P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalMUSC Health Columbia Medical Center Downtown Estimated FY2026 net: −$804K×

Hospital record · FY2026CCN 420026

1Hospital

MUSC Health Columbia Medical Center Downtown

2Location

Columbia, SC (South Carolina’s hospitals on the map and in the table) 29204

Richland County

3Type

Not a teaching hospital · 258 beds · Nonprofit · Urban · Rural referral center

4Care Compare stars

3 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

0.3823

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$450K estimate
Likely $366⁠–⁠489K; about $156 per traditional Medicare stay

Cut 1%

$450K

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

For fiscal year 2026, CMS reports a Total HAC Score of 0.3823 for MUSC Health Columbia Medical Center Downtown and a payment reduction decision of Yes.

That is 1% of about $45.0M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year: about $156 per traditional Medicare stay.

Likely range $366–489K

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: 0.3823 This hospital 0.3823 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: 0.3823 This hospital 0.3823

Higher than 75% 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. 17No
  4. 18No
  5. 19No
  6. 20Cut
  7. 21Cut
  8. 22Cut
  9. 23—
  10. 24No
  11. 25No
  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 0.3395, to 0.0428. 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 3; 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 92% 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 value1.2541

    Z-score1.8545

    Part of score+0.3091

  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 81% of the other 2,181 hospitals

    CMS value0.991

    Z-score0.8924

    Part of score+0.1487

  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 52% of the other 2,354 hospitals

    CMS value0.466

    Z-score−0.1953

    Part of score−0.0326

  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

    Better than 73% of the other 2,269 hospitals

    CMS value0.428

    Z-score−0.7233

    Part of score−0.1206

  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 71% 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 value0.207

    Z-score−0.6606

    Part of score−0.1101

  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 85% of the other 2,067 hospitals

    CMS value1.236

    Z-score1.1258

    Part of score+0.1876

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.25410.96231.8545+0.3091Worse than 92% of the other 2,808 hospitals
CLABSI0.9910.5590.8924+0.1487Worse than 81% of the other 2,181 hospitals
CAUTI0.4660.489−0.1953−0.0326Better than 52% of the other 2,354 hospitals
SSI0.4280.795−0.7233−0.1206Better than 73% of the other 2,269 hospitals
CDI0.2070.346−0.6606−0.1101Better than 71% of the other 2,766 hospitals
MRSA1.2360.6411.1258+0.1876Worse than 85% 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.

(1.8545PSI 90+0.8924CLABSI−0.1953CAUTI−0.7233SSI−0.6606CDI+1.1258MRSA)÷6measures=0.3823Total HAC Score

This hospital’s score is 0.0031 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 0.3823, above CMS’s line.
1% cut PSI 90: z‑score 1.8545 divided by 6 = +0.3091PSI 90+0.3091 CLABSI: z‑score 0.8924 divided by 6 = +0.1487CLABSI+0.1487 CAUTI: z‑score −0.1953 divided by 6 = −0.0326CAUTI−0.0326 SSI: z‑score −0.7233 divided by 6 = −0.1206SSI−0.1206 CDI: z‑score −0.6606 divided by 6 = −0.1101CDI−0.1101 MRSA: z‑score 1.1258 divided by 6 = +0.1876MRSA+0.1876 Total HAC Score: 0.3823Score0.3823 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.40.5 1% cut PSI 90: z‑score 1.8545 divided by 6 = +0.3091PSI 90+0.3091 CLABSI: z‑score 0.8924 divided by 6 = +0.1487CLABSI+0.1487 CAUTI: z‑score −0.1953 divided by 6 = −0.0326CAUTI−0.0326 SSI: z‑score −0.7233 divided by 6 = −0.1206SSI−0.1206 CDI: z‑score −0.6606 divided by 6 = −0.1101CDI−0.1101 MRSA: z‑score 1.1258 divided by 6 = +0.1876MRSA+0.1876 Total HAC Score: 0.3823Score0.3823 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.40.5

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 901.8545+0.30910.3091
CLABSI0.8924+0.14870.4578
CAUTI−0.1953−0.03260.4252
SSI−0.7233−0.12060.3046
CDI−0.6606−0.11010.1945
MRSA1.1258+0.18760.3821
Total HAC Score0.3823
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, 0.0031 over the highest score CMS didn’t cut, costs it about $450K 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 $450K at any score from 0.3799 $0at any score up to 0.3792 $450K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 0.3823 This hospital 0.3823 CMS’s line $0 at any score up to 0.3792 $450K at any score from 0.3799 $0at any score up to 0.3792 $450Kat 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: 0.3823 This hospital 0.3823

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−$449,532
This hospital0.3823−$449,532
CMS’s highest score2.3133−$449,532

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.

($45,307,866payment−$37,534readmissions−$317,132value-based)×1%the cut=$449,532HAC cut

$449,532HAC cut÷2,889traditional Medicare stays=$156per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $450K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to −$38K and −$317K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $37,534,097
Many low-income patients (disproportionate share) $398,612
Outliers: unusually costly stays $1,851,182
Capital: buildings and equipment $3,009,495
Uncompensated care $2,514,480
Total, before the three programs $45,307,866
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9990 − 1) −$37,534
Value-based purchasing (HVBP) base × (0.9916 − 1) −$317,132
After these two $44,953,200
HAC Reduction Program 1% of everything above; likely $366⁠–⁠489K −$449,532
Net of the three programs likely −$880K to −$695K −$804,198

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)$37,534,097
Many low-income patients (disproportionate share)$398,612
Outliers: unusually costly stays$1,851,182
Capital: buildings and equipment$3,009,495
Uncompensated care$2,514,480
Total, before the three programs$45,307,866
Readmissions (HRRP) (base × (0.9990 − 1))−$37,534
Value-based purchasing (HVBP) (base × (0.9916 − 1))−$317,132
After these two$44,953,200
HAC Reduction Program (1% of everything above; likely $366–489K)−$449,532
Net of the three programs (likely −$880K to −$695K)−$804,198

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 Score0.3823same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$450Ksame

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 0.3823 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 $450K, 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 901.2513 or lower
CLABSI0.982 or lower
CAUTI0.458 or lower
SSI0.417 or lower
CDI0.202 or lower
MRSA1.227 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 1.2541 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.991 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.466 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.428 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.207 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 1.236 · 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 0.3823 among its measured results: +0.3091.
  • PSI 90 +0.3091
  • CLABSI +0.1487
  • CAUTI −0.0326
  • SSI −0.1206
  • CDI −0.1101
  • MRSA +0.1876

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 901.8545+0.3091same
CLABSI0.8924+0.1487same
CAUTI−0.1953−0.0326same
SSI−0.7233−0.1206same
CDI−0.6606−0.1101same
MRSA1.1258+0.1876same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/420026/

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 6.5500, higher than 66% of scores; not cutFY2016: score 6.5000, higher than 68% of scores; not cutFY2017: score 6.5500, higher than 75% of scores; not cutFY2018: score −0.6836, higher than 14% of scores; not cutFY2019: score 0.0161, higher than 53% of scores; not cutFY2020: score 0.4976, higher than 83% of scores; cutFY2021: score 0.9193, higher than 94% of scores; cutFY2022: score 1.2217, higher than 97% of scores; cutFY2024: score 0.1321, higher than 61% of scores; not cutFY2025: score 0.0731, higher than 57% of scores; not cutFY2026: score 0.3823, higher than 75% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 6.5500, higher than 66% of scores; not cutFY2016: score 6.5000, higher than 68% of scores; not cutFY2017: score 6.5500, higher than 75% of scores; not cutFY2018: score −0.6836, higher than 14% of scores; not cutFY2019: score 0.0161, higher than 53% of scores; not cutFY2020: score 0.4976, higher than 83% of scores; cutFY2021: score 0.9193, higher than 94% of scores; cutFY2022: score 1.2217, higher than 97% of scores; cutFY2024: score 0.1321, higher than 61% of scores; not cutFY2025: score 0.0731, higher than 57% of scores; not cutFY2026: score 0.3823, higher than 75% 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
FY20156.550066.8%not cut
FY20166.500068.6%not cut
FY20176.550075.2%not cut
FY2018−0.683614.2%not cut
FY20190.016153.4%not cut
FY20200.497683.0%cut
FY20210.919394.6%cut
FY20221.221797.5%cut
FY2023no decision
FY20240.132161.9%not cut
FY20250.073157.8%not cut
FY20260.382375.2%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 0.70 → 1.15 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.699CLABSI, 2018: 2.044CLABSI, 2019: 1.264CLABSI, 2021: 0.412CLABSI, 2022: 0.389CLABSI, 2023: 0.835CLABSI, 2024: 1.152 CAUTI 1.91 → 0.84 1 0 ’18’21’24 CAUTI, 2017: 1.905CAUTI, 2018: 0.553CAUTI, 2019: 1.818CAUTI, 2021: 0.000CAUTI, 2022: 0.847CAUTI, 2023: 0.000CAUTI, 2024: 0.842 SSI, colon 1.64 → 0.46 1 0 ’18’21’24 SSI, colon, 2017: 1.637SSI, colon, 2018: 1.392SSI, colon, 2019: 1.267SSI, colon, 2021: 0.736SSI, colon, 2022: 0.000SSI, colon, 2023: 0.389SSI, colon, 2024: 0.455 MRSA 1.52 → 1.10 1 0 ’18’21’24 MRSA, 2017: 1.518MRSA, 2018: 1.099MRSA, 2019: 2.698MRSA, 2021: 1.517MRSA, 2022: 2.388MRSA, 2023: 1.412MRSA, 2024: 1.098 C. diff 0.78 → 0.29 1 0 ’18’21’24 C. diff, 2017: 0.776C. diff, 2018: 0.249C. diff, 2019: 0.644C. diff, 2021: 0.234C. diff, 2022: 0.062C. diff, 2023: 0.105C. diff, 2024: 0.288 CLABSI 0.70 → 1.15 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.699CLABSI, 2018: 2.044CLABSI, 2019: 1.264CLABSI, 2021: 0.412CLABSI, 2022: 0.389CLABSI, 2023: 0.835CLABSI, 2024: 1.152 CAUTI 1.91 → 0.84 1 0 ’18’20’22’24 CAUTI, 2017: 1.905CAUTI, 2018: 0.553CAUTI, 2019: 1.818CAUTI, 2021: 0.000CAUTI, 2022: 0.847CAUTI, 2023: 0.000CAUTI, 2024: 0.842 SSI, colon 1.64 → 0.46 1 0 ’18’20’22’24 SSI, colon, 2017: 1.637SSI, colon, 2018: 1.392SSI, colon, 2019: 1.267SSI, colon, 2021: 0.736SSI, colon, 2022: 0.000SSI, colon, 2023: 0.389SSI, colon, 2024: 0.455 MRSA 1.52 → 1.10 1 0 ’18’20’22’24 MRSA, 2017: 1.518MRSA, 2018: 1.099MRSA, 2019: 2.698MRSA, 2021: 1.517MRSA, 2022: 2.388MRSA, 2023: 1.412MRSA, 2024: 1.098 C. diff 0.78 → 0.29 1 0 ’18’20’22’24 C. diff, 2017: 0.776C. diff, 2018: 0.249C. diff, 2019: 0.644C. diff, 2021: 0.234C. diff, 2022: 0.062C. diff, 2023: 0.105C. diff, 2024: 0.288

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
20170.6991.9051.6371.5180.776
20182.0440.5531.3921.0990.249
20191.2641.8181.2672.6980.644
20210.4120.0000.7361.5170.234
20220.3890.8470.0002.3880.062
20230.8350.0000.3891.4120.105
20241.1520.8420.4551.0980.288

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 South Carolina, its score is higher than 78% of the other 50 scored there.

In Columbia, SC area, its score is higher than 80% of the other 5 scored there.

Figure 8. Its score is above the middle in all 8 groups it belongs to; the share cut runs from 22% (South region) to 33% (Columbia, SC area).
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 South Carolina: CMS cut 12 of 51 (24%); middle score −0.1589South Carolina 51 hospitals24% cut Columbia, SC area: CMS cut 2 of 6 (33%); middle score 0.2770Columbia, SC area 6 hospitals33% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching 1,563 hospitals25% 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 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: 0.3823 This hospital 0.3823 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 South Carolina: CMS cut 12 of 51 (24%); middle score −0.1589South Carolina51 hospitals24% cut Columbia, SC area: CMS cut 2 of 6 (33%); middle score 0.2770Columbia, SC area6 hospitals33% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching1,563 hospitals25% 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 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: 0.3823 This hospital 0.3823

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%−0.045375%
South region1,17426322%−0.105677%
South Carolina511224%−0.158978%
Columbia, SC area6233%0.277080%
Not teaching1,56338925%−0.105375%
100 to 299 beds1,19327523%−0.073277%
Nonprofit1,83047826%−0.013474%
Urban2,24151023%−0.057477%
This hospital0.3823
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 about a mile away.
10 mi25 mi50 mi8. MUSC Health Chester Medical Center, Chester: score −0.7018, not cut, 50 miles87. Newberry County Memorial Hospital, Newberry: score −0.6000, not cut, 39 miles76. Prisma Health Tuomey Hospital, Sumter: score −0.6471, not cut, 39 miles65. Kershawhealth, Camden: score 0.2572, not cut, 29 miles54. Prisma Health Baptist Parkridge, Columbia: score 0.6603, cut, 12 miles43. Prisma Health Richland Hospital, Columbia: score 0.2967, not cut, 6 miles32. Lexington Medical Center, West Columbia: score −0.5967, not cut, 5 miles21. Prisma Health Baptist, Columbia: score −0.5081, not cut, about a mile1This hospital: MUSC Health Columbia Medical Center Downtown

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

Show table
HospitalMilesScoreDecision
Prisma Health Baptist, Columbia, SC1−0.5081not cut
Lexington Medical Center, West Columbia, SC5−0.5967not cut
Prisma Health Richland Hospital, Columbia, SC60.2967not cut
Prisma Health Baptist Parkridge, Columbia, SC120.6603cut
Kershawhealth, Camden, SC290.2572not cut
Prisma Health Tuomey Hospital, Sumter, SC39−0.6471not cut
Newberry County Memorial Hospital, Newberry, SC39−0.6000not cut
MUSC Health Chester Medical Center, Chester, SC50−0.7018not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Prisma Health BaptistColumbia, SC1−0.5081No cut$0Above the national median on 2 of 6 measures
2Lexington Medical CenterWest Columbia, SC5−0.5967No cut$0Above the national median on 0 of 6 measures
3Prisma Health Richland HospitalColumbia, SC60.2967No cut$0Above the national median on 5 of 6 measures
4Prisma Health Baptist ParkridgeColumbia, SC120.66031% cut$166KAbove the national median on 4 of 6 measures
5KershawhealthCamden, SC290.2572No cut$0Above the national median on 3 of 6 measures
6Prisma Health Tuomey HospitalSumter, SC39−0.6471No cut$0Above the national median on 1 of 6 measures
7Newberry County Memorial HospitalNewberry, SC39−0.6000No cut$0Above the national median on 1 of 4 measures
8MUSC Health Chester Medical CenterChester, SC50−0.7018No cut$0Above the national median on 0 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. MUSC Health Columbia Medical Center Downtown, Columbia, SC: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/420026/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.