P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalRex Hospital Estimated FY2026 net: −$121K×

Hospital record · FY2026CCN 340114

1Hospital

Rex Hospital

2Location

Raleigh, NC (North Carolina’s hospitals on the map and in the table) 27607

Wake County

3Type

Not a teaching hospital · 425 beds · Government · Urban

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

0.5908

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$1.2M estimate
Likely $953K⁠–⁠$1.3M; about $156 per traditional Medicare stay

Cut 1%

$1.2M

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

For fiscal year 2026, CMS reports a Total HAC Score of 0.5908 for Rex Hospital and a payment reduction decision of Yes.

That is 1% of about $117M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year: about $156 per traditional Medicare stay.

Likely range $953K–$1.3M

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: 0.5908 This hospital 0.5908 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: 0.5908 This hospital 0.5908

Higher than 83% 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. 16No
  3. 17No
  4. 18No
  5. 19No
  6. 20No
  7. 21No
  8. 22No
  9. 23—
  10. 24No
  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 0.2588, to 0.3320. 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 5; 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 89% 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 value1.1847

    Z-score1.3699

    Part of score+0.2283

  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

    Better than 51% of the other 2,181 hospitals

    CMS value0.549

    Z-score−0.1329

    Part of score−0.0222

  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 80% of the other 2,354 hospitals

    CMS value0.874

    Z-score0.7882

    Part of score+0.1314

  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 52% of the other 2,269 hospitals

    CMS value0.836

    Z-score−0.0244

    Part of score−0.0041

  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 79% of the other 2,067 hospitals

    CMS value1.063

    Z-score0.7643

    Part of score+0.1274

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.18470.96231.3699+0.2283Worse than 89% of the other 2,808 hospitals
CLABSI0.5490.559−0.1329−0.0222Better than 51% of the other 2,181 hospitals
CAUTI0.8740.4890.7882+0.1314Worse than 80% of the other 2,354 hospitals
SSI0.8360.795−0.0244−0.0041Worse than 52% of the other 2,269 hospitals
CDI0.5790.3460.7798+0.1300Worse than 79% of the other 2,766 hospitals
MRSA1.0630.6410.7643+0.1274Worse than 79% 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.

(1.3699PSI 90−0.1329CLABSI+0.7882CAUTI−0.0244SSI+0.7798CDI+0.7643MRSA)÷6measures=0.5908Total HAC Score

This hospital’s score is 0.2116 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 0.5908, above CMS’s line.
1% cut PSI 90: z‑score 1.3699 divided by 6 = +0.2283PSI 90+0.2283 CLABSI: z‑score −0.1329 divided by 6 = −0.0222CLABSI−0.0222 CAUTI: z‑score 0.7882 divided by 6 = +0.1314CAUTI+0.1314 SSI: z‑score −0.0244 divided by 6 = −0.0041SSI−0.0041 CDI: z‑score 0.7798 divided by 6 = +0.1300CDI+0.1300 MRSA: z‑score 0.7643 divided by 6 = +0.1274MRSA+0.1274 Total HAC Score: 0.5908Score0.5908 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 1.3699 divided by 6 = +0.2283PSI 90+0.2283 CLABSI: z‑score −0.1329 divided by 6 = −0.0222CLABSI−0.0222 CAUTI: z‑score 0.7882 divided by 6 = +0.1314CAUTI+0.1314 SSI: z‑score −0.0244 divided by 6 = −0.0041SSI−0.0041 CDI: z‑score 0.7798 divided by 6 = +0.1300CDI+0.1300 MRSA: z‑score 0.7643 divided by 6 = +0.1274MRSA+0.1274 Total HAC Score: 0.5908Score0.5908 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 901.3699+0.22830.2283
CLABSI−0.1329−0.02220.2061
CAUTI0.7882+0.13140.3375
SSI−0.0244−0.00410.3334
CDI0.7798+0.13000.4634
MRSA0.7643+0.12740.5908
Total HAC Score0.5908
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, 0.2116 over the highest score CMS didn’t cut, costs it about $1.2M 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 $1.2M at any score from 0.3799 $0at any score up to 0.3792 $1.2M at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 0.5908 This hospital 0.5908 CMS’s line $0 at any score up to 0.3792 $1.2M at any score from 0.3799 $0at any score up to 0.3792 $1.2Mat 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: 0.5908 This hospital 0.5908

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−$1,170,998
This hospital0.5908−$1,170,998
CMS’s highest score2.3133−$1,170,998

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.

($116,049,710payment−$117,200readmissions+$1,167,263value-based)×1%the cut=$1,170,998HAC cut

$1,170,998HAC cut÷7,494traditional Medicare stays=$156per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $1.2M: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to −$117K and +$1.2M.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $97,666,595
Many low-income patients (disproportionate share) $853,606
Outliers: unusually costly stays $2,385,018
Capital: buildings and equipment $8,017,561
Uncompensated care $7,126,930
Total, before the three programs $116,049,710
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9988 − 1) −$117,200
Value-based purchasing (HVBP) base × (1.0120 − 1) +$1,167,263
After these two $117,099,773
HAC Reduction Program 1% of everything above; likely $953K⁠–⁠$1.3M −$1,170,998
Net of the three programs likely −$132K to −$105K −$120,935

Not paid to this hospital: a Medicare-dependent hospital add-on, teaching payments, 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)$97,666,595
Many low-income patients (disproportionate share)$853,606
Outliers: unusually costly stays$2,385,018
Capital: buildings and equipment$8,017,561
Uncompensated care$7,126,930
Total, before the three programs$116,049,710
Readmissions (HRRP) (base × (0.9988 − 1))−$117,200
Value-based purchasing (HVBP) (base × (1.0120 − 1))+$1,167,263
After these two$117,099,773
HAC Reduction Program (1% of everything above; likely $953K–$1.3M)−$1,170,998
Net of the three programs (likely −$132K to −$105K)−$120,935

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 Score0.5908same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$1.2Msame

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 0.5908 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 $1.2M, 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 901.0027 or lower
CLABSI0.001 or lower
CAUTI0.347 or lower
SSI0.094 or lower
CDI0.251 or lower
MRSA0.455 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 1.1847 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.549 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.874 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.836 · 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 1.063 · 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 0.5908 among its measured results: +0.2283.
  • PSI 90 +0.2283
  • CLABSI −0.0222
  • CAUTI +0.1314
  • SSI −0.0041
  • CDI +0.1300
  • MRSA +0.1274

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 901.3699+0.2283same
CLABSI−0.1329−0.0222same
CAUTI0.7882+0.1314same
SSI−0.0244−0.0041same
CDI0.7798+0.1300same
MRSA0.7643+0.1274same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/340114/

Among hospitals with a Yes or No payment decision, CMS cut those with a published Total HAC Score of 0.3799 or higher and none at 0.3792 or lower. Maryland’s hospitals are scored but not subject to the reduction.

Held fixed: every other hospital’s results, CMS’s line, and each measure’s mean, spread, floor and cap as this site fits them to CMS’s published values.

Year by year

Where this hospital’s score fell among every hospital’s, each year CMS published one. A score near the top is among the highest; the shaded band is where CMS cut. Places compare across years even where CMS changed how it builds the score.

Its longest run: cut 2 years in a row.

Figure 6. CMS cut this hospital in 2 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 3.6250, higher than 20% of scores; not cutFY2016: score 4.0000, higher than 22% of scores; not cutFY2017: score 4.6800, higher than 36% of scores; not cutFY2018: score −0.5609, higher than 18% of scores; not cutFY2019: score −0.4655, higher than 22% of scores; not cutFY2020: score −0.3532, higher than 27% of scores; not cutFY2021: score −0.0893, higher than 44% of scores; not cutFY2022: score 0.1273, higher than 65% of scores; not cutFY2024: score −0.1033, higher than 45% of scores; not cutFY2025: score 0.4202, higher than 77% of scores; cutFY2026: score 0.5908, higher than 83% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 3.6250, higher than 20% of scores; not cutFY2016: score 4.0000, higher than 22% of scores; not cutFY2017: score 4.6800, higher than 36% of scores; not cutFY2018: score −0.5609, higher than 18% of scores; not cutFY2019: score −0.4655, higher than 22% of scores; not cutFY2020: score −0.3532, higher than 27% of scores; not cutFY2021: score −0.0893, higher than 44% of scores; not cutFY2022: score 0.1273, higher than 65% of scores; not cutFY2024: score −0.1033, higher than 45% of scores; not cutFY2025: score 0.4202, higher than 77% of scores; cutFY2026: score 0.5908, higher than 83% 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
FY20153.625020.3%not cut
FY20164.000022.1%not cut
FY20174.680036.2%not cut
FY2018−0.560918.6%not cut
FY2019−0.465522.6%not cut
FY2020−0.353227.2%not cut
FY2021−0.089344.7%not cut
FY20220.127365.3%not cut
FY2023no decision
FY2024−0.103345.1%not cut
FY20250.420277.9%cut
FY20260.590883.5%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 6 infection measures ended lower than they started.
CLABSI 0.29 → 0.15 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.294CLABSI, 2018: 0.493CLABSI, 2019: 0.679CLABSI, 2021: 0.704CLABSI, 2022: 1.119CLABSI, 2023: 0.904CLABSI, 2024: 0.147 CAUTI 0.50 → 0.58 1 0 ’18’21’24 CAUTI, 2017: 0.496CAUTI, 2018: 0.561CAUTI, 2019: 0.703CAUTI, 2021: 0.723CAUTI, 2022: 1.034CAUTI, 2023: 1.086CAUTI, 2024: 0.582 SSI, colon 0.64 → 0.88 1 0 ’18’21’24 SSI, colon, 2017: 0.636SSI, colon, 2018: 1.041SSI, colon, 2019: 1.308SSI, colon, 2021: 0.644SSI, colon, 2022: 0.323SSI, colon, 2023: 0.731SSI, colon, 2024: 0.881 SSI, hysterectomy 0.00 → 1.39 1 0 ’18’21’24 SSI, hysterectomy, 2017: 0.000SSI, hysterectomy, 2018: 0.409SSI, hysterectomy, 2019: 0.199SSI, hysterectomy, 2021: 0.984SSI, hysterectomy, 2022: 0.315SSI, hysterectomy, 2023: 0.873SSI, hysterectomy, 2024: 1.389 MRSA 0.51 → 1.06 1 0 ’18’21’24 MRSA, 2017: 0.514MRSA, 2018: 0.657MRSA, 2019: 0.593MRSA, 2021: 0.675MRSA, 2022: 0.677MRSA, 2023: 1.064MRSA, 2024: 1.062 C. diff 0.78 → 0.41 1 0 ’18’21’24 C. diff, 2017: 0.775C. diff, 2018: 0.856C. diff, 2019: 0.942C. diff, 2021: 0.752C. diff, 2022: 0.623C. diff, 2023: 0.749C. diff, 2024: 0.412 CLABSI 0.29 → 0.15 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.294CLABSI, 2018: 0.493CLABSI, 2019: 0.679CLABSI, 2021: 0.704CLABSI, 2022: 1.119CLABSI, 2023: 0.904CLABSI, 2024: 0.147 CAUTI 0.50 → 0.58 1 0 ’18’20’22’24 CAUTI, 2017: 0.496CAUTI, 2018: 0.561CAUTI, 2019: 0.703CAUTI, 2021: 0.723CAUTI, 2022: 1.034CAUTI, 2023: 1.086CAUTI, 2024: 0.582 SSI, colon 0.64 → 0.88 1 0 ’18’20’22’24 SSI, colon, 2017: 0.636SSI, colon, 2018: 1.041SSI, colon, 2019: 1.308SSI, colon, 2021: 0.644SSI, colon, 2022: 0.323SSI, colon, 2023: 0.731SSI, colon, 2024: 0.881 SSI, hysterectomy 0.00 → 1.39 1 0 ’18’20’22’24 SSI, hysterectomy, 2017: 0.000SSI, hysterectomy, 2018: 0.409SSI, hysterectomy, 2019: 0.199SSI, hysterectomy, 2021: 0.984SSI, hysterectomy, 2022: 0.315SSI, hysterectomy, 2023: 0.873SSI, hysterectomy, 2024: 1.389 MRSA 0.51 → 1.06 1 0 ’18’20’22’24 MRSA, 2017: 0.514MRSA, 2018: 0.657MRSA, 2019: 0.593MRSA, 2021: 0.675MRSA, 2022: 0.677MRSA, 2023: 1.064MRSA, 2024: 1.062 C. diff 0.78 → 0.41 1 0 ’18’20’22’24 C. diff, 2017: 0.775C. diff, 2018: 0.856C. diff, 2019: 0.942C. diff, 2021: 0.752C. diff, 2022: 0.623C. diff, 2023: 0.749C. diff, 2024: 0.412

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
20170.2940.4960.6360.0000.5140.775
20180.4930.5611.0410.4090.6570.856
20190.6790.7031.3080.1990.5930.942
20210.7040.7230.6440.9840.6750.752
20221.1191.0340.3230.3150.6770.623
20230.9041.0860.7310.8731.0640.749
20240.1470.5820.8811.3891.0620.412

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 83% of the other 78 scored there.

Figure 8. Its score is above the middle in all 7 groups it belongs to; the share cut runs from 22% (300 to 499 beds) 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 Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching 1,563 hospitals25% cut 300 to 499 beds: CMS cut 113 of 523 (22%); middle score −0.0384300 to 499 beds 523 hospitals22% 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: 0.5908 This hospital 0.5908 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 Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching1,563 hospitals25% cut 300 to 499 beds: CMS cut 113 of 523 (22%); middle score −0.0384300 to 499 beds523 hospitals22% 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: 0.5908 This hospital 0.5908

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%−0.045383%
South region1,17426322%−0.105684%
North Carolina792025%0.050283%
Not teaching1,56338925%−0.105382%
300 to 499 beds52311322%−0.038488%
Government40114035%0.160275%
Urban2,24151023%−0.057485%
This hospital0.5908
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 7 miles away.
5 mi10 mi25 mi8. Granville Health Systems, Oxford: score 0.8198, cut, 36 miles87. Johnston Health, Smithfield: score 0.3447, not cut, 30 miles76. UNC Hospitals, Chapel Hill: score 0.3655, not cut, 20 miles65. North Carolina Specialty Hospital, Durham: score −0.9478, not cut, 19 miles54. Duke Regional Hospital, Durham: score −0.3071, not cut, 19 miles43. Duke University Hospital, Durham: score 0.3547, not cut, 19 miles32. Wakemed, Cary Hospital, Cary: score −0.1307, not cut, 7 miles21. Wakemed, Raleigh Campus, Raleigh: score −0.2779, not cut, 7 miles1This hospital: Rex Hospital

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

Show table
HospitalMilesScoreDecision
Wakemed, Raleigh Campus, Raleigh, NC7−0.2779not cut
Wakemed, Cary Hospital, Cary, NC7−0.1307not cut
Duke University Hospital, Durham, NC190.3547not cut
Duke Regional Hospital, Durham, NC19−0.3071not cut
North Carolina Specialty Hospital, Durham, NC19−0.9478not cut
UNC Hospitals, Chapel Hill, NC200.3655not cut
Johnston Health, Smithfield, NC300.3447not cut
Granville Health Systems, Oxford, NC360.8198cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Wakemed, Raleigh CampusRaleigh, NC7−0.2779No cut$0Above the national median on 2 of 6 measures
2Wakemed, Cary HospitalCary, NC7−0.1307No cut$0Above the national median on 3 of 6 measures
3Duke University HospitalDurham, NC190.3547No cut$0Above the national median on 6 of 6 measures
4Duke Regional HospitalDurham, NC19−0.3071No cut$0Above the national median on 2 of 6 measures
5North Carolina Specialty HospitalDurham, NC19−0.9478No cut$0Above the national median on 0 of 2 measures
6UNC HospitalsChapel Hill, NC200.3655No cut$0Above the national median on 5 of 6 measures
7Johnston HealthSmithfield, NC300.3447No cut$0Above the national median on 4 of 6 measures
8Granville Health SystemsOxford, NC360.81981% cut$43KAbove the national median on 2 of 3 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. Rex Hospital, Raleigh, NC: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/340114/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.