P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalRobert Packer Hospital Estimated FY2026 net: −$438K×

Hospital record · FY2026CCN 390079

1Hospital

Robert Packer Hospital

2Location

Sayre, PA (Pennsylvania’s hospitals on the map and in the table) 18840

Bradford County

3Type

Major teaching · 250 beds · Nonprofit · Rural · 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

−0.1510

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $754K, likely $575⁠–⁠948K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of −0.1510 for Robert Packer Hospital and a payment reduction decision of No.

A cut would have taken about $754K estimate 1% of about $75.4M, 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 0.5309 under 0.3799, the lowest score CMS cut.

Likely range $575–948K

Its score was at or below CMS’s line, so this program did not cut its Medicare payments for the year. The score compares hospitals with each other; it is not a grade of the quality of care.

CMS cut scores of 0.3799 and above.

Each year CMS cuts the hospitals with the highest quarter of scores, those above the 75th percentile, so the line moves with other hospitals’ scores.

highest 2.3133 1% cut Middle hospital: −0.0453 Middle hospital−0.0453 CMS’s line: 0.3799 and up CMS’s line0.3799 and up This hospital: −0.1510 This hospital −0.1510 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: −0.1510 This hospital −0.1510

Higher than 42% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 4 of 11 years

  1. 15No
  2. 16No
  3. 17Cut
  4. 18No
  5. 19No
  6. 20Cut
  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 SSI down to the national median (0.795) would lower the score the most: by 0.2078, to −0.3588. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 2; SSI 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 83% 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 value0.8630

    Z-score−0.8757

    Part of score−0.1460

  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 64% of the other 2,181 hospitals

    CMS value0.419

    Z-score−0.4345

    Part of score−0.0724

  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 75% of the other 2,354 hospitals

    CMS value0.762

    Z-score0.5182

    Part of score+0.0864

  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.

    added the most

    Surgical site infections after colon surgery or abdominal hysterectomy

    Worse than 85% of the other 2,269 hospitals

    CMS value1.523

    Z-score1.1524

    Part of score+0.1921

  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

    Better than 85% 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 value0.102

    Z-score−1.0672

    Part of score−0.1779

  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 53% of the other 2,067 hospitals

    CMS value0.602

    Z-score−0.1991

    Part of score−0.0332

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.86300.9623−0.8757−0.1460Better than 83% of the other 2,808 hospitals
CLABSI0.4190.559−0.4345−0.0724Better than 64% of the other 2,181 hospitals
CAUTI0.7620.4890.5182+0.0864Worse than 75% of the other 2,354 hospitals
SSI1.5230.7951.1524+0.1921Worse than 85% of the other 2,269 hospitals
CDI0.1020.346−1.0672−0.1779Better than 85% of the other 2,766 hospitals
MRSA0.6020.641−0.1991−0.0332Better than 53% 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.

(−0.8757PSI 90−0.4345CLABSI+0.5182CAUTI+1.1524SSI−1.0672CDI−0.1991MRSA)÷6measures=−0.1510Total HAC Score

Added from the rounded z‑scores CMS published, the parts make −0.1510; CMS reports −0.1510. The small difference is rounding.

This hospital’s score is 0.5309 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to −0.1510, below CMS’s line.
1% cut PSI 90: z‑score −0.8757 divided by 6 = −0.1460PSI 90−0.1460 CLABSI: z‑score −0.4345 divided by 6 = −0.0724CLABSI−0.0724 CAUTI: z‑score 0.5182 divided by 6 = +0.0864CAUTI+0.0864 SSI: z‑score 1.1524 divided by 6 = +0.1921SSI+0.1921 CDI: z‑score −1.0672 divided by 6 = −0.1779CDI−0.1779 MRSA: z‑score −0.1991 divided by 6 = −0.0332MRSA−0.0332 Total HAC Score: −0.1510Score−0.1510 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.20.00.20.4 1% cut PSI 90: z‑score −0.8757 divided by 6 = −0.1460PSI 90−0.1460 CLABSI: z‑score −0.4345 divided by 6 = −0.0724CLABSI−0.0724 CAUTI: z‑score 0.5182 divided by 6 = +0.0864CAUTI+0.0864 SSI: z‑score 1.1524 divided by 6 = +0.1921SSI+0.1921 CDI: z‑score −1.0672 divided by 6 = −0.1779CDI−0.1779 MRSA: z‑score −0.1991 divided by 6 = −0.0332MRSA−0.0332 Total HAC Score: −0.1510Score−0.1510 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.20.00.20.4

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 90−0.8757−0.1460−0.1460
CLABSI−0.4345−0.0724−0.2184
CAUTI0.5182+0.0864−0.1320
SSI1.1524+0.19210.0601
CDI−1.0672−0.1779−0.1178
MRSA−0.1991−0.0332−0.1510
Total HAC Score−0.1510
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, 0.5309 under the lowest score CMS cut, costs it nothing; 0.5309 higher, the cut would have been about $754K 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 $754K at any score from 0.3799 $0at any score up to 0.3792 $754K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: −0.1510 This hospital −0.1510 CMS’s line $0 at any score up to 0.3792 $754K at any score from 0.3799 $0at any score up to 0.3792 $754Kat 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: −0.1510 This hospital −0.1510

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−$754,453
This hospital−0.1510$0
CMS’s highest score2.3133−$754,453

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.

($65,472,361payment+$10,411,375teaching, MA stays−$49,091readmissions−$389,393value-based)×1%the cut=$754,453at stake

$754,453at stake÷3,634traditional Medicare stays=$208per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $754K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$49K and −$389K.

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 $49,091,472
Teaching (indirect medical education) $9,422,126
Teaching on Medicare Advantage stays $10,411,375
Many low-income patients (disproportionate share) $1,058,903
Outliers: unusually costly stays $278,840
Capital: buildings and equipment $4,425,485
Uncompensated care $1,195,535
Total, before the three programs $75,883,736
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9990 − 1) −$49,091
Value-based purchasing (HVBP) base × (0.9921 − 1) −$389,393
After these two $75,445,252
HAC Reduction Program no cut; 1% would have been $754,453 $0
Net of the three programs likely −$515K to −$353K −$438,484

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)$49,091,472
Teaching (indirect medical education)$9,422,126
Teaching on Medicare Advantage stays$10,411,375
Many low-income patients (disproportionate share)$1,058,903
Outliers: unusually costly stays$278,840
Capital: buildings and equipment$4,425,485
Uncompensated care$1,195,535
Total, before the three programs$75,883,736
Readmissions (HRRP) (base × (0.9990 − 1))−$49,091
Value-based purchasing (HVBP) (base × (0.9921 − 1))−$389,393
After these two$75,445,252
HAC Reduction Program (no cut; 1% would have been $754,453)$0
Net of the three programs (likely −$515K to −$353K)−$438,484

What if a measure were different?

Change a measure’s value to see how this site recomputes the Total HAC Score, the payment reduction decision and, by its estimate, the money, starting from CMS’s values. The money doesn’t slide with the score: it drops off a cliff at CMS’s line.

The what-if needs JavaScript. Without it, the values below stay as they are.

Show table
CMS reportsHypothetical
Total HAC Score−0.1510same
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 −0.1510 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 $754K out of this program’s cut, this site estimates: a score a hair over would cost all of it.

From CMS’s values, one measure at a time, with every other measure held at CMS’s value.

MeasureHighest value that keeps No
PSI 90up to 1.3186
CLABSIany value: every CLABSI value past the cap (1.572) scores the same
CAUTIany value: every CAUTI value past the cap (1.537) scores the same
SSIany value: every SSI value past the cap (2.118) scores the same
CDIup to 0.923
MRSAany value: every MRSA value past the cap (1.762) scores the same

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 0.8630 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.419 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.762 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 1.523 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.102 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.602 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. SSI added the most to this hospital’s Total HAC Score of −0.1510 among its measured results: +0.1921.
  • PSI 90 −0.1460
  • CLABSI −0.0724
  • CAUTI +0.0864
  • SSI +0.1921
  • CDI −0.1779
  • MRSA −0.0332

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 90−0.8757−0.1460same
CLABSI−0.4345−0.0724same
CAUTI0.5182+0.0864same
SSI1.1524+0.1921same
CDI−1.0672−0.1779same
MRSA−0.1991−0.0332same

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 4 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 2.9500, higher than 11% of scores; not cutFY2016: score 4.2500, higher than 27% of scores; not cutFY2017: score 7.1500, higher than 85% of scores; cutFY2018: score −0.0749, higher than 45% of scores; not cutFY2019: score −0.0336, higher than 49% of scores; not cutFY2020: score 0.4855, higher than 82% of scores; cutFY2021: score 0.7547, higher than 91% of scores; cutFY2022: score 0.7408, higher than 90% of scores; cutFY2024: score 0.1773, higher than 64% of scores; not cutFY2025: score −0.0888, higher than 45% of scores; not cutFY2026: score −0.1510, higher than 42% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 2.9500, higher than 11% of scores; not cutFY2016: score 4.2500, higher than 27% of scores; not cutFY2017: score 7.1500, higher than 85% of scores; cutFY2018: score −0.0749, higher than 45% of scores; not cutFY2019: score −0.0336, higher than 49% of scores; not cutFY2020: score 0.4855, higher than 82% of scores; cutFY2021: score 0.7547, higher than 91% of scores; cutFY2022: score 0.7408, higher than 90% of scores; cutFY2024: score 0.1773, higher than 64% of scores; not cutFY2025: score −0.0888, higher than 45% of scores; not cutFY2026: score −0.1510, higher than 42% 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
FY20152.950011.5%not cut
FY20164.250027.2%not cut
FY20177.150085.4%cut
FY2018−0.074945.1%not cut
FY2019−0.033649.7%not cut
FY20200.485582.5%cut
FY20210.754791.4%cut
FY20220.740890.0%cut
FY2023no decision
FY20240.177364.7%not cut
FY2025−0.088845.8%not cut
FY2026−0.151042.5%not cut

Its infections, year by year

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

Figure 7. 2 of its 5 infection measures ended lower than they started.
CLABSI 0.60 → 0.75 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.605CLABSI, 2018: 0.985CLABSI, 2019: 0.952CLABSI, 2021: 0.418CLABSI, 2022: 1.108CLABSI, 2023: 0.131CLABSI, 2024: 0.751 CAUTI 0.90 → 0.93 1 0 ’18’21’24 CAUTI, 2017: 0.902CAUTI, 2018: 1.107CAUTI, 2019: 2.116CAUTI, 2021: 1.561CAUTI, 2022: 0.845CAUTI, 2023: 0.607CAUTI, 2024: 0.927 SSI, colon 0.73 → 1.57 1 0 ’18’21’24 SSI, colon, 2017: 0.731SSI, colon, 2018: 1.280SSI, colon, 2019: 1.078SSI, colon, 2021: 1.599SSI, colon, 2022: 1.240SSI, colon, 2023: 1.561SSI, colon, 2024: 1.569 MRSA 1.13 → 0.50 1 0 ’18’21’24 MRSA, 2017: 1.125MRSA, 2018: 1.227MRSA, 2019: 1.244MRSA, 2021: 0.865MRSA, 2022: 0.861MRSA, 2023: 0.696MRSA, 2024: 0.500 C. diff 0.98 → 0.15 1 0 ’18’21’24 C. diff, 2017: 0.984C. diff, 2018: 1.019C. diff, 2019: 0.606C. diff, 2021: 0.737C. diff, 2022: 0.228C. diff, 2023: 0.051C. diff, 2024: 0.154 CLABSI 0.60 → 0.75 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.605CLABSI, 2018: 0.985CLABSI, 2019: 0.952CLABSI, 2021: 0.418CLABSI, 2022: 1.108CLABSI, 2023: 0.131CLABSI, 2024: 0.751 CAUTI 0.90 → 0.93 1 0 ’18’20’22’24 CAUTI, 2017: 0.902CAUTI, 2018: 1.107CAUTI, 2019: 2.116CAUTI, 2021: 1.561CAUTI, 2022: 0.845CAUTI, 2023: 0.607CAUTI, 2024: 0.927 SSI, colon 0.73 → 1.57 1 0 ’18’20’22’24 SSI, colon, 2017: 0.731SSI, colon, 2018: 1.280SSI, colon, 2019: 1.078SSI, colon, 2021: 1.599SSI, colon, 2022: 1.240SSI, colon, 2023: 1.561SSI, colon, 2024: 1.569 MRSA 1.13 → 0.50 1 0 ’18’20’22’24 MRSA, 2017: 1.125MRSA, 2018: 1.227MRSA, 2019: 1.244MRSA, 2021: 0.865MRSA, 2022: 0.861MRSA, 2023: 0.696MRSA, 2024: 0.500 C. diff 0.98 → 0.15 1 0 ’18’20’22’24 C. diff, 2017: 0.984C. diff, 2018: 1.019C. diff, 2019: 0.606C. diff, 2021: 0.737C. diff, 2022: 0.228C. diff, 2023: 0.051C. diff, 2024: 0.154

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
20170.6050.9020.7311.1250.984
20180.9851.1071.2801.2271.019
20190.9522.1161.0781.2440.606
20210.4181.5611.5990.8650.737
20221.1080.8451.2400.8610.228
20230.1310.6071.5610.6960.051
20240.7510.9271.5690.5000.154

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 Pennsylvania, its score is higher than 31% of the other 129 scored there.

Figure 8. Its score is below the middle in all 7 groups it belongs to; the share cut runs from 23% (100 to 299 beds) to 32% (Major teaching).
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 Pennsylvania: CMS cut 36 of 130 (28%); middle score 0.1104Pennsylvania 130 hospitals28% cut Major teaching: CMS cut 136 of 424 (32%); middle score 0.1780Major teaching 424 hospitals32% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds 1,193 hospitals23% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit 1,830 hospitals26% cut Rural: CMS cut 196 of 619 (32%); middle score 0.0229Rural 619 hospitals32% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1012 This hospital: −0.1510 This hospital −0.1510 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 Pennsylvania: CMS cut 36 of 130 (28%); middle score 0.1104Pennsylvania130 hospitals28% cut Major teaching: CMS cut 136 of 424 (32%); middle score 0.1780Major teaching424 hospitals32% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds1,193 hospitals23% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit1,830 hospitals26% cut Rural: CMS cut 196 of 619 (32%); middle score 0.0229Rural619 hospitals32% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1.5−1.0−0.50.00.51.01.52.0 This hospital: −0.1510 This hospital −0.1510

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%−0.045342%
Northeast region43612428%0.047837%
Pennsylvania1303628%0.110431%
Major teaching42413632%0.178027%
100 to 299 beds1,19327523%−0.073244%
Nonprofit1,83047826%−0.013439%
Rural61919632%0.022940%
This hospital−0.1510
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 18 miles away.
10 mi25 mi50 mi8. UPMC Williamsport, Williamsport: score 0.3139, not cut, 56 miles87. Geisinger Medical Center Muncy, Muncy: score −0.1847, not cut, 53 miles76. Guthrie Cortland Regional Medical Center, Cortland: score −0.1787, not cut, 47 miles65. Cayuga Medical Center at Ithaca, Ithaca: score 0.1481, not cut, 34 miles54. United Health Services Hospitals, Inc, Binghamton: score 0.8529, cut, 33 miles43. Our Lady of Lourdes Memorial Hospital, Inc, Binghamton: score 1.2927, cut, 32 miles32. Corning Hospital, Corning: score −0.0258, not cut, 28 miles21. Arnot Ogden Medical Center, Elmira: score 0.8698, cut, 18 miles1This hospital: Robert Packer Hospital

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

Show table
HospitalMilesScoreDecision
Arnot Ogden Medical Center, Elmira, NY180.8698cut
Corning Hospital, Corning, NY28−0.0258not cut
Our Lady of Lourdes Memorial Hospital, Inc, Binghamton, NY321.2927cut
United Health Services Hospitals, Inc, Binghamton, NY330.8529cut
Cayuga Medical Center at Ithaca, Ithaca, NY340.1481not cut
Guthrie Cortland Regional Medical Center, Cortland, NY47−0.1787not cut
Geisinger Medical Center Muncy, Muncy, PA53−0.1847not cut
UPMC Williamsport, Williamsport, PA560.3139not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Arnot Ogden Medical CenterElmira, NY180.86981% cut$378KAbove the national median on 5 of 6 measures
2Corning HospitalCorning, NY28−0.0258No cut$0Above the national median on 2 of 6 measures
3Our Lady of Lourdes Memorial Hospital, IncBinghamton, NY321.29271% cut$369KAbove the national median on 5 of 6 measures
4United Health Services Hospitals, IncBinghamton, NY330.85291% cut$817KAbove the national median on 6 of 6 measures
5Cayuga Medical Center at IthacaIthaca, NY340.1481No cut$0Above the national median on 5 of 6 measures
6Guthrie Cortland Regional Medical CenterCortland, NY47−0.1787No cut$0Above the national median on 2 of 6 measures
7Geisinger Medical Center MuncyMuncy, PA53−0.1847No cut$0Above the national median on 1 of 2 measures
8UPMC WilliamsportWilliamsport, PA560.3139No cut$0Above the national median on 4 of 6 measures

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. Robert Packer Hospital, Sayre, PA: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/390079/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.