P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalHCA Houston Healthcare Conroe Estimated FY2026 net: −$795K×

Hospital record · FY2026CCN 450222

1Hospital

HCA Houston Healthcare Conroe

2Location

Conroe, TX (Texas’s hospitals on the map and in the table) 77304

Montgomery County

3Type

Minor teaching · 328 beds · For-profit · Urban

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

0.5000

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$413K estimate
Likely $315⁠–⁠519K; about $187 per traditional Medicare stay

Cut 1%

$413K

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

For fiscal year 2026, CMS reports a Total HAC Score of 0.5000 for HCA Houston Healthcare Conroe and a payment reduction decision of Yes.

That is 1% of about $41.3M, 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: about $187 per traditional Medicare stay.

Likely range $315–519K

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: 0.5000 This hospital 0.5000 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: 0.5000 This hospital 0.5000

Higher than 80% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 2 of 11 years

  1. 15No
  2. 16No
  3. 17No
  4. 18No
  5. 19No
  6. 20Cut
  7. 21No
  8. 22No
  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 0.3316, to 0.1684. 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 4; 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 value1.2473

    Z-score1.8072

    Part of score+0.3012

  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 85% of the other 2,181 hospitals

    CMS value1.055

    Z-score1.0409

    Part of score+0.1735

  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 77% of the other 2,354 hospitals

    CMS value0.221

    Z-score−0.7859

    Part of score−0.1310

  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 92% of the other 2,269 hospitals

    CMS value1.864

    Z-score1.7366

    Part of score+0.2894

  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 89% 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 value0.056

    Z-score−1.2453

    Part of score−0.2076

  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 70% of the other 2,067 hospitals

    CMS value0.911

    Z-score0.4466

    Part of score+0.0744

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.24730.96231.8072+0.3012Worse than 92% of the other 2,808 hospitals
CLABSI1.0550.5591.0409+0.1735Worse than 85% of the other 2,181 hospitals
CAUTI0.2210.489−0.7859−0.1310Better than 77% of the other 2,354 hospitals
SSI1.8640.7951.7366+0.2894Worse than 92% of the other 2,269 hospitals
CDI0.0560.346−1.2453−0.2076Better than 89% of the other 2,766 hospitals
MRSA0.9110.6410.4466+0.0744Worse than 70% 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.

(1.8072PSI 90+1.0409CLABSI−0.7859CAUTI+1.7366SSI−1.2453CDI+0.4466MRSA)÷6measures=0.5000Total HAC Score

This hospital’s score is 0.1208 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 0.5000, above CMS’s line.
1% cut PSI 90: z‑score 1.8072 divided by 6 = +0.3012PSI 90+0.3012 CLABSI: z‑score 1.0409 divided by 6 = +0.1735CLABSI+0.1735 CAUTI: z‑score −0.7859 divided by 6 = −0.1310CAUTI−0.1310 SSI: z‑score 1.7366 divided by 6 = +0.2894SSI+0.2894 CDI: z‑score −1.2453 divided by 6 = −0.2076CDI−0.2076 MRSA: z‑score 0.4466 divided by 6 = +0.0744MRSA+0.0744 Total HAC Score: 0.5000Score0.5000 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.20.40.6 1% cut PSI 90: z‑score 1.8072 divided by 6 = +0.3012PSI 90+0.3012 CLABSI: z‑score 1.0409 divided by 6 = +0.1735CLABSI+0.1735 CAUTI: z‑score −0.7859 divided by 6 = −0.1310CAUTI−0.1310 SSI: z‑score 1.7366 divided by 6 = +0.2894SSI+0.2894 CDI: z‑score −1.2453 divided by 6 = −0.2076CDI−0.2076 MRSA: z‑score 0.4466 divided by 6 = +0.0744MRSA+0.0744 Total HAC Score: 0.5000Score0.5000 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.20.40.6

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

Show table
MeasureZ-scorePart of the scoreRunning total
PSI 901.8072+0.30120.3012
CLABSI1.0409+0.17350.4747
CAUTI−0.7859−0.13100.3437
SSI1.7366+0.28940.6331
CDI−1.2453−0.20760.4255
MRSA0.4466+0.07440.4999
Total HAC Score0.5000
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, 0.1208 over the highest score CMS didn’t cut, costs it about $413K 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 $413K at any score from 0.3799 $0at any score up to 0.3792 $413K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 0.5000 This hospital 0.5000 CMS’s line $0 at any score up to 0.3792 $413K at any score from 0.3799 $0at any score up to 0.3792 $413Kat 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: 0.5000 This hospital 0.5000

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−$412,998
This hospital0.5000−$412,998
CMS’s highest score2.3133−$412,998

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.

($39,746,151payment+$1,935,592teaching, MA stays−$255,425readmissions−$126,527value-based)×1%the cut=$412,998HAC cut

$412,998HAC cut÷2,203traditional Medicare stays=$187per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $413K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to −$255K and −$127K.

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 $27,172,910
Teaching (indirect medical education) $1,104,579
Teaching on Medicare Advantage stays $1,935,592
Many low-income patients (disproportionate share) $1,276,040
Outliers: unusually costly stays $282,327
Capital: buildings and equipment $2,389,996
Uncompensated care $7,520,299
Total, before the three programs $41,681,743
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9906 − 1) −$255,425
Value-based purchasing (HVBP) base × (0.9953 − 1) −$126,527
After these two $41,299,791
HAC Reduction Program 1% of everything above; likely $315⁠–⁠519K −$412,998
Net of the three programs likely −$934K to −$640K −$794,950

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)$27,172,910
Teaching (indirect medical education)$1,104,579
Teaching on Medicare Advantage stays$1,935,592
Many low-income patients (disproportionate share)$1,276,040
Outliers: unusually costly stays$282,327
Capital: buildings and equipment$2,389,996
Uncompensated care$7,520,299
Total, before the three programs$41,681,743
Readmissions (HRRP) (base × (0.9906 − 1))−$255,425
Value-based purchasing (HVBP) (base × (0.9953 − 1))−$126,527
After these two$41,299,791
HAC Reduction Program (1% of everything above; likely $315–519K)−$412,998
Net of the three programs (likely −$934K to −$640K)−$794,950

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 Score0.5000same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$413Ksame

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 0.5000 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 $413K, 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 901.1433 or lower
CLABSI0.742 or lower
CAUTInot possible with this measure alone
SSI1.440 or lower
CDInot possible with this measure alone
MRSA0.564 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 1.2473 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 1.055 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.221 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 1.864 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.056 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.911 · 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 0.5000 among its measured results: +0.3012.
  • PSI 90 +0.3012
  • CLABSI +0.1735
  • CAUTI −0.1310
  • SSI +0.2894
  • CDI −0.2076
  • MRSA +0.0744

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 901.8072+0.3012same
CLABSI1.0409+0.1735same
CAUTI−0.7859−0.1310same
SSI1.7366+0.2894same
CDI−1.2453−0.2076same
MRSA0.4466+0.0744same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/450222/

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.

Figure 6. CMS cut this hospital in 2 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 5.9000, higher than 54% of scores; not cutFY2016: score 5.0000, higher than 38% of scores; not cutFY2017: score 5.8700, higher than 60% of scores; not cutFY2018: score 0.1885, higher than 65% of scores; not cutFY2019: score 0.3045, higher than 72% of scores; not cutFY2020: score 0.3631, higher than 76% of scores; cutFY2021: score 0.0367, higher than 55% of scores; not cutFY2022: score 0.0768, higher than 60% of scores; not cutFY2024: score −0.5517, higher than 16% of scores; not cutFY2025: score −0.1999, higher than 38% of scores; not cutFY2026: score 0.5000, higher than 80% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 5.9000, higher than 54% of scores; not cutFY2016: score 5.0000, higher than 38% of scores; not cutFY2017: score 5.8700, higher than 60% of scores; not cutFY2018: score 0.1885, higher than 65% of scores; not cutFY2019: score 0.3045, higher than 72% of scores; not cutFY2020: score 0.3631, higher than 76% of scores; cutFY2021: score 0.0367, higher than 55% of scores; not cutFY2022: score 0.0768, higher than 60% of scores; not cutFY2024: score −0.5517, higher than 16% of scores; not cutFY2025: score −0.1999, higher than 38% of scores; not cutFY2026: score 0.5000, higher than 80% 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
FY20155.900054.4%not cut
FY20165.000038.0%not cut
FY20175.870060.2%not cut
FY20180.188565.9%not cut
FY20190.304572.6%not cut
FY20200.363176.5%cut
FY20210.036755.6%not cut
FY20220.076860.2%not cut
FY2023no decision
FY2024−0.551716.8%not cut
FY2025−0.199938.0%not cut
FY20260.500080.2%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 1.86 → 1.42 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 1.862CLABSI, 2018: 1.033CLABSI, 2019: 0.455CLABSI, 2021: 0.655CLABSI, 2022: 0.267CLABSI, 2023: 0.598CLABSI, 2024: 1.415 CAUTI 0.49 → 0.26 1 0 ’18’21’24 CAUTI, 2017: 0.493CAUTI, 2018: 0.410CAUTI, 2019: 0.583CAUTI, 2021: 0.528CAUTI, 2022: 0.000CAUTI, 2023: 0.173CAUTI, 2024: 0.257 SSI, colon 0.00 → 1.72 1 0 ’18’21’24 SSI, colon, 2017: 0.000SSI, colon, 2018: 0.874SSI, colon, 2019: 2.462SSI, colon, 2021: 0.263SSI, colon, 2022: 0.801SSI, colon, 2023: 1.730SSI, colon, 2024: 1.724 MRSA 1.48 → 0.41 1 0 ’18’21’24 MRSA, 2017: 1.477MRSA, 2018: 1.548MRSA, 2019: 1.823MRSA, 2021: 1.509MRSA, 2022: 0.463MRSA, 2023: 1.398MRSA, 2024: 0.410 C. diff 0.86 → 0.07 1 0 ’18’21’24 C. diff, 2017: 0.857C. diff, 2018: 0.625C. diff, 2019: 0.169C. diff, 2021: 0.033C. diff, 2022: 0.041C. diff, 2023: 0.041C. diff, 2024: 0.068 CLABSI 1.86 → 1.42 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 1.862CLABSI, 2018: 1.033CLABSI, 2019: 0.455CLABSI, 2021: 0.655CLABSI, 2022: 0.267CLABSI, 2023: 0.598CLABSI, 2024: 1.415 CAUTI 0.49 → 0.26 1 0 ’18’20’22’24 CAUTI, 2017: 0.493CAUTI, 2018: 0.410CAUTI, 2019: 0.583CAUTI, 2021: 0.528CAUTI, 2022: 0.000CAUTI, 2023: 0.173CAUTI, 2024: 0.257 SSI, colon 0.00 → 1.72 1 0 ’18’20’22’24 SSI, colon, 2017: 0.000SSI, colon, 2018: 0.874SSI, colon, 2019: 2.462SSI, colon, 2021: 0.263SSI, colon, 2022: 0.801SSI, colon, 2023: 1.730SSI, colon, 2024: 1.724 MRSA 1.48 → 0.41 1 0 ’18’20’22’24 MRSA, 2017: 1.477MRSA, 2018: 1.548MRSA, 2019: 1.823MRSA, 2021: 1.509MRSA, 2022: 0.463MRSA, 2023: 1.398MRSA, 2024: 0.410 C. diff 0.86 → 0.07 1 0 ’18’20’22’24 C. diff, 2017: 0.857C. diff, 2018: 0.625C. diff, 2019: 0.169C. diff, 2021: 0.033C. diff, 2022: 0.041C. diff, 2023: 0.041C. diff, 2024: 0.068

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
20171.8620.4930.0001.4770.857
20181.0330.4100.8741.5480.625
20190.4550.5832.4621.8230.169
20210.6550.5280.2631.5090.033
20220.2670.0000.8010.4630.041
20230.5980.1731.7301.3980.041
20241.4150.2571.7240.4100.068

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 90% of the other 254 scored there.

In Houston-Pasadena-The Woodlands, TX area, its score is higher than 90% of the other 44 scored there.

Figure 8. Its score is above the middle in all 8 groups it belongs to; the share cut runs from 13% (Texas) to 25% (All hospitals).
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 Houston-Pasadena-The Woodlands, TX area: CMS cut 6 of 45 (13%); middle score −0.3709Houston-Pasadena-The Woodlands, TX area45 hospitals13% 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 For-profit: CMS cut 98 of 651 (15%); middle score −0.2590For-profit 651 hospitals15% 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: 0.5000 This hospital 0.5000 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 Houston-Pasadena-The Woodlands, TX area: CMS cut 6 of 45 (13%); middle score −0.3709Houston-Pasadena-The Woodlands, TX area45 hospitals13% 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 For-profit: CMS cut 98 of 651 (15%); middle score −0.2590For-profit651 hospitals15% 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: 0.5000 This hospital 0.5000

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%−0.045380%
South region1,17426322%−0.105681%
Texas2553213%−0.236890%
Houston-Pasadena-The Woodlands, TX area45613%−0.370990%
Minor teaching87318121%−0.056784%
300 to 499 beds52311322%−0.038484%
For-profit6519815%−0.259088%
Urban2,24151023%−0.057482%
This hospital0.5000
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 6 miles away.
5 mi10 mi8. Memorial Hermann Surgical Hospital Kingwood, Kingwood: score −0.7848, not cut, 21 miles87. HCA Houston Healthcare Northwest, Houston: score −0.2277, not cut, 19 miles76. Tops Surgical Specialty Hospital, Houston: score −0.2970, not cut, 18 miles65. HCA Houston Healthcare Tomball, Tomball: score −0.8703, not cut, 16 miles54. The Woodlands Specialty Hospital, Spring: score 0.0143, not cut, 11 miles43. Houston Methodist the Woodlands Hospital, The Woodlands: score −0.8967, not cut, 7 miles32. CHI St Lukes Lakeside Hospital, The Woodlands: score −0.6604, not cut, 6 miles21. St Luke's the Woodlands Hospital, The Woodlands: score 1.2996, cut, 6 miles1This hospital: HCA Houston Healthcare Conroe

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

Show table
HospitalMilesScoreDecision
St Luke's the Woodlands Hospital, The Woodlands, TX61.2996cut
CHI St Lukes Lakeside Hospital, The Woodlands, TX6−0.6604not cut
Houston Methodist the Woodlands Hospital, The Woodlands, TX7−0.8967not cut
The Woodlands Specialty Hospital, Spring, TX110.0143not cut
HCA Houston Healthcare Tomball, Tomball, TX16−0.8703not cut
Tops Surgical Specialty Hospital, Houston, TX18−0.2970not cut
HCA Houston Healthcare Northwest, Houston, TX19−0.2277not cut
Memorial Hermann Surgical Hospital Kingwood, Kingwood, TX21−0.7848not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1St Luke's the Woodlands HospitalThe Woodlands, TX61.29961% cut$339KAbove the national median on 6 of 6 measures
2CHI St Lukes Lakeside HospitalThe Woodlands, TX6−0.6604No cut$0Above the national median on 0 of 1 measures
3Houston Methodist the Woodlands HospitalThe Woodlands, TX7−0.8967No cut$0Above the national median on 1 of 6 measures
4The Woodlands Specialty HospitalSpring, TX110.0143No cut$0Above the national median on 1 of 1 measures
5HCA Houston Healthcare TomballTomball, TX16−0.8703No cut$0Above the national median on 1 of 6 measures
6Tops Surgical Specialty HospitalHouston, TX18−0.2970No cut$0Above the national median on 0 of 1 measures
7HCA Houston Healthcare NorthwestHouston, TX19−0.2277No cut$0Above the national median on 2 of 6 measures
8Memorial Hermann Surgical Hospital KingwoodKingwood, TX21−0.7848No cut$0Above the national median on 1 of 2 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. HCA Houston Healthcare Conroe, Conroe, TX: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/450222/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.