P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalHarborview Medical Center Estimated FY2026 net: −$1.6M×

Hospital record · FY2026CCN 500064

1Hospital

Harborview Medical Center

2Location

Seattle, WA (Washington’s hospitals on the map and in the table) 98104

King County

3Type

Major teaching · 413 beds · Government · Urban · Rural referral center

4Care Compare stars

2 of 5 stars

Overall rating, CMS Care Compare data of July 22, 2026
Open on Care Compare (opens in a new tab)

5Total HAC Score

1.5608

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$1.1M estimate
Likely $924K⁠–⁠$1.2M; about $420 per traditional Medicare stay

Cut 1%

$1.1M

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

For fiscal year 2026, CMS reports a Total HAC Score of 1.5608 for Harborview Medical Center and a payment reduction decision of Yes.

That is 1% of about $113M, 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 $420 per traditional Medicare stay.

Likely range $924K–$1.2M

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 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: 1.5608 This hospital 1.5608 lowest −1.4728 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: 1.5608 This hospital 1.5608

Higher than 98% of the other 2,928 scores CMS published (higher is worse).

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

  1. 15Cut
  2. 16Cut
  3. 17Cut
  4. 18Cut
  5. 19Cut
  6. 20Cut
  7. 21Cut
  8. 22Cut
  9. 23—
  10. 24Cut
  11. 25Cut
  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 SSI down to the national median (0.795) would lower the score the most: by 0.3774, to 1.1834. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 6; SSI added the most to its score.
  • This hospital
  • National median
  • Scores the same as CMS’s floor or cap
  1. PSI 90 (what it counts)

    Safety problems such as serious bedsores, falls that break a bone and blood clots after surgery, found by CMS in traditional Medicare claims. A value of 1 matches the national composite value.

    Patient safety and adverse events composite

    Worse than 84% 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 value1.1370

    Z-score1.0372

    Part of score+0.1729

  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 88% of the other 2,181 hospitals

    CMS value1.184

    Z-score1.3401

    Part of score+0.2234

  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 88% of the other 2,354 hospitals

    CMS value1.104

    Z-score1.3426

    Part of score+0.2238

  4. SSI (what it counts)

    Deep infections at the site of colon surgery or an abdominal hysterectomy, within a month of the operation, pooled into one measure. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    added the most

    Surgical site infections after colon surgery or abdominal hysterectomy

    Worse than 94% of the other 2,269 hospitals

    CMS value2.117

    Z-score2.1700

    Part of score+0.3617

  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 93% 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 value0.886

    Z-score1.9685

    Part of score+0.3281

  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 90% of the other 2,067 hospitals

    CMS value1.418

    Z-score1.5062

    Part of score+0.2510

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.13700.96231.0372+0.1729Worse than 84% of the other 2,808 hospitals
CLABSI1.1840.5591.3401+0.2234Worse than 88% of the other 2,181 hospitals
CAUTI1.1040.4891.3426+0.2238Worse than 88% of the other 2,354 hospitals
SSI2.1170.7952.1700+0.3617Worse than 94% of the other 2,269 hospitals
CDI0.8860.3461.9685+0.3281Worse than 93% of the other 2,766 hospitals
MRSA1.4180.6411.5062+0.2510Worse than 90% 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.

(1.0372PSI 90+1.3401CLABSI+1.3426CAUTI+2.1700SSI+1.9685CDI+1.5062MRSA)÷6measures=1.5608Total HAC Score

This hospital’s score is 1.1816 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 1.5608, above CMS’s line.
1% cut PSI 90: z‑score 1.0372 divided by 6 = +0.1729PSI 90+0.1729 CLABSI: z‑score 1.3401 divided by 6 = +0.2234CLABSI+0.2234 CAUTI: z‑score 1.3426 divided by 6 = +0.2238CAUTI+0.2238 SSI: z‑score 2.1700 divided by 6 = +0.3617SSI+0.3617 CDI: z‑score 1.9685 divided by 6 = +0.3281CDI+0.3281 MRSA: z‑score 1.5062 divided by 6 = +0.2510MRSA+0.2510 Total HAC Score: 1.5608Score1.5608 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.51.01.5 1% cut PSI 90: z‑score 1.0372 divided by 6 = +0.1729PSI 90+0.1729 CLABSI: z‑score 1.3401 divided by 6 = +0.2234CLABSI+0.2234 CAUTI: z‑score 1.3426 divided by 6 = +0.2238CAUTI+0.2238 SSI: z‑score 2.1700 divided by 6 = +0.3617SSI+0.3617 CDI: z‑score 1.9685 divided by 6 = +0.3281CDI+0.3281 MRSA: z‑score 1.5062 divided by 6 = +0.2510MRSA+0.2510 Total HAC Score: 1.5608Score1.5608 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.51.01.5

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 901.0372+0.17290.1729
CLABSI1.3401+0.22340.3963
CAUTI1.3426+0.22380.6201
SSI2.1700+0.36170.9818
CDI1.9685+0.32811.3099
MRSA1.5062+0.25101.5609
Total HAC Score1.5608
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, 1.1816 over the highest score CMS didn’t cut, costs it about $1.1M 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 $1.1M at any score from 0.3799 $0at any score up to 0.3792 $1.1M at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 1.5608 This hospital 1.5608 CMS’s line $0 at any score up to 0.3792 $1.1M at any score from 0.3799 $0at any score up to 0.3792 $1.1Mat any score from 0.3799 −1.0−0.50.00.51.01.52.0 CMS’s highest score: 2.3133 This hospital: 1.5608 This hospital 1.5608

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−$1,134,778
This hospital1.5608−$1,134,778
CMS’s highest score2.3133−$1,134,778

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.

($100,420,761payment+$13,503,520teaching, MA stays+$0readmissions−$446,518value-based)×1%the cut=$1,134,778HAC cut

$1,134,778HAC cut÷2,705traditional Medicare stays=$420per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $1.1M: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to $0 and −$447K.

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 $55,888,430
Teaching (indirect medical education) $12,633,580
Teaching on Medicare Advantage stays $13,503,520
Many low-income patients (disproportionate share) $4,723,690
Outliers: unusually costly stays $12,302,720
Capital: buildings and equipment $5,747,711
Uncompensated care $9,124,630
Total, before the three programs $113,924,281
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (1.0000 − 1) $0
Value-based purchasing (HVBP) base × (0.9920 − 1) −$446,518
After these two $113,477,763
HAC Reduction Program 1% of everything above; likely $924K⁠–⁠$1.2M −$1,134,778
Net of the three programs likely −$1.7M to −$1.4M −$1,581,296

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)$55,888,430
Teaching (indirect medical education)$12,633,580
Teaching on Medicare Advantage stays$13,503,520
Many low-income patients (disproportionate share)$4,723,690
Outliers: unusually costly stays$12,302,720
Capital: buildings and equipment$5,747,711
Uncompensated care$9,124,630
Total, before the three programs$113,924,281
Readmissions (HRRP) (base × (1.0000 − 1))$0
Value-based purchasing (HVBP) (base × (0.9920 − 1))−$446,518
After these two$113,477,763
HAC Reduction Program (1% of everything above; likely $924K–$1.2M)−$1,134,778
Net of the three programs (likely −$1.7M to −$1.4M)−$1,581,296

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 Score1.5608same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$1.1Msame

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 1.5608 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 $1.1M, 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 90not possible with this measure alone
CLABSInot possible with this measure alone
CAUTInot possible with this measure alone
SSInot possible with this measure alone
CDInot possible with this measure alone
MRSAnot possible with this measure alone

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 1.1370 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 1.184 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 1.104 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 2.117 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.886 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 1.418 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. SSI added the most to this hospital’s Total HAC Score of 1.5608 among its measured results: +0.3617.
  • PSI 90 +0.1729
  • CLABSI +0.2234
  • CAUTI +0.2238
  • SSI +0.3617
  • CDI +0.3281
  • MRSA +0.2510

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 901.0372+0.1729same
CLABSI1.3401+0.2234same
CAUTI1.3426+0.2238same
SSI2.1700+0.3617same
CDI1.9685+0.3281same
MRSA1.5062+0.2510same

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 8 years in a row.

Figure 6. CMS cut this hospital in 11 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 7.4000, higher than 83% of scores; cutFY2016: score 8.0000, higher than 89% of scores; cutFY2017: score 7.5100, higher than 89% of scores; cutFY2018: score 0.4069, higher than 77% of scores; cutFY2019: score 0.6594, higher than 87% of scores; cutFY2020: score 1.0038, higher than 96% of scores; cutFY2021: score 0.9224, higher than 94% of scores; cutFY2022: score 0.9525, higher than 94% of scores; cutFY2024: score 1.5447, higher than 97% of scores; cutFY2025: score 1.6459, higher than 98% of scores; cutFY2026: score 1.5608, higher than 98% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 7.4000, higher than 83% of scores; cutFY2016: score 8.0000, higher than 89% of scores; cutFY2017: score 7.5100, higher than 89% of scores; cutFY2018: score 0.4069, higher than 77% of scores; cutFY2019: score 0.6594, higher than 87% of scores; cutFY2020: score 1.0038, higher than 96% of scores; cutFY2021: score 0.9224, higher than 94% of scores; cutFY2022: score 0.9525, higher than 94% of scores; cutFY2024: score 1.5447, higher than 97% of scores; cutFY2025: score 1.6459, higher than 98% of scores; cutFY2026: score 1.5608, higher than 98% 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
FY20157.400083.3%cut
FY20168.000089.1%cut
FY20177.510089.9%cut
FY20180.406977.7%cut
FY20190.659487.3%cut
FY20201.003896.0%cut
FY20210.922494.6%cut
FY20220.952594.6%cut
FY2023no decision
FY20241.544797.1%cut
FY20251.645998.4%cut
FY20261.560898.2%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. 3 of its 5 infection measures ended lower than they started.
CLABSI 0.81 → 0.92 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.806CLABSI, 2018: 0.928CLABSI, 2019: 0.844CLABSI, 2021: 1.286CLABSI, 2022: 2.169CLABSI, 2023: 1.492CLABSI, 2024: 0.922 CAUTI 1.29 → 1.03 1 0 ’18’21’24 CAUTI, 2017: 1.294CAUTI, 2018: 1.418CAUTI, 2019: 1.032CAUTI, 2021: 1.201CAUTI, 2022: 1.103CAUTI, 2023: 1.178CAUTI, 2024: 1.028 SSI, colon 1.88 → 1.83 1 0 ’18’21’24 SSI, colon, 2017: 1.877SSI, colon, 2018: 2.519SSI, colon, 2019: 2.233SSI, colon, 2021: 3.632SSI, colon, 2022: 3.225SSI, colon, 2023: 2.460SSI, colon, 2024: 1.826 MRSA 1.03 → 1.08 1 0 ’18’21’24 MRSA, 2017: 1.026MRSA, 2018: 1.463MRSA, 2019: 1.366MRSA, 2021: 1.353MRSA, 2022: 2.018MRSA, 2023: 1.799MRSA, 2024: 1.082 C. diff 1.78 → 0.68 1 0 ’18’21’24 C. diff, 2017: 1.783C. diff, 2018: 0.879C. diff, 2019: 0.928C. diff, 2021: 1.048C. diff, 2022: 1.406C. diff, 2023: 1.032C. diff, 2024: 0.682 CLABSI 0.81 → 0.92 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.806CLABSI, 2018: 0.928CLABSI, 2019: 0.844CLABSI, 2021: 1.286CLABSI, 2022: 2.169CLABSI, 2023: 1.492CLABSI, 2024: 0.922 CAUTI 1.29 → 1.03 1 0 ’18’20’22’24 CAUTI, 2017: 1.294CAUTI, 2018: 1.418CAUTI, 2019: 1.032CAUTI, 2021: 1.201CAUTI, 2022: 1.103CAUTI, 2023: 1.178CAUTI, 2024: 1.028 SSI, colon 1.88 → 1.83 1 0 ’18’20’22’24 SSI, colon, 2017: 1.877SSI, colon, 2018: 2.519SSI, colon, 2019: 2.233SSI, colon, 2021: 3.632SSI, colon, 2022: 3.225SSI, colon, 2023: 2.460SSI, colon, 2024: 1.826 MRSA 1.03 → 1.08 1 0 ’18’20’22’24 MRSA, 2017: 1.026MRSA, 2018: 1.463MRSA, 2019: 1.366MRSA, 2021: 1.353MRSA, 2022: 2.018MRSA, 2023: 1.799MRSA, 2024: 1.082 C. diff 1.78 → 0.68 1 0 ’18’20’22’24 C. diff, 2017: 1.783C. diff, 2018: 0.879C. diff, 2019: 0.928C. diff, 2021: 1.048C. diff, 2022: 1.406C. diff, 2023: 1.032C. diff, 2024: 0.682

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
20170.8061.2941.8771.0261.783
20180.9281.4182.5191.4630.879
20190.8441.0322.2331.3660.928
20211.2861.2013.6321.3531.048
20222.1691.1033.2252.0181.406
20231.4921.1782.4601.7991.032
20240.9221.0281.8261.0820.682

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 Washington, its score is higher than 100% of the other 45 scored there.

In Seattle-Bellevue-Kent, WA area, its score is higher than 100% of the other 13 scored there.

Figure 8. Its score is above the middle in all 8 groups it belongs to; the share cut runs from 22% (300 to 499 beds) to 36% (Seattle-Bellevue-Kent, WA area).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut West region: CMS cut 157 of 593 (26%); middle score −0.0302West region 593 hospitals26% cut Washington: CMS cut 12 of 46 (26%); middle score 0.0723Washington 46 hospitals26% cut Seattle-Bellevue-Kent, WA area: CMS cut 5 of 14 (36%); middle score 0.1865Seattle-Bellevue-Kent, WA area14 hospitals36% cut Major teaching: CMS cut 136 of 424 (32%); middle score 0.1780Major teaching 424 hospitals32% cut 300 to 499 beds: CMS cut 113 of 523 (22%); middle score −0.0384300 to 499 beds 523 hospitals22% cut Government: CMS cut 140 of 401 (35%); middle score 0.1602Government 401 hospitals35% 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: 1.5608 This hospital 1.5608 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut West region: CMS cut 157 of 593 (26%); middle score −0.0302West region593 hospitals26% cut Washington: CMS cut 12 of 46 (26%); middle score 0.0723Washington46 hospitals26% cut Seattle-Bellevue-Kent, WA area: CMS cut 5 of 14 (36%); middle score 0.1865Seattle-Bellevue-Kent, WA area14 hospitals36% cut Major teaching: CMS cut 136 of 424 (32%); middle score 0.1780Major teaching424 hospitals32% cut 300 to 499 beds: CMS cut 113 of 523 (22%); middle score −0.0384300 to 499 beds523 hospitals22% cut Government: CMS cut 140 of 401 (35%); middle score 0.1602Government401 hospitals35% 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: 1.5608 This hospital 1.5608

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%−0.045398%
West region59315726%−0.030298%
Washington461226%0.0723100%
Seattle-Bellevue-Kent, WA area14536%0.1865100%
Major teaching42413632%0.178099%
300 to 499 beds52311322%−0.0384100%
Government40114035%0.160295%
Urban2,24151023%−0.057498%
This hospital1.5608
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.
5 mi10 mi8. Highline Medical Center, Burien: score −0.2965, not cut, 10 miles87. Evergreenhealth Medical Center, Kirkland: score −0.3875, not cut, 10 miles76. Overlake Hospital Medical Center & Clinics, Bellevue: score 0.5857, cut, 7 miles65. University of Washington Medical Ctr, Seattle: score 0.7996, cut, 3 miles54. Kaiser Permanente Central Hospital, Seattle: score 0.0453, not cut, about a mile43. Swedish Medical Center / Cherry Hill, Seattle: score 0.2676, not cut, less than a mile32. Virginia Mason Medical Center, Seattle: score −0.7265, not cut, less than a mile21. Swedish Medical Center, Seattle: score 0.3055, not cut, less than a mile1This hospital: Harborview Medical Center

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

Show table
HospitalMilesScoreDecision
Swedish Medical Center, Seattle, WAunder 10.3055not cut
Virginia Mason Medical Center, Seattle, WAunder 1−0.7265not cut
Swedish Medical Center / Cherry Hill, Seattle, WAunder 10.2676not cut
Kaiser Permanente Central Hospital, Seattle, WA10.0453not cut
University of Washington Medical Ctr, Seattle, WA30.7996cut
Overlake Hospital Medical Center & Clinics, Bellevue, WA70.5857cut
Evergreenhealth Medical Center, Kirkland, WA10−0.3875not cut
Highline Medical Center, Burien, WA10−0.2965not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Swedish Medical CenterSeattle, WAunder 10.3055No cut$0Above the national median on 4 of 6 measures
2Virginia Mason Medical CenterSeattle, WAunder 1−0.7265No cut$0Above the national median on 0 of 6 measures
3Swedish Medical Center / Cherry HillSeattle, WAunder 10.2676No cut$0Above the national median on 3 of 5 measures
4Kaiser Permanente Central HospitalSeattle, WA10.0453No cut$0Above the national median on 1 of 1 measures
5University of Washington Medical CtrSeattle, WA30.79961% cut$2.1MAbove the national median on 5 of 6 measures
6Overlake Hospital Medical Center & ClinicsBellevue, WA70.58571% cut$544KAbove the national median on 5 of 6 measures
7Evergreenhealth Medical CenterKirkland, WA10−0.3875No cut$0Above the national median on 2 of 6 measures
8Highline Medical CenterBurien, WA10−0.2965No cut$0Above the national median on 3 of 6 measures

A penalty reflects how CMS’s formula scored relative performance; it is not a verdict on the quality of care.

Cite this page

Paid & Penalized. Harborview Medical Center, Seattle, WA: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/500064/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.