P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalMonument Health Rapid City Hospital Estimated FY2026 net: −$407K×

Hospital record · FY2026CCN 430077

1Hospital

Monument Health Rapid City Hospital

2Location

Rapid City, SD (South Dakota’s hospitals on the map and in the table) 57701

Pennington County

3Type

Minor teaching · 417 beds · Nonprofit · Urban · Rural referral center · Sole community hospital

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

0.0475

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $1.2M, likely $981K⁠–⁠$1.3M estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of 0.0475 for Monument Health Rapid City Hospital and a payment reduction decision of No.

A cut would have taken about $1.2M estimate 1% of about $121M, 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 0.3324 under 0.3799, the lowest score CMS cut.

Likely range $981K–$1.3M

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: 0.0475 This hospital 0.0475 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: 0.0475 This hospital 0.0475

Higher than 55% 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. 19Cut
  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 PSI 90 down to the national median (0.9623) would lower the score the most: by 0.2271, to −0.1796. 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 86% 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 value1.1575

    Z-score1.1797

    Part of score+0.1966

  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 83% of the other 2,181 hospitals

    CMS value0.155

    Z-score−1.0469

    Part of score−0.1745

  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 81% of the other 2,354 hospitals

    CMS value0.877

    Z-score0.7954

    Part of score+0.1326

  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 66% of the other 2,269 hospitals

    CMS value0.547

    Z-score−0.5195

    Part of score−0.0866

  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 61% 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 value0.424

    Z-score0.1796

    Part of score+0.0299

  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 58% of the other 2,067 hospitals

    CMS value0.552

    Z-score−0.3036

    Part of score−0.0506

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.15750.96231.1797+0.1966Worse than 86% of the other 2,808 hospitals
CLABSI0.1550.559−1.0469−0.1745Better than 83% of the other 2,181 hospitals
CAUTI0.8770.4890.7954+0.1326Worse than 81% of the other 2,354 hospitals
SSI0.5470.795−0.5195−0.0866Better than 66% of the other 2,269 hospitals
CDI0.4240.3460.1796+0.0299Worse than 61% of the other 2,766 hospitals
MRSA0.5520.641−0.3036−0.0506Better than 58% 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.

(1.1797PSI 90−1.0469CLABSI+0.7954CAUTI−0.5195SSI+0.1796CDI−0.3036MRSA)÷6measures=0.0475Total HAC Score

This hospital’s score is 0.3324 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to 0.0475, below CMS’s line.
1% cut PSI 90: z‑score 1.1797 divided by 6 = +0.1966PSI 90+0.1966 CLABSI: z‑score −1.0469 divided by 6 = −0.1745CLABSI−0.1745 CAUTI: z‑score 0.7954 divided by 6 = +0.1326CAUTI+0.1326 SSI: z‑score −0.5195 divided by 6 = −0.0866SSI−0.0866 CDI: z‑score 0.1796 divided by 6 = +0.0299CDI+0.0299 MRSA: z‑score −0.3036 divided by 6 = −0.0506MRSA−0.0506 Total HAC Score: 0.0475Score0.0475 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.4 1% cut PSI 90: z‑score 1.1797 divided by 6 = +0.1966PSI 90+0.1966 CLABSI: z‑score −1.0469 divided by 6 = −0.1745CLABSI−0.1745 CAUTI: z‑score 0.7954 divided by 6 = +0.1326CAUTI+0.1326 SSI: z‑score −0.5195 divided by 6 = −0.0866SSI−0.0866 CDI: z‑score 0.1796 divided by 6 = +0.0299CDI+0.0299 MRSA: z‑score −0.3036 divided by 6 = −0.0506MRSA−0.0506 Total HAC Score: 0.0475Score0.0475 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.4

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 901.1797+0.19660.1966
CLABSI−1.0469−0.17450.0221
CAUTI0.7954+0.13260.1547
SSI−0.5195−0.08660.0681
CDI0.1796+0.02990.0980
MRSA−0.3036−0.05060.0474
Total HAC Score0.0475
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, 0.3324 under the lowest score CMS cut, costs it nothing; 0.3324 higher, the cut would have been about $1.2M 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 $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 CMS’s highest score 2.3133 This hospital: 0.0475 This hospital 0.0475 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: 0.0475 This hospital 0.0475

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−$1,205,260
This hospital0.0475$0
CMS’s highest score2.3133−$1,205,260

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.

($120,547,438payment+$385,270teaching, MA stays−$278,538readmissions−$128,178value-based)×1%the cut=$1,205,260at stake

$1,205,260at stake÷5,691traditional Medicare stays=$212per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $1.2M by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$279K and −$128K.

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 $79,582,253
Teaching (indirect medical education) $1,511,267
Teaching on Medicare Advantage stays $385,270
Many low-income patients (disproportionate share) $3,374,288
Outliers: unusually costly stays $4,651,583
Sole community hospital rate difference $24,698,783
Capital: buildings and equipment $6,729,264
Total, before the three programs $120,932,708
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9965 − 1) −$278,538
Value-based purchasing (HVBP) base × (0.9984 − 1) −$128,178
After these two $120,525,992
HAC Reduction Program no cut; 1% would have been $1,205,260 $0
Net of the three programs likely −$442K to −$344K −$406,716

Not paid to this hospital: a Medicare-dependent hospital add-on, a low-volume adjustment, and uncompensated care payments.

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)$79,582,253
Teaching (indirect medical education)$1,511,267
Teaching on Medicare Advantage stays$385,270
Many low-income patients (disproportionate share)$3,374,288
Outliers: unusually costly stays$4,651,583
Sole community hospital rate difference$24,698,783
Capital: buildings and equipment$6,729,264
Total, before the three programs$120,932,708
Readmissions (HRRP) (base × (0.9965 − 1))−$278,538
Value-based purchasing (HVBP) (base × (0.9984 − 1))−$128,178
After these two$120,525,992
HAC Reduction Program (no cut; 1% would have been $1,205,260)$0
Net of the three programs (likely −$442K to −$344K)−$406,716

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 Score0.0475same
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 0.0475 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 $1.2M 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 90any value: every PSI 90 value past the cap (1.3482) scores the same
CLABSIup to 1.012
CAUTIany value: every CAUTI value past the cap (1.537) scores the same
SSIup to 1.708
CDIup to 0.937
MRSAup to 1.504

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 1.1575 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.155 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.877 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.547 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.424 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.552 · 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 0.0475 among its measured results: +0.1966.
  • PSI 90 +0.1966
  • CLABSI −0.1745
  • CAUTI +0.1326
  • SSI −0.0866
  • CDI +0.0299
  • MRSA −0.0506

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 901.1797+0.1966same
CLABSI−1.0469−0.1745same
CAUTI0.7954+0.1326same
SSI−0.5195−0.0866same
CDI0.1796+0.0299same
MRSA−0.3036−0.0506same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/430077/

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 4 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 6.0500, higher than 60% of scores; not cutFY2016: score 6.7500, higher than 72% of scores; not cutFY2017: score 6.4500, higher than 73% of scores; not cutFY2018: score 0.1197, higher than 61% of scores; not cutFY2019: score 0.5456, higher than 83% of scores; cutFY2020: score 0.3525, higher than 76% of scores; cutFY2021: score 0.5228, higher than 83% of scores; cutFY2022: score 0.7895, higher than 91% of scores; cutFY2024: score 0.0351, higher than 56% of scores; not cutFY2025: score −0.2446, higher than 34% of scores; not cutFY2026: score 0.0475, higher than 55% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 6.0500, higher than 60% of scores; not cutFY2016: score 6.7500, higher than 72% of scores; not cutFY2017: score 6.4500, higher than 73% of scores; not cutFY2018: score 0.1197, higher than 61% of scores; not cutFY2019: score 0.5456, higher than 83% of scores; cutFY2020: score 0.3525, higher than 76% of scores; cutFY2021: score 0.5228, higher than 83% of scores; cutFY2022: score 0.7895, higher than 91% of scores; cutFY2024: score 0.0351, higher than 56% of scores; not cutFY2025: score −0.2446, higher than 34% of scores; not cutFY2026: score 0.0475, higher than 55% 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
FY20156.050060.8%not cut
FY20166.750072.4%not cut
FY20176.450073.6%not cut
FY20180.119761.6%not cut
FY20190.545683.0%cut
FY20200.352576.0%cut
FY20210.522883.8%cut
FY20220.789591.4%cut
FY2023no decision
FY20240.035156.0%not cut
FY2025−0.244634.9%not cut
FY20260.047555.8%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. 4 of its 5 infection measures ended lower than they started.
CLABSI 0.95 → 0.29 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.946CLABSI, 2018: 0.849CLABSI, 2019: 0.804CLABSI, 2021: 1.509CLABSI, 2022: 0.239CLABSI, 2023: 0.000CLABSI, 2024: 0.292 CAUTI 1.22 → 0.59 1 0 ’18’21’24 CAUTI, 2017: 1.223CAUTI, 2018: 0.368CAUTI, 2019: 1.013CAUTI, 2021: 0.836CAUTI, 2022: 0.722CAUTI, 2023: 1.142CAUTI, 2024: 0.586 SSI, colon 0.91 → 0.97 1 0 ’18’21’24 SSI, colon, 2017: 0.907SSI, colon, 2018: 2.026SSI, colon, 2019: 1.441SSI, colon, 2021: 2.006SSI, colon, 2022: 1.250SSI, colon, 2023: 0.329SSI, colon, 2024: 0.974 MRSA 0.52 → 0.44 1 0 ’18’21’24 MRSA, 2017: 0.520MRSA, 2018: 0.783MRSA, 2019: 0.448MRSA, 2021: 1.733MRSA, 2022: 0.801MRSA, 2023: 0.654MRSA, 2024: 0.439 C. diff 0.81 → 0.46 1 0 ’18’21’24 C. diff, 2017: 0.811C. diff, 2018: 0.678C. diff, 2019: 0.840C. diff, 2021: 0.509C. diff, 2022: 0.357C. diff, 2023: 0.390C. diff, 2024: 0.458 CLABSI 0.95 → 0.29 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.946CLABSI, 2018: 0.849CLABSI, 2019: 0.804CLABSI, 2021: 1.509CLABSI, 2022: 0.239CLABSI, 2023: 0.000CLABSI, 2024: 0.292 CAUTI 1.22 → 0.59 1 0 ’18’20’22’24 CAUTI, 2017: 1.223CAUTI, 2018: 0.368CAUTI, 2019: 1.013CAUTI, 2021: 0.836CAUTI, 2022: 0.722CAUTI, 2023: 1.142CAUTI, 2024: 0.586 SSI, colon 0.91 → 0.97 1 0 ’18’20’22’24 SSI, colon, 2017: 0.907SSI, colon, 2018: 2.026SSI, colon, 2019: 1.441SSI, colon, 2021: 2.006SSI, colon, 2022: 1.250SSI, colon, 2023: 0.329SSI, colon, 2024: 0.974 MRSA 0.52 → 0.44 1 0 ’18’20’22’24 MRSA, 2017: 0.520MRSA, 2018: 0.783MRSA, 2019: 0.448MRSA, 2021: 1.733MRSA, 2022: 0.801MRSA, 2023: 0.654MRSA, 2024: 0.439 C. diff 0.81 → 0.46 1 0 ’18’20’22’24 C. diff, 2017: 0.811C. diff, 2018: 0.678C. diff, 2019: 0.840C. diff, 2021: 0.509C. diff, 2022: 0.357C. diff, 2023: 0.390C. diff, 2024: 0.458

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
20170.9461.2230.9070.5200.811
20180.8490.3682.0260.7830.678
20190.8041.0131.4410.4480.840
20211.5090.8362.0061.7330.509
20220.2390.7221.2500.8010.357
20230.0001.1420.3290.6540.390
20240.2920.5860.9740.4390.458

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 Dakota, its score is higher than 73% of the other 15 scored there.

Figure 8. Its score is above the middle in all 7 groups it belongs to; the share cut runs from 19% (South Dakota) to 26% (Nonprofit).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut Midwest region: CMS cut 174 of 683 (25%); middle score −0.0268Midwest region 683 hospitals25% cut South Dakota: CMS cut 3 of 16 (19%); middle score −0.5089South Dakota 16 hospitals19% cut Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching 873 hospitals21% cut 300 to 499 beds: CMS cut 113 of 523 (22%); middle score −0.0384300 to 499 beds 523 hospitals22% 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: 0.0475 This hospital 0.0475 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut Midwest region: CMS cut 174 of 683 (25%); middle score −0.0268Midwest region683 hospitals25% cut South Dakota: CMS cut 3 of 16 (19%); middle score −0.5089South Dakota16 hospitals19% cut Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching873 hospitals21% cut 300 to 499 beds: CMS cut 113 of 523 (22%); middle score −0.0384300 to 499 beds523 hospitals22% 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: 0.0475 This hospital 0.0475

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%−0.045355%
Midwest region68317425%−0.026854%
South Dakota16319%−0.508973%
Minor teaching87318121%−0.056756%
300 to 499 beds52311322%−0.038457%
Nonprofit1,83047826%−0.013453%
Urban2,24151023%−0.057457%
This hospital0.0475
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 2 of the 8 nearest hospitals; the closest is less than a mile away.
25 mi50 mi100 mi8. Summit Medical Center, Casper: score −0.1409, not cut, 173 miles87. Regional West Medical Center, Scottsbluff: score 0.2363, not cut, 152 miles76. Avera St Mary's Hospital, Pierre: score 1.6685, cut, 144 miles65. Campbell County Health, Gillette: score 0.4779, cut, 116 miles54. Pine Ridge IHS Hospital, Pine Ridge: score −1.4622, not cut, 73 miles43. Monument Health Spearfish Hospital, Spearfish: score −0.7816, not cut, 44 miles32. Same Day Surgery Center LLC, Rapid City: score −0.6651, not cut, less than a mile21. Black Hills Surgical Hospital LLC, Rapid City: score −1.4649, not cut, less than a mile1This hospital: Monument Health Rapid City Hospital

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

Show table
HospitalMilesScoreDecision
Black Hills Surgical Hospital LLC, Rapid City, SDunder 1−1.4649not cut
Same Day Surgery Center LLC, Rapid City, SDunder 1−0.6651not cut
Monument Health Spearfish Hospital, Spearfish, SD44−0.7816not cut
Pine Ridge IHS Hospital, Pine Ridge, SD73−1.4622not cut
Campbell County Health, Gillette, WY1160.4779cut
Avera St Mary's Hospital, Pierre, SD1441.6685cut
Regional West Medical Center, Scottsbluff, NE1520.2363not cut
Summit Medical Center, Casper, WY173−0.1409not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Black Hills Surgical Hospital LLCRapid City, SDunder 1−1.4649No cut$0Above the national median on 0 of 3 measures
2Same Day Surgery Center LLCRapid City, SDunder 1−0.6651No cut$0Above the national median on 0 of 1 measures
3Monument Health Spearfish HospitalSpearfish, SD44−0.7816No cut$0Above the national median on 0 of 3 measures
4Pine Ridge IHS HospitalPine Ridge, SD73−1.4622No cut$0Above the national median on 0 of 1 measures
5Campbell County HealthGillette, WY1160.47791% cut$145KAbove the national median on 2 of 4 measures
6Avera St Mary's HospitalPierre, SD1441.66851% cut$85KAbove the national median on 3 of 3 measures
7Regional West Medical CenterScottsbluff, NE1520.2363No cut$0Above the national median on 5 of 6 measures
8Summit Medical CenterCasper, WY173−0.1409No cut$0Above the national median on 1 of 1 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. Monument Health Rapid City Hospital, Rapid City, SD: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/430077/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.