P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalUNC Hospitals Estimated FY2026 net: +$149K×

Hospital record · FY2026CCN 340061

1Hospital

UNC Hospitals

2Location

Chapel Hill, NC (North Carolina’s hospitals on the map and in the table) 27514

Orange County

3Type

Major teaching · 724 beds · Government · Urban · Rural referral center

4Care Compare stars

5 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

0.3655

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $2.2M, likely $1.8⁠–⁠2.3M estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of 0.3655 for UNC Hospitals and a payment reduction decision of No.

A cut would have taken about $2.2M estimate 1% of about $215M, 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. Its score was 0.0144 under 0.3799, the lowest score CMS cut.

Likely range $1.8–2.3M

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.

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: 0.3655 This hospital 0.3655 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: 0.3655 This hospital 0.3655

Higher than 74% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 6 of 11 years

  1. 15Cut
  2. 16Cut
  3. 17Cut
  4. 18Cut
  5. 19No
  6. 20No
  7. 21Cut
  8. 22Cut
  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 CLABSI down to the national median (0.559) would lower the score the most: by 0.1902, to 0.1753. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 5; 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

    Better than 71% 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 value0.9053

    Z-score−0.5804

    Part of score−0.0967

  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 84% of the other 2,181 hospitals

    CMS value1.051

    Z-score1.0316

    Part of score+0.1719

  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

    Worse than 66% of the other 2,354 hospitals

    CMS value0.647

    Z-score0.2410

    Part of score+0.0402

  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 73% of the other 2,269 hospitals

    CMS value1.185

    Z-score0.5734

    Part of score+0.0956

  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 value0.579

    Z-score0.7798

    Part of score+0.1300

  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 61% of the other 2,067 hospitals

    CMS value0.768

    Z-score0.1478

    Part of score+0.0246

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.90530.9623−0.5804−0.0967Better than 71% of the other 2,808 hospitals
CLABSI1.0510.5591.0316+0.1719Worse than 84% of the other 2,181 hospitals
CAUTI0.6470.4890.2410+0.0402Worse than 66% of the other 2,354 hospitals
SSI1.1850.7950.5734+0.0956Worse than 73% of the other 2,269 hospitals
CDI0.5790.3460.7798+0.1300Worse than 79% of the other 2,766 hospitals
MRSA0.7680.6410.1478+0.0246Worse than 61% 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.

(−0.5804PSI 90+1.0316CLABSI+0.2410CAUTI+0.5734SSI+0.7798CDI+0.1478MRSA)÷6measures=0.3655Total HAC Score

This hospital’s score is 0.0144 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to 0.3655, below CMS’s line.
1% cut PSI 90: z‑score −0.5804 divided by 6 = −0.0967PSI 90−0.0967 CLABSI: z‑score 1.0316 divided by 6 = +0.1719CLABSI+0.1719 CAUTI: z‑score 0.2410 divided by 6 = +0.0402CAUTI+0.0402 SSI: z‑score 0.5734 divided by 6 = +0.0956SSI+0.0956 CDI: z‑score 0.7798 divided by 6 = +0.1300CDI+0.1300 MRSA: z‑score 0.1478 divided by 6 = +0.0246MRSA+0.0246 Total HAC Score: 0.3655Score0.3655 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.10.00.10.20.30.4 1% cut PSI 90: z‑score −0.5804 divided by 6 = −0.0967PSI 90−0.0967 CLABSI: z‑score 1.0316 divided by 6 = +0.1719CLABSI+0.1719 CAUTI: z‑score 0.2410 divided by 6 = +0.0402CAUTI+0.0402 SSI: z‑score 0.5734 divided by 6 = +0.0956SSI+0.0956 CDI: z‑score 0.7798 divided by 6 = +0.1300CDI+0.1300 MRSA: z‑score 0.1478 divided by 6 = +0.0246MRSA+0.0246 Total HAC Score: 0.3655Score0.3655 CMS’s line: between 0.3792 and 0.3799 CMS’s line −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 90−0.5804−0.0967−0.0967
CLABSI1.0316+0.17190.0752
CAUTI0.2410+0.04020.1154
SSI0.5734+0.09560.2110
CDI0.7798+0.13000.3410
MRSA0.1478+0.02460.3656
Total HAC Score0.3655
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, 0.0144 under the lowest score CMS cut, costs it nothing; 0.0144 higher, the cut would have been about $2.2M 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 $2.2M at any score from 0.3799 $0at any score up to 0.3792 $2.2M at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: 0.3655 This hospital 0.3655 CMS’s line $0 at any score up to 0.3792 $2.2M at any score from 0.3799 $0at any score up to 0.3792 $2.2Mat 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: 0.3655 This hospital 0.3655

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−$2,151,752
This hospital0.3655$0
CMS’s highest score2.3133−$2,151,752

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.

($175,585,257payment+$39,441,423teaching, MA stays−$71,180readmissions+$219,723value-based)×1%the cut=$2,151,752at stake

$2,151,752at stake÷5,790traditional Medicare stays=$372per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $2.2M by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$71K and +$220K.

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 $88,974,739
Teaching (indirect medical education) $28,173,851
Teaching on Medicare Advantage stays $39,441,423
Many low-income patients (disproportionate share) $4,882,934
Outliers: unusually costly stays $18,401,755
Capital: buildings and equipment $9,282,148
Uncompensated care $25,869,830
Total, before the three programs $215,026,680
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9992 − 1) −$71,180
Value-based purchasing (HVBP) base × (1.0025 − 1) +$219,723
After these two $215,175,223
HAC Reduction Program no cut; 1% would have been $2,151,752 $0
Net of the three programs likely $128⁠–⁠163K +$148,543

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)$88,974,739
Teaching (indirect medical education)$28,173,851
Teaching on Medicare Advantage stays$39,441,423
Many low-income patients (disproportionate share)$4,882,934
Outliers: unusually costly stays$18,401,755
Capital: buildings and equipment$9,282,148
Uncompensated care$25,869,830
Total, before the three programs$215,026,680
Readmissions (HRRP) (base × (0.9992 − 1))−$71,180
Value-based purchasing (HVBP) (base × (1.0025 − 1))+$219,723
After these two$215,175,223
HAC Reduction Program (no cut; 1% would have been $2,151,752)$0
Net of the three programs (likely $128–163K)+$148,543

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 Score0.3655same
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 0.3655 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 $2.2M 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 0.9169
CLABSIup to 1.086
CAUTIup to 0.681
SSIup to 1.232
CDIup to 0.600
MRSAup to 0.807

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 0.9053 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 1.051 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.647 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 1.185 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.579 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.768 · 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 0.3655 among its measured results: +0.1719.
  • PSI 90 −0.0967
  • CLABSI +0.1719
  • CAUTI +0.0402
  • SSI +0.0956
  • CDI +0.1300
  • MRSA +0.0246

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 90−0.5804−0.0967same
CLABSI1.0316+0.1719same
CAUTI0.2410+0.0402same
SSI0.5734+0.0956same
CDI0.7798+0.1300same
MRSA0.1478+0.0246same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/340061/

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 4 years in a row.

Figure 6. CMS cut this hospital in 6 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 7.3750, higher than 82% of scores; cutFY2016: score 8.0000, higher than 89% of scores; cutFY2017: score 7.9600, higher than 93% of scores; cutFY2018: score 0.5146, higher than 82% of scores; cutFY2019: score 0.1578, higher than 64% of scores; not cutFY2020: score 0.1157, higher than 61% of scores; not cutFY2021: score 0.5590, higher than 85% of scores; cutFY2022: score 0.6425, higher than 87% of scores; cutFY2024: score 0.0505, higher than 56% of scores; not cutFY2025: score 0.1144, higher than 60% of scores; not cutFY2026: score 0.3655, higher than 74% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 7.3750, higher than 82% of scores; cutFY2016: score 8.0000, higher than 89% of scores; cutFY2017: score 7.9600, higher than 93% of scores; cutFY2018: score 0.5146, higher than 82% of scores; cutFY2019: score 0.1578, higher than 64% of scores; not cutFY2020: score 0.1157, higher than 61% of scores; not cutFY2021: score 0.5590, higher than 85% of scores; cutFY2022: score 0.6425, higher than 87% of scores; cutFY2024: score 0.0505, higher than 56% of scores; not cutFY2025: score 0.1144, higher than 60% of scores; not cutFY2026: score 0.3655, higher than 74% 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
FY20157.375082.7%cut
FY20168.000089.1%cut
FY20177.960093.0%cut
FY20180.514682.3%cut
FY20190.157864.2%not cut
FY20200.115761.9%not cut
FY20210.559085.2%cut
FY20220.642587.5%cut
FY2023no decision
FY20240.050556.9%not cut
FY20250.114460.8%not cut
FY20260.365574.1%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. 3 of its 6 infection measures ended lower than they started.
CLABSI 1.55 → 1.06 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 1.552CLABSI, 2018: 1.063CLABSI, 2019: 1.092CLABSI, 2021: 1.135CLABSI, 2022: 1.065CLABSI, 2023: 1.036CLABSI, 2024: 1.065 CAUTI 0.70 → 0.52 1 0 ’18’21’24 CAUTI, 2017: 0.705CAUTI, 2018: 0.603CAUTI, 2019: 0.678CAUTI, 2021: 0.722CAUTI, 2022: 0.854CAUTI, 2023: 0.778CAUTI, 2024: 0.515 SSI, colon 0.57 → 0.86 1 0 ’18’21’24 SSI, colon, 2017: 0.568SSI, colon, 2018: 1.283SSI, colon, 2019: 1.521SSI, colon, 2021: 1.020SSI, colon, 2022: 0.875SSI, colon, 2023: 1.483SSI, colon, 2024: 0.863 SSI, hysterectomy 0.15 → 1.59 1 0 ’18’21’24 SSI, hysterectomy, 2017: 0.150SSI, hysterectomy, 2018: 0.319SSI, hysterectomy, 2019: 1.355SSI, hysterectomy, 2021: 0.927SSI, hysterectomy, 2022: 1.227SSI, hysterectomy, 2023: 0.821SSI, hysterectomy, 2024: 1.592 MRSA 1.12 → 0.82 1 0 ’18’21’24 MRSA, 2017: 1.121MRSA, 2018: 0.724MRSA, 2019: 0.344MRSA, 2021: 0.918MRSA, 2022: 0.917MRSA, 2023: 0.709MRSA, 2024: 0.820 C. diff 0.62 → 0.63 1 0 ’18’21’24 C. diff, 2017: 0.622C. diff, 2018: 0.731C. diff, 2019: 0.635C. diff, 2021: 0.771C. diff, 2022: 0.596C. diff, 2023: 0.527C. diff, 2024: 0.629 CLABSI 1.55 → 1.06 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 1.552CLABSI, 2018: 1.063CLABSI, 2019: 1.092CLABSI, 2021: 1.135CLABSI, 2022: 1.065CLABSI, 2023: 1.036CLABSI, 2024: 1.065 CAUTI 0.70 → 0.52 1 0 ’18’20’22’24 CAUTI, 2017: 0.705CAUTI, 2018: 0.603CAUTI, 2019: 0.678CAUTI, 2021: 0.722CAUTI, 2022: 0.854CAUTI, 2023: 0.778CAUTI, 2024: 0.515 SSI, colon 0.57 → 0.86 1 0 ’18’20’22’24 SSI, colon, 2017: 0.568SSI, colon, 2018: 1.283SSI, colon, 2019: 1.521SSI, colon, 2021: 1.020SSI, colon, 2022: 0.875SSI, colon, 2023: 1.483SSI, colon, 2024: 0.863 SSI, hysterectomy 0.15 → 1.59 1 0 ’18’20’22’24 SSI, hysterectomy, 2017: 0.150SSI, hysterectomy, 2018: 0.319SSI, hysterectomy, 2019: 1.355SSI, hysterectomy, 2021: 0.927SSI, hysterectomy, 2022: 1.227SSI, hysterectomy, 2023: 0.821SSI, hysterectomy, 2024: 1.592 MRSA 1.12 → 0.82 1 0 ’18’20’22’24 MRSA, 2017: 1.121MRSA, 2018: 0.724MRSA, 2019: 0.344MRSA, 2021: 0.918MRSA, 2022: 0.917MRSA, 2023: 0.709MRSA, 2024: 0.820 C. diff 0.62 → 0.63 1 0 ’18’20’22’24 C. diff, 2017: 0.622C. diff, 2018: 0.731C. diff, 2019: 0.635C. diff, 2021: 0.771C. diff, 2022: 0.596C. diff, 2023: 0.527C. diff, 2024: 0.629

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
20171.5520.7050.5680.1501.1210.622
20181.0630.6031.2830.3190.7240.731
20191.0920.6781.5211.3550.3440.635
20211.1350.7221.0200.9270.9180.771
20221.0650.8540.8751.2270.9170.596
20231.0360.7781.4830.8210.7090.527
20241.0650.5150.8631.5920.8200.629

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 North Carolina, its score is higher than 73% of the other 78 scored there.

In Durham-Chapel Hill, NC area, its score is higher than 100% of the other 4 scored there.

Figure 8. Its score is above the middle in all 8 groups it belongs to; the share cut runs from 0% (Durham-Chapel Hill, NC area) to 35% (Government).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut South region: CMS cut 263 of 1,174 (22%); middle score −0.1056South region 1,174 hospitals22% cut North Carolina: CMS cut 20 of 79 (25%); middle score 0.0502North Carolina 79 hospitals25% cut Durham-Chapel Hill, NC area: CMS cut 0 of 5 (0%); middle score −0.0968Durham-Chapel Hill, NC area 5 hospitals0% 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 Government: CMS cut 140 of 401 (35%); middle score 0.1602Government 401 hospitals35% 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: 0.3655 This hospital 0.3655 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut South region: CMS cut 263 of 1,174 (22%); middle score −0.1056South region1,174 hospitals22% cut North Carolina: CMS cut 20 of 79 (25%); middle score 0.0502North Carolina79 hospitals25% cut Durham-Chapel Hill, NC area: CMS cut 0 of 5 (0%); middle score −0.0968Durham-Chapel Hill, NC area5 hospitals0% 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 Government: CMS cut 140 of 401 (35%); middle score 0.1602Government401 hospitals35% 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: 0.3655 This hospital 0.3655

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%−0.045374%
South region1,17426322%−0.105676%
North Carolina792025%0.050273%
Durham-Chapel Hill, NC area500%−0.0968100%
Major teaching42413632%0.178065%
500 beds and up36510529%0.132369%
Government40114035%0.160263%
Urban2,24151023%−0.057476%
This hospital0.3655
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 10 miles away.
5 mi10 mi25 mi8. Central Carolina Hospital, Sanford: score −0.0156, not cut, 31 miles87. Alamance Regional Medical Center, Burlington: score 0.1862, not cut, 28 miles76. Wakemed, Raleigh Campus, Raleigh: score −0.2779, not cut, 27 miles65. Rex Hospital, Raleigh: score 0.5908, cut, 20 miles54. Wakemed, Cary Hospital, Cary: score −0.1307, not cut, 19 miles43. North Carolina Specialty Hospital, Durham: score −0.9478, not cut, 13 miles32. Duke Regional Hospital, Durham: score −0.3071, not cut, 13 miles21. Duke University Hospital, Durham: score 0.3547, not cut, 10 miles1This hospital: UNC Hospitals

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

Show table
HospitalMilesScoreDecision
Duke University Hospital, Durham, NC100.3547not cut
Duke Regional Hospital, Durham, NC13−0.3071not cut
North Carolina Specialty Hospital, Durham, NC13−0.9478not cut
Wakemed, Cary Hospital, Cary, NC19−0.1307not cut
Rex Hospital, Raleigh, NC200.5908cut
Wakemed, Raleigh Campus, Raleigh, NC27−0.2779not cut
Alamance Regional Medical Center, Burlington, NC280.1862not cut
Central Carolina Hospital, Sanford, NC31−0.0156not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Duke University HospitalDurham, NC100.3547No cut$0Above the national median on 6 of 6 measures
2Duke Regional HospitalDurham, NC13−0.3071No cut$0Above the national median on 2 of 6 measures
3North Carolina Specialty HospitalDurham, NC13−0.9478No cut$0Above the national median on 0 of 2 measures
4Wakemed, Cary HospitalCary, NC19−0.1307No cut$0Above the national median on 3 of 6 measures
5Rex HospitalRaleigh, NC200.59081% cut$1.2MAbove the national median on 5 of 6 measures
6Wakemed, Raleigh CampusRaleigh, NC27−0.2779No cut$0Above the national median on 2 of 6 measures
7Alamance Regional Medical CenterBurlington, NC280.1862No cut$0Above the national median on 2 of 6 measures
8Central Carolina HospitalSanford, NC31−0.0156No cut$0Above the national median on 1 of 5 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. UNC Hospitals, Chapel Hill, NC: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/340061/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.