5420−$676,968
CMS’s highest score2.3133−$676,968

The money, line by line

This site estimates what traditional Medicare pays the hospital for a year of inpatient stays, and the teaching payments Medicare makes on its Medicare Advantage patients’ 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.

($54,133,037payment+$13,806,442teaching, MA stays−$21,574readmissions−$221,152value-based)×1%the cut=$676,968HAC cut

$676,968HAC cut÷2,197traditional Medicare stays=$308per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $677K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to −$22K and −$221K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays, and for teaching on Medicare Advantage stays
DRG payments at the federal rates the base $35,956,644
Teaching (indirect medical education) $7,346,662
Teaching on Medicare Advantage stays $13,806,442
Many low-income patients (disproportionate share) $2,719,401
Outliers: unusually costly stays $1,490,762
Capital: buildings and equipment $3,603,735
Uncompensated care $3,015,833
Total, before the three programs $67,939,479
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9994 − 1) −$21,574
Value-based purchasing (HVBP) base × (0.9938 − 1) −$221,152
After these two $67,696,753
HAC Reduction Program 1% of everything above; likely $551⁠–⁠736K −$676,968
Net of the three programs likely −$1.0M to −$795K −$919,694

Not paid to this hospital: a Medicare-dependent hospital add-on, a sole community hospital rate difference, and a low-volume adjustment.

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)$35,956,644
Teaching (indirect medical education)$7,346,662
Teaching on Medicare Advantage stays$13,806,442
Many low-income patients (disproportionate share)$2,719,401
Outliers: unusually costly stays$1,490,762
Capital: buildings and equipment$3,603,735
Uncompensated care$3,015,833
Total, before the three programs$67,939,479
Readmissions (HRRP) (base × (0.9994 − 1))−$21,574
Value-based purchasing (HVBP) (base × (0.9938 − 1))−$221,152
After these two$67,696,753
HAC Reduction Program (1% of everything above; likely $551–736K)−$676,968
Net of the three programs (likely −$1.0M to −$795K)−$919,694

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 Score0.5420same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$677Ksame

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 0.5420 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 $677K, 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 901.2081 or lower
CLABSI0.249 or lower
CAUTInot possible with this measure alone
SSI0.724 or lower
CDI0.277 or lower
MRSA0.119 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 2.1065 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.671 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.327 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 1.295 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.530 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.587 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. PSI 90 added the most to this hospital’s Total HAC Score of 0.5420 among its measured results: +0.4185.
  • PSI 90 +0.4185
  • CLABSI +0.0250
  • CAUTI −0.0884
  • SSI +0.1270
  • CDI +0.0983
  • MRSA −0.0384

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
CLABSI0.1501+0.0250same
CAUTI−0.5304−0.0884same
SSI0.7619+0.1270same
CDI0.5900+0.0983same
MRSA−0.2305−0.0384same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/330219/

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 7 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 4.9250, higher than 38% of scores; not cutFY2016: score 4.5000, higher than 30% of scores; not cutFY2017: score 6.6400, higher than 77% of scores; cutFY2018: score 0.6151, higher than 86% of scores; cutFY2019: score 0.2745, higher than 71% of scores; not cutFY2020: score 0.4168, higher than 79% of scores; cutFY2021: score 0.7391, higher than 91% of scores; cutFY2022: score 0.2314, higher than 71% of scores; not cutFY2024: score 0.4907, higher than 80% of scores; cutFY2025: score 0.6623, higher than 87% of scores; cutFY2026: score 0.5420, higher than 81% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 4.9250, higher than 38% of scores; not cutFY2016: score 4.5000, higher than 30% of scores; not cutFY2017: score 6.6400, higher than 77% of scores; cutFY2018: score 0.6151, higher than 86% of scores; cutFY2019: score 0.2745, higher than 71% of scores; not cutFY2020: score 0.4168, higher than 79% of scores; cutFY2021: score 0.7391, higher than 91% of scores; cutFY2022: score 0.2314, higher than 71% of scores; not cutFY2024: score 0.4907, higher than 80% of scores; cutFY2025: score 0.6623, higher than 87% of scores; cutFY2026: score 0.5420, higher than 81% 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
FY20154.925038.8%not cut
FY20164.500030.4%not cut
FY20176.640077.3%cut
FY20180.615186.1%cut
FY20190.274571.0%not cut
FY20200.416879.4%cut
FY20210.739191.2%cut
FY20220.231471.0%not cut
FY2023no decision
FY20240.490780.0%cut
FY20250.662387.3%cut
FY20260.542081.7%cut

Its infections, year by year

This hospital’s infection rate against prediction for each calendar year Care Compare published one, on each measure with at least two years of results (black), over the nation’s middle hospital (gray). Below the dashed line at one, fewer infections than predicted. Each year is measured against the same fixed baseline, not against other hospitals, so unlike the score they can all improve at once.

Figure 7. 4 of its 5 infection measures ended lower than they started.
CLABSI 1.54 → 0.61 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 1.545CLABSI, 2018: 1.355CLABSI, 2019: 0.338CLABSI, 2021: 0.657CLABSI, 2022: 0.934CLABSI, 2023: 0.733CLABSI, 2024: 0.615 CAUTI 0.77 → 0.34 1 0 ’18’21’24 CAUTI, 2017: 0.774CAUTI, 2018: 0.761CAUTI, 2019: 0.447CAUTI, 2021: 0.377CAUTI, 2022: 0.445CAUTI, 2023: 0.314CAUTI, 2024: 0.337 SSI, colon 0.00 → 0.68 1 0 ’18’21’24 SSI, colon, 2017: 0.000SSI, colon, 2018: 2.576SSI, colon, 2019: 0.737SSI, colon, 2021: 1.531SSI, colon, 2022: 0.000SSI, colon, 2023: 2.017SSI, colon, 2024: 0.683 MRSA 1.45 → 0.72 1 0 ’18’21’24 MRSA, 2017: 1.449MRSA, 2018: 0.654MRSA, 2019: 0.904MRSA, 2021: 1.223MRSA, 2022: 1.390MRSA, 2023: 0.462MRSA, 2024: 0.716 C. diff 0.83 → 0.45 1 0 ’18’21’24 C. diff, 2017: 0.834C. diff, 2018: 0.821C. diff, 2019: 0.550C. diff, 2021: 0.760C. diff, 2022: 0.964C. diff, 2023: 0.613C. diff, 2024: 0.449 CLABSI 1.54 → 0.61 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 1.545CLABSI, 2018: 1.355CLABSI, 2019: 0.338CLABSI, 2021: 0.657CLABSI, 2022: 0.934CLABSI, 2023: 0.733CLABSI, 2024: 0.615 CAUTI 0.77 → 0.34 1 0 ’18’20’22’24 CAUTI, 2017: 0.774CAUTI, 2018: 0.761CAUTI, 2019: 0.447CAUTI, 2021: 0.377CAUTI, 2022: 0.445CAUTI, 2023: 0.314CAUTI, 2024: 0.337 SSI, colon 0.00 → 0.68 1 0 ’18’20’22’24 SSI, colon, 2017: 0.000SSI, colon, 2018: 2.576SSI, colon, 2019: 0.737SSI, colon, 2021: 1.531SSI, colon, 2022: 0.000SSI, colon, 2023: 2.017SSI, colon, 2024: 0.683 MRSA 1.45 → 0.72 1 0 ’18’20’22’24 MRSA, 2017: 1.449MRSA, 2018: 0.654MRSA, 2019: 0.904MRSA, 2021: 1.223MRSA, 2022: 1.390MRSA, 2023: 0.462MRSA, 2024: 0.716 C. diff 0.83 → 0.45 1 0 ’18’20’22’24 C. diff, 2017: 0.834C. diff, 2018: 0.821C. diff, 2019: 0.550C. diff, 2021: 0.760C. diff, 2022: 0.964C. diff, 2023: 0.613C. diff, 2024: 0.449

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, colonMRSAC. diff
20171.5450.7740.0001.4490.834
20181.3550.7612.5760.6540.821
20190.3380.4470.7370.9040.550
20210.6570.3771.5311.2230.760
20220.9340.4450.0001.3900.964
20230.7330.3142.0170.4620.613
20240.6150.3370.6830.7160.449

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 New York, its score is higher than 72% of the other 125 scored there.

In Buffalo-Cheektowaga, NY area, its score is higher than 85% of the other 7 scored there.

Figure 8. Its score is above the middle in all 8 groups it belongs to; the share cut runs from 23% (Urban) to 50% (Buffalo-Cheektowaga, NY area).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut Northeast region: CMS cut 124 of 436 (28%); middle score 0.0478Northeast region 436 hospitals28% cut New York: CMS cut 45 of 126 (36%); middle score 0.1614New York 126 hospitals36% cut Buffalo-Cheektowaga, NY area: CMS cut 4 of 8 (50%); middle score 0.1182Buffalo-Cheektowaga, NY area8 hospitals50% cut Major teaching: CMS cut 136 of 424 (32%); middle score 0.1780Major teaching 424 hospitals32% cut 500 beds and up: CMS cut 105 of 365 (29%); middle score 0.1323500 beds and up 365 hospitals29% 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: 0.5420 This hospital 0.5420 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut Northeast region: CMS cut 124 of 436 (28%); middle score 0.0478Northeast region436 hospitals28% cut New York: CMS cut 45 of 126 (36%); middle score 0.1614New York126 hospitals36% cut Buffalo-Cheektowaga, NY area: CMS cut 4 of 8 (50%); middle score 0.1182Buffalo-Cheektowaga, NY area8 hospitals50% cut Major teaching: CMS cut 136 of 424 (32%); middle score 0.1780Major teaching424 hospitals32% cut 500 beds and up: CMS cut 105 of 365 (29%); middle score 0.1323500 beds and up365 hospitals29% 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: 0.5420 This hospital 0.5420

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%−0.045381%
Northeast region43612428%0.047880%
New York1264536%0.161472%
Buffalo-Cheektowaga, NY area8450%0.118285%
Major teaching42413632%0.178076%
500 beds and up36510529%0.132380%
Nonprofit1,83047826%−0.013481%
Urban2,24151023%−0.057484%
This hospital0.5420
CMS’s line0.37920.3799

The nearest hospitals

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

Figure 9. CMS cut 3 of the 8 nearest hospitals; the closest is about a mile away.
5 mi10 mi25 mi8. United Memorial Medical Center, Batavia: score −0.4695, not cut, 33 miles87. Bertrand Chaffee Hospital, Springville: score −0.7186, not cut, 30 miles76. Mount St. Mary's Hospital & Health Center, Lewiston: score −1.0615, not cut, 19 miles65. Niagara Falls Memorial Medical Center, Niagara Falls: score 0.4693, cut, 16 miles54. Mercy Hospital of Buffalo, Buffalo: score −0.3449, not cut, 5 miles43. Kenmore Mercy Hospital, Kenmore: score −0.1908, not cut, 4 miles32. Kaleida Health, Buffalo: score 0.6550, cut, 3 miles21. Sisters of Charity Hospital, Buffalo: score 0.4272, cut, about a mile1This hospital: Erie County Medical Center

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

Show table
HospitalMilesScoreDecision
Sisters of Charity Hospital, Buffalo, NY10.4272cut
Kaleida Health, Buffalo, NY30.6550cut
Kenmore Mercy Hospital, Kenmore, NY4−0.1908not cut
Mercy Hospital of Buffalo, Buffalo, NY5−0.3449not cut
Niagara Falls Memorial Medical Center, Niagara Falls, NY160.4693cut
Mount St. Mary's Hospital & Health Center, Lewiston, NY19−1.0615not cut
Bertrand Chaffee Hospital, Springville, NY30−0.7186not cut
United Memorial Medical Center, Batavia, NY33−0.4695not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Sisters of Charity HospitalBuffalo, NY10.42721% cut$236KAbove the national median on 4 of 6 measures
2Kaleida HealthBuffalo, NY30.65501% cut$2.0MAbove the national median on 5 of 6 measures
3Kenmore Mercy HospitalKenmore, NY4−0.1908No cut$0Above the national median on 1 of 6 measures
4Mercy Hospital of BuffaloBuffalo, NY5−0.3449No cut$0Above the national median on 2 of 6 measures
5Niagara Falls Memorial Medical CenterNiagara Falls, NY160.46931% cut$82KAbove the national median on 4 of 6 measures
6Mount St. Mary's Hospital & Health CenterLewiston, NY19−1.0615No cut$0Above the national median on 1 of 5 measures
7Bertrand Chaffee HospitalSpringville, NY30−0.7186No cut$0Above the national median on 1 of 2 measures
8United Memorial Medical CenterBatavia, NY33−0.4695No cut$0Above the national median on 2 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. Erie County Medical Center, Buffalo, NY: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/330219/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.