P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalDell Seton Med Center at the University of TX Estimated FY2026 net: $0×

Hospital record · FY2026CCN 450124

1Hospital

Dell Seton Med Center at the University of TX

2Location

Austin, TX (Texas’s hospitals on the map and in the table) 78701

Travis County

3Type

Major teaching · 240 beds · Nonprofit · Urban · Rural referral center

4Care Compare stars

4 of 5 stars

Overall rating, CMS Care Compare data of July 22, 2026
CMS footnote 29: This measure was calculated using partial performance period data due to a CMS-approved exception.
Open on Care Compare (opens in a new tab)

5Total HAC Score

0.3109

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $676K, likely $515⁠–⁠849K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of 0.3109 for Dell Seton Med Center at the University of TX and a payment reduction decision of No.

A cut would have taken about $676K estimate 1% of about $67.6M, 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 0.0690 under 0.3799, the lowest score CMS cut.

Likely range $515–849K

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: 0.3109 This hospital 0.3109 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: 0.3109 This hospital 0.3109

Higher than 71% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 7 of 11 years

  1. 15Cut
  2. 16Cut
  3. 17Cut
  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 CDI down to the national median (0.346) would lower the score the most: by 0.3859, to −0.0750. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 4; CDI 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 60% of the other 2,808 hospitals

    CMS footnote 29: This measure was calculated using partial performance period data due to a CMS-approved exception.

    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 value0.9392

    Z-score−0.3440

    Part of score−0.0573

  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 73% of the other 2,181 hospitals

    CMS footnote 29: This measure was calculated using partial performance period data due to a CMS-approved exception.

    CMS value0.844

    Z-score0.5514

    Part of score+0.0919

  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 66% of the other 2,354 hospitals

    CMS footnote 29: This measure was calculated using partial performance period data due to a CMS-approved exception.

    CMS value0.333

    Z-score−0.5159

    Part of score−0.0860

  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 55% of the other 2,269 hospitals

    CMS footnote 29: This measure was calculated using partial performance period data due to a CMS-approved exception.

    CMS value0.865

    Z-score0.0253

    Part of score+0.0042

  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.

    added the most

    Clostridioides difficile (C. diff) infections

    Worse than 96% of the other 2,766 hospitals

    CMS footnote 29: This measure was calculated using partial performance period data due to a CMS-approved exception.

    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 value1.055

    Z-score2.1931

    Part of score+0.3655

  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 53% of the other 2,067 hospitals

    CMS footnote 29: This measure was calculated using partial performance period data due to a CMS-approved exception.

    CMS value0.676

    Z-score−0.0445

    Part of score−0.0074

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.93920.9623−0.3440−0.0573Better than 60% of the other 2,808 hospitals
CLABSI0.8440.5590.5514+0.0919Worse than 73% of the other 2,181 hospitals
CAUTI0.3330.489−0.5159−0.0860Better than 66% of the other 2,354 hospitals
SSI0.8650.7950.0253+0.0042Worse than 55% of the other 2,269 hospitals
CDI1.0550.3462.1931+0.3655Worse than 96% of the other 2,766 hospitals
MRSA0.6760.641−0.0445−0.0074Worse 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.

(−0.3440PSI 90+0.5514CLABSI−0.5159CAUTI+0.0253SSI+2.1931CDI−0.0445MRSA)÷6measures=0.3109Total HAC Score

This hospital’s score is 0.0690 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to 0.3109, below CMS’s line.
1% cut PSI 90: z‑score −0.3440 divided by 6 = −0.0573PSI 90−0.0573 CLABSI: z‑score 0.5514 divided by 6 = +0.0919CLABSI+0.0919 CAUTI: z‑score −0.5159 divided by 6 = −0.0860CAUTI−0.0860 SSI: z‑score 0.0253 divided by 6 = +0.0042SSI+0.0042 CDI: z‑score 2.1931 divided by 6 = +0.3655CDI+0.3655 MRSA: z‑score −0.0445 divided by 6 = −0.0074MRSA−0.0074 Total HAC Score: 0.3109Score0.3109 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.10.00.10.20.30.4 1% cut PSI 90: z‑score −0.3440 divided by 6 = −0.0573PSI 90−0.0573 CLABSI: z‑score 0.5514 divided by 6 = +0.0919CLABSI+0.0919 CAUTI: z‑score −0.5159 divided by 6 = −0.0860CAUTI−0.0860 SSI: z‑score 0.0253 divided by 6 = +0.0042SSI+0.0042 CDI: z‑score 2.1931 divided by 6 = +0.3655CDI+0.3655 MRSA: z‑score −0.0445 divided by 6 = −0.0074MRSA−0.0074 Total HAC Score: 0.3109Score0.3109 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.10.00.10.20.30.4

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

Show table
MeasureZ-scorePart of the scoreRunning total
PSI 90−0.3440−0.0573−0.0573
CLABSI0.5514+0.09190.0346
CAUTI−0.5159−0.0860−0.0514
SSI0.0253+0.0042−0.0472
CDI2.1931+0.36550.3183
MRSA−0.0445−0.00740.3109
Total HAC Score0.3109
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, 0.0690 under the lowest score CMS cut, costs it nothing; 0.0690 higher, the cut would have been about $676K 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 $676K at any score from 0.3799 $0at any score up to 0.3792 $676K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: 0.3109 This hospital 0.3109 CMS’s line $0 at any score up to 0.3792 $676K at any score from 0.3799 $0at any score up to 0.3792 $676Kat 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: 0.3109 This hospital 0.3109

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−$675,590
This hospital0.3109$0
CMS’s highest score2.3133−$675,590

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.

($60,235,920payment+$7,323,051teaching, MA stays+$0readmissions+$0value-based)×1%the cut=$675,590at stake

$675,590at stake÷1,439traditional Medicare stays=$469per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $676K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to $0 and $0.

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 $22,347,363
Teaching (indirect medical education) $8,247,965
Teaching on Medicare Advantage stays $7,323,051
Many low-income patients (disproportionate share) $1,192,679
Outliers: unusually costly stays $2,008,581
Capital: buildings and equipment $2,513,210
Uncompensated care $23,926,122
Total, before the three programs $67,558,971
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (1.0000 − 1) $0
Value-based purchasing (HVBP) not in CMS’s value-based factors: no adjustment $0
After these two $67,558,971
HAC Reduction Program no cut; 1% would have been $675,590 $0
Net of the three programs $0

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)$22,347,363
Teaching (indirect medical education)$8,247,965
Teaching on Medicare Advantage stays$7,323,051
Many low-income patients (disproportionate share)$1,192,679
Outliers: unusually costly stays$2,008,581
Capital: buildings and equipment$2,513,210
Uncompensated care$23,926,122
Total, before the three programs$67,558,971
Readmissions (HRRP) (base × (1.0000 − 1))$0
Value-based purchasing (HVBP) (not in CMS’s value-based factors: no adjustment)$0
After these two$67,558,971
HAC Reduction Program (no cut; 1% would have been $675,590)$0
Net of the three programs$0

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 Score0.3109same
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 0.3109 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 $676K out of this program’s cut, this site estimates: a score a hair over would cost all of it.

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

MeasureHighest value that keeps No
PSI 90up to 0.9978
CLABSIup to 1.020
CAUTIup to 0.502
SSIup to 1.104
CDIany value: every CDI value past the cap (0.944) scores the same
MRSAup to 0.872

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 0.9392 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.844 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.333 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.865 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 1.055 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.676 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. CDI added the most to this hospital’s Total HAC Score of 0.3109 among its measured results: +0.3655.
  • PSI 90 −0.0573
  • CLABSI +0.0919
  • CAUTI −0.0860
  • SSI +0.0042
  • CDI +0.3655
  • MRSA −0.0074

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 90−0.3440−0.0573same
CLABSI0.5514+0.0919same
CAUTI−0.5159−0.0860same
SSI0.0253+0.0042same
CDI2.1931+0.3655same
MRSA−0.0445−0.0074same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/450124/

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 7 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 8.6250, higher than 93% of scores; cutFY2016: score 8.5000, higher than 93% of scores; cutFY2017: score 6.9800, higher than 82% of scores; cutFY2018: score 0.3294, higher than 74% of scores; not cutFY2019: score 0.4751, higher than 80% of scores; cutFY2020: score 0.7570, higher than 90% of scores; cutFY2021: score 1.1014, higher than 97% of scores; cutFY2022: score 1.1551, higher than 97% of scores; cutFY2024: score −0.0337, higher than 50% of scores; not cutFY2025: score 0.0632, higher than 57% of scores; not cutFY2026: score 0.3109, higher than 71% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 8.6250, higher than 93% of scores; cutFY2016: score 8.5000, higher than 93% of scores; cutFY2017: score 6.9800, higher than 82% of scores; cutFY2018: score 0.3294, higher than 74% of scores; not cutFY2019: score 0.4751, higher than 80% of scores; cutFY2020: score 0.7570, higher than 90% of scores; cutFY2021: score 1.1014, higher than 97% of scores; cutFY2022: score 1.1551, higher than 97% of scores; cutFY2024: score −0.0337, higher than 50% of scores; not cutFY2025: score 0.0632, higher than 57% of scores; not cutFY2026: score 0.3109, higher than 71% 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
FY20158.625093.6%cut
FY20168.500093.7%cut
FY20176.980082.6%cut
FY20180.329474.0%not cut
FY20190.475180.7%cut
FY20200.757090.6%cut
FY20211.101497.5%cut
FY20221.155197.1%cut
FY2023no decision
FY2024−0.033750.5%not cut
FY20250.063257.0%not cut
FY20260.310971.1%not cut

Its infections, year by year

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

Figure 7. 2 of its 5 infection measures ended lower than they started.
CLABSI 0.72 → 1.15 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.718CLABSI, 2018: 0.738CLABSI, 2019: 0.485CLABSI, 2021: 0.574CLABSI, 2022: 0.920CLABSI, 2023: 0.768CLABSI, 2024: 1.147 CAUTI 1.81 → 0.00 1 0 ’18’21’24 CAUTI, 2017: 1.814CAUTI, 2018: 1.200CAUTI, 2019: 1.206CAUTI, 2021: 0.305CAUTI, 2022: 0.642CAUTI, 2023: 0.420CAUTI, 2024: 0.000 SSI, colon 1.53 → 0.72 1 0 ’18’21’24 SSI, colon, 2017: 1.535SSI, colon, 2018: 1.691SSI, colon, 2019: 1.666SSI, colon, 2021: 1.350SSI, colon, 2022: 0.564SSI, colon, 2023: 1.031SSI, colon, 2024: 0.722 MRSA 0.00 → 0.46 1 0 ’18’21’24 MRSA, 2017: 0.000MRSA, 2018: 1.818MRSA, 2019: 2.207MRSA, 2021: 0.812MRSA, 2022: 0.904MRSA, 2023: 0.770MRSA, 2024: 0.455 C. diff 0.59 → 0.62 1 0 ’18’21’24 C. diff, 2017: 0.592C. diff, 2018: 1.149C. diff, 2019: 1.146C. diff, 2021: 0.534C. diff, 2022: 0.769C. diff, 2023: 1.164C. diff, 2024: 0.619 CLABSI 0.72 → 1.15 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.718CLABSI, 2018: 0.738CLABSI, 2019: 0.485CLABSI, 2021: 0.574CLABSI, 2022: 0.920CLABSI, 2023: 0.768CLABSI, 2024: 1.147 CAUTI 1.81 → 0.00 1 0 ’18’20’22’24 CAUTI, 2017: 1.814CAUTI, 2018: 1.200CAUTI, 2019: 1.206CAUTI, 2021: 0.305CAUTI, 2022: 0.642CAUTI, 2023: 0.420CAUTI, 2024: 0.000 SSI, colon 1.53 → 0.72 1 0 ’18’20’22’24 SSI, colon, 2017: 1.535SSI, colon, 2018: 1.691SSI, colon, 2019: 1.666SSI, colon, 2021: 1.350SSI, colon, 2022: 0.564SSI, colon, 2023: 1.031SSI, colon, 2024: 0.722 MRSA 0.00 → 0.46 1 0 ’18’20’22’24 MRSA, 2017: 0.000MRSA, 2018: 1.818MRSA, 2019: 2.207MRSA, 2021: 0.812MRSA, 2022: 0.904MRSA, 2023: 0.770MRSA, 2024: 0.455 C. diff 0.59 → 0.62 1 0 ’18’20’22’24 C. diff, 2017: 0.592C. diff, 2018: 1.149C. diff, 2019: 1.146C. diff, 2021: 0.534C. diff, 2022: 0.769C. diff, 2023: 1.164C. diff, 2024: 0.619

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
20170.7181.8141.5350.0000.592
20180.7381.2001.6911.8181.149
20190.4851.2061.6662.2071.146
20210.5740.3051.3500.8120.534
20220.9200.6420.5640.9040.769
20230.7680.4201.0310.7701.164
20241.1470.0000.7220.4550.619

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 Texas, its score is higher than 85% of the other 254 scored there.

In Austin-Round Rock-San Marcos, TX area, its score is higher than 94% of the other 17 scored there.

Figure 8. Its score is above the middle in all 8 groups it belongs to; the share cut runs from 6% (Austin-Round Rock-San Marcos, TX area) to 32% (Major teaching).
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 Texas: CMS cut 32 of 255 (13%); middle score −0.2368Texas 255 hospitals13% cut Austin-Round Rock-San Marcos, TX area: CMS cut 1 of 18 (6%); middle score −0.3001Austin-Round Rock-San Marcos, TX area18 hospitals6% 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 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: 0.3109 This hospital 0.3109 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 Texas: CMS cut 32 of 255 (13%); middle score −0.2368Texas255 hospitals13% cut Austin-Round Rock-San Marcos, TX area: CMS cut 1 of 18 (6%); middle score −0.3001Austin-Round Rock-San Marcos, TX area18 hospitals6% 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 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: 0.3109 This hospital 0.3109

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%−0.045371%
South region1,17426322%−0.105673%
Texas2553213%−0.236885%
Austin-Round Rock-San Marcos, TX area1816%−0.300194%
Major teaching42413632%0.178061%
100 to 299 beds1,19327523%−0.073272%
Nonprofit1,83047826%−0.013470%
Urban2,24151023%−0.057473%
This hospital0.3109
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.
5 mi8. North Austin Medical Center, Austin: score −0.5211, not cut, 10 miles87. Ascension Seton Northwest, Austin: score −0.9387, not cut, 9 miles76. Baylor Scott & White Medical Center- Austin, Austin: score 0.1196, not cut, 6 miles65. The Hospital at Westlake Medical Center, Austin: score −0.5845, not cut, 6 miles54. Northwest Hills Surgical Hospital, Austin: score 0.8824, cut, 5 miles43. St David's South Austin Medical Center, Austin: score −0.1688, not cut, 4 miles32. Ascension Seton Medical Center Austin, Austin: score −0.5209, not cut, 2 miles21. St David's Medical Center, Austin: score 0.1673, not cut, about a mile1This hospital: Dell Seton Med Center at the University of TX

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

Show table
HospitalMilesScoreDecision
St David's Medical Center, Austin, TX10.1673not cut
Ascension Seton Medical Center Austin, Austin, TX2−0.5209not cut
St David's South Austin Medical Center, Austin, TX4−0.1688not cut
Northwest Hills Surgical Hospital, Austin, TX50.8824cut
The Hospital at Westlake Medical Center, Austin, TX6−0.5845not cut
Baylor Scott & White Medical Center- Austin, Austin, TX60.1196not cut
Ascension Seton Northwest, Austin, TX9−0.9387not cut
North Austin Medical Center, Austin, TX10−0.5211not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1St David's Medical CenterAustin, TX10.1673No cut$0Above the national median on 5 of 6 measures
2Ascension Seton Medical Center AustinAustin, TX2−0.5209No cut$0Above the national median on 3 of 6 measures
3St David's South Austin Medical CenterAustin, TX4−0.1688No cut$0Above the national median on 3 of 6 measures
4Northwest Hills Surgical HospitalAustin, TX50.88241% cut$17KAbove the national median on 1 of 2 measures
5The Hospital at Westlake Medical CenterAustin, TX6−0.5845No cut$0Above the national median on 0 of 1 measures
6Baylor Scott & White Medical Center- AustinAustin, TX60.1196No cut$0Above the national median on 2 of 3 measures
7Ascension Seton NorthwestAustin, TX9−0.9387No cut$0Above the national median on 1 of 5 measures
8North Austin Medical CenterAustin, TX10−0.5211No cut$0Above the national median on 1 of 6 measures

Download all hospitals’ data (CSV) · Data dictionary · CMS’s dataset page

CMS’s footnotes on this page

29
This measure was calculated using partial performance period data due to a CMS-approved exception.

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. Dell Seton Med Center at the University of TX, Austin, TX: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/450124/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.