P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalAurora St Lukes Medical Center Estimated FY2026 net: −$1.6M×

Hospital record · FY2026CCN 520138

1Hospital

Aurora St Lukes Medical Center

2Location

Milwaukee, WI (Wisconsin’s hospitals on the map and in the table) 53215

Milwaukee County

3Type

Minor teaching · 1,213 beds · Nonprofit · Urban · Rural referral center

4Care Compare stars

4 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

0.5694

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$1.7M estimate
Likely $1.3⁠–⁠1.8M; about $224 per traditional Medicare stay

Cut 1%

$1.7M

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

For fiscal year 2026, CMS reports a Total HAC Score of 0.5694 for Aurora St Lukes Medical Center and a payment reduction decision of Yes.

That is 1% of about $165M, 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 $224 per traditional Medicare stay.

Likely range $1.3–1.8M

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: 0.5694 This hospital 0.5694 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: 0.5694 This hospital 0.5694

Higher than 82% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 8 of 11 years

  1. 15No
  2. 16No
  3. 17No
  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 0.2381, to 0.3313. 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 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 80% 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 value1.0932

    Z-score0.7311

    Part of score+0.1219

  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 55% of the other 2,181 hospitals

    CMS value0.614

    Z-score0.0179

    Part of score+0.0030

  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 77% of the other 2,354 hospitals

    CMS value0.799

    Z-score0.6074

    Part of score+0.1012

  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 88% of the other 2,269 hospitals

    CMS value1.629

    Z-score1.3340

    Part of score+0.2223

  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 79% 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 value0.575

    Z-score0.7643

    Part of score+0.1274

  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 value0.679

    Z-score−0.0382

    Part of score−0.0064

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.09320.96230.7311+0.1219Worse than 80% of the other 2,808 hospitals
CLABSI0.6140.5590.0179+0.0030Worse than 55% of the other 2,181 hospitals
CAUTI0.7990.4890.6074+0.1012Worse than 77% of the other 2,354 hospitals
SSI1.6290.7951.3340+0.2223Worse than 88% of the other 2,269 hospitals
CDI0.5750.3460.7643+0.1274Worse than 79% of the other 2,766 hospitals
MRSA0.6790.641−0.0382−0.0064Worse 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.

(0.7311PSI 90+0.0179CLABSI+0.6074CAUTI+1.3340SSI+0.7643CDI−0.0382MRSA)÷6measures=0.5694Total HAC Score

This hospital’s score is 0.1902 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 0.5694, above CMS’s line.
1% cut PSI 90: z‑score 0.7311 divided by 6 = +0.1219PSI 90+0.1219 CLABSI: z‑score 0.0179 divided by 6 = +0.0030CLABSI+0.0030 CAUTI: z‑score 0.6074 divided by 6 = +0.1012CAUTI+0.1012 SSI: z‑score 1.3340 divided by 6 = +0.2223SSI+0.2223 CDI: z‑score 0.7643 divided by 6 = +0.1274CDI+0.1274 MRSA: z‑score −0.0382 divided by 6 = −0.0064MRSA−0.0064 Total HAC Score: 0.5694Score0.5694 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.40.50.6 1% cut PSI 90: z‑score 0.7311 divided by 6 = +0.1219PSI 90+0.1219 CLABSI: z‑score 0.0179 divided by 6 = +0.0030CLABSI+0.0030 CAUTI: z‑score 0.6074 divided by 6 = +0.1012CAUTI+0.1012 SSI: z‑score 1.3340 divided by 6 = +0.2223SSI+0.2223 CDI: z‑score 0.7643 divided by 6 = +0.1274CDI+0.1274 MRSA: z‑score −0.0382 divided by 6 = −0.0064MRSA−0.0064 Total HAC Score: 0.5694Score0.5694 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.40.50.6

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 900.7311+0.12190.1219
CLABSI0.0179+0.00300.1249
CAUTI0.6074+0.10120.2261
SSI1.3340+0.22230.4484
CDI0.7643+0.12740.5758
MRSA−0.0382−0.00640.5694
Total HAC Score0.5694
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, 0.1902 over the highest score CMS didn’t cut, costs it about $1.7M 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 $1.7M at any score from 0.3799 $0at any score up to 0.3792 $1.7M at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 0.5694 This hospital 0.5694 CMS’s line $0 at any score up to 0.3792 $1.7M at any score from 0.3799 $0at any score up to 0.3792 $1.7Mat 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: 0.5694 This hospital 0.5694

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−$1,650,848
This hospital0.5694−$1,650,848
CMS’s highest score2.3133−$1,650,848

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.

($144,632,595payment+$20,352,076teaching, MA stays−$222,787readmissions+$322,953value-based)×1%the cut=$1,650,848HAC cut

$1,650,848HAC cut÷7,360traditional Medicare stays=$224per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $1.7M: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to −$223K and +$323K.

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 $106,089,026
Teaching (indirect medical education) $11,033,259
Teaching on Medicare Advantage stays $20,352,076
Many low-income patients (disproportionate share) $4,916,165
Outliers: unusually costly stays $7,151,461
Capital: buildings and equipment $9,619,273
Uncompensated care $5,823,411
Total, before the three programs $164,984,671
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9979 − 1) −$222,787
Value-based purchasing (HVBP) base × (1.0030 − 1) +$322,953
After these two $165,084,837
HAC Reduction Program 1% of everything above; likely $1.3⁠–⁠1.8M −$1,650,848
Net of the three programs likely −$1.7M to −$1.3M −$1,550,682

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)$106,089,026
Teaching (indirect medical education)$11,033,259
Teaching on Medicare Advantage stays$20,352,076
Many low-income patients (disproportionate share)$4,916,165
Outliers: unusually costly stays$7,151,461
Capital: buildings and equipment$9,619,273
Uncompensated care$5,823,411
Total, before the three programs$164,984,671
Readmissions (HRRP) (base × (0.9979 − 1))−$222,787
Value-based purchasing (HVBP) (base × (1.0030 − 1))+$322,953
After these two$165,084,837
HAC Reduction Program (1% of everything above; likely $1.3–1.8M)−$1,650,848
Net of the three programs (likely −$1.7M to −$1.3M)−$1,550,682

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 Score0.5694same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$1.7Msame

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 0.5694 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 $1.7M, 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 900.9296 or lower
CLABSI0.122 or lower
CAUTI0.325 or lower
SSI0.962 or lower
CDI0.280 or lower
MRSA0.132 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 1.0932 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.614 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.799 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 1.629 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.575 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.679 · 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 0.5694 among its measured results: +0.2223.
  • PSI 90 +0.1219
  • CLABSI +0.0030
  • CAUTI +0.1012
  • SSI +0.2223
  • CDI +0.1274
  • MRSA −0.0064

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 900.7311+0.1219same
CLABSI0.0179+0.0030same
CAUTI0.6074+0.1012same
SSI1.3340+0.2223same
CDI0.7643+0.1274same
MRSA−0.0382−0.0064same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/520138/

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 5 years in a row.

Figure 6. CMS cut this hospital in 8 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 6.0000, higher than 55% of scores; not cutFY2016: score 6.2500, higher than 64% of scores; not cutFY2017: score 6.4500, higher than 73% of scores; not cutFY2018: score 0.4291, higher than 78% of scores; cutFY2019: score 0.709, higher than 88% of scores; cutFY2020: score 0.5979, higher than 86% of scores; cutFY2021: score 0.4966, higher than 82% of scores; cutFY2022: score 0.5353, higher than 84% of scores; cutFY2024: score 0.6324, higher than 84% of scores; cutFY2025: score 0.6837, higher than 87% of scores; cutFY2026: score 0.5694, higher than 82% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 6.0000, higher than 55% of scores; not cutFY2016: score 6.2500, higher than 64% of scores; not cutFY2017: score 6.4500, higher than 73% of scores; not cutFY2018: score 0.4291, higher than 78% of scores; cutFY2019: score 0.709, higher than 88% of scores; cutFY2020: score 0.5979, higher than 86% of scores; cutFY2021: score 0.4966, higher than 82% of scores; cutFY2022: score 0.5353, higher than 84% of scores; cutFY2024: score 0.6324, higher than 84% of scores; cutFY2025: score 0.6837, higher than 87% of scores; cutFY2026: score 0.5694, higher than 82% of scores; cut 151617181920212223242526

● Red: a year CMS cut it ○ Hollow: a year it didn’t

This site recomputes · Source: CMS, HACRP hospital files for fiscal years 2015 to 2026 (Provider Data Catalog, its archives and, for the oldest years, the Internet Archive’s copies), and CMS’s cut lists for FY2015 and FY2016.

Show table
Fiscal yearTotal HAC ScoreHigher than this share of scoresPayment reduction
FY20156.000055.9%not cut
FY20166.250064.4%not cut
FY20176.450073.6%not cut
FY20180.429178.7%cut
FY20190.70988.8%cut
FY20200.597986.2%cut
FY20210.496682.6%cut
FY20220.535384.6%cut
FY2023no decision
FY20240.632484.3%cut
FY20250.683787.8%cut
FY20260.569482.8%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. 5 of its 6 infection measures ended lower than they started.
CLABSI 0.84 → 0.62 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.837CLABSI, 2018: 0.609CLABSI, 2019: 0.370CLABSI, 2021: 0.635CLABSI, 2022: 0.569CLABSI, 2023: 0.608CLABSI, 2024: 0.619 CAUTI 0.98 → 0.77 1 0 ’18’21’24 CAUTI, 2017: 0.980CAUTI, 2018: 0.752CAUTI, 2019: 0.776CAUTI, 2021: 1.033CAUTI, 2022: 0.758CAUTI, 2023: 0.824CAUTI, 2024: 0.773 SSI, colon 1.39 → 1.28 1 0 ’18’21’24 SSI, colon, 2017: 1.393SSI, colon, 2018: 1.037SSI, colon, 2019: 1.195SSI, colon, 2021: 1.898SSI, colon, 2022: 2.286SSI, colon, 2023: 1.612SSI, colon, 2024: 1.283 SSI, hysterectomy 2.69 → 1.40 1 0 ’18’21’24 SSI, hysterectomy, 2017: 2.693SSI, hysterectomy, 2018: 3.417SSI, hysterectomy, 2019: 1.841SSI, hysterectomy, 2021: 0.893SSI, hysterectomy, 2022: 3.884SSI, hysterectomy, 2023: 2.940SSI, hysterectomy, 2024: 1.401 MRSA 0.43 → 0.69 1 0 ’18’21’24 MRSA, 2017: 0.428MRSA, 2018: 0.380MRSA, 2019: 0.654MRSA, 2021: 0.299MRSA, 2022: 0.574MRSA, 2023: 0.673MRSA, 2024: 0.687 C. diff 0.98 → 0.56 1 0 ’18’21’24 C. diff, 2017: 0.980C. diff, 2018: 0.637C. diff, 2019: 0.705C. diff, 2021: 0.909C. diff, 2022: 0.516C. diff, 2023: 0.584C. diff, 2024: 0.565 CLABSI 0.84 → 0.62 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.837CLABSI, 2018: 0.609CLABSI, 2019: 0.370CLABSI, 2021: 0.635CLABSI, 2022: 0.569CLABSI, 2023: 0.608CLABSI, 2024: 0.619 CAUTI 0.98 → 0.77 1 0 ’18’20’22’24 CAUTI, 2017: 0.980CAUTI, 2018: 0.752CAUTI, 2019: 0.776CAUTI, 2021: 1.033CAUTI, 2022: 0.758CAUTI, 2023: 0.824CAUTI, 2024: 0.773 SSI, colon 1.39 → 1.28 1 0 ’18’20’22’24 SSI, colon, 2017: 1.393SSI, colon, 2018: 1.037SSI, colon, 2019: 1.195SSI, colon, 2021: 1.898SSI, colon, 2022: 2.286SSI, colon, 2023: 1.612SSI, colon, 2024: 1.283 SSI, hysterectomy 2.69 → 1.40 1 0 ’18’20’22’24 SSI, hysterectomy, 2017: 2.693SSI, hysterectomy, 2018: 3.417SSI, hysterectomy, 2019: 1.841SSI, hysterectomy, 2021: 0.893SSI, hysterectomy, 2022: 3.884SSI, hysterectomy, 2023: 2.940SSI, hysterectomy, 2024: 1.401 MRSA 0.43 → 0.69 1 0 ’18’20’22’24 MRSA, 2017: 0.428MRSA, 2018: 0.380MRSA, 2019: 0.654MRSA, 2021: 0.299MRSA, 2022: 0.574MRSA, 2023: 0.673MRSA, 2024: 0.687 C. diff 0.98 → 0.56 1 0 ’18’20’22’24 C. diff, 2017: 0.980C. diff, 2018: 0.637C. diff, 2019: 0.705C. diff, 2021: 0.909C. diff, 2022: 0.516C. diff, 2023: 0.584C. diff, 2024: 0.565

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, colonSSI, hysterectomyMRSAC. diff
20170.8370.9801.3932.6930.4280.980
20180.6090.7521.0373.4170.3800.637
20190.3700.7761.1951.8410.6540.705
20210.6351.0331.8980.8930.2990.909
20220.5690.7582.2863.8840.5740.516
20230.6080.8241.6122.9400.6730.584
20240.6190.7731.2831.4010.6870.565

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 Wisconsin, its score is higher than 85% of the other 61 scored there.

In Milwaukee-Waukesha, WI area, its score is higher than 92% of the other 14 scored there.

Figure 8. Its score is above the middle in all 8 groups it belongs to; the share cut runs from 13% (Milwaukee-Waukesha, WI area) to 29% (500 beds and up).
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 Wisconsin: CMS cut 16 of 62 (26%); middle score 0.0996Wisconsin 62 hospitals26% cut Milwaukee-Waukesha, WI area: CMS cut 2 of 15 (13%); middle score −0.0518Milwaukee-Waukesha, WI area15 hospitals13% cut Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching 873 hospitals21% cut 500 beds and up: CMS cut 105 of 365 (29%); middle score 0.1323500 beds and up 365 hospitals29% 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: 0.5694 This hospital 0.5694 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 Wisconsin: CMS cut 16 of 62 (26%); middle score 0.0996Wisconsin62 hospitals26% cut Milwaukee-Waukesha, WI area: CMS cut 2 of 15 (13%); middle score −0.0518Milwaukee-Waukesha, WI area15 hospitals13% cut Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching873 hospitals21% cut 500 beds and up: CMS cut 105 of 365 (29%); middle score 0.1323500 beds and up365 hospitals29% 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: 0.5694 This hospital 0.5694

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%−0.045382%
Midwest region68317425%−0.026881%
Wisconsin621626%0.099685%
Milwaukee-Waukesha, WI area15213%−0.051892%
Minor teaching87318121%−0.056787%
500 beds and up36510529%0.132381%
Nonprofit1,83047826%−0.013482%
Urban2,24151023%−0.057485%
This hospital0.5694
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 less than a mile away.
5 mi10 mi8. Waukesha Memorial Hospital, Waukesha: score −0.4077, not cut, 15 miles87. Midwest Orthopedic Specialty Hospital, Franklin: score −0.3350, not cut, 9 miles76. Orthopaedic Hospital of Wisconsin, Glendale: score −0.8045, not cut, 6 miles65. Ascension Columbia St Marys Hospital Milwaukee, Milwaukee: score −0.0518, not cut, 6 miles54. Ascension SE Wisconsin Hospital, Milwaukee: score 0.2283, not cut, 6 miles43. Froedtert Memorial Lutheran Hospital, Milwaukee: score −0.1351, not cut, 5 miles32. West Allis Memorial Hospital, West Allis: score 0.5818, cut, 4 miles21. Ascension St Francis Hospital, Milwaukee: score −0.0992, not cut, less than a mile1This hospital: Aurora St Lukes Medical Center

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

Show table
HospitalMilesScoreDecision
Ascension St Francis Hospital, Milwaukee, WIunder 1−0.0992not cut
West Allis Memorial Hospital, West Allis, WI40.5818cut
Froedtert Memorial Lutheran Hospital, Milwaukee, WI5−0.1351not cut
Ascension SE Wisconsin Hospital, Milwaukee, WI60.2283not cut
Ascension Columbia St Marys Hospital Milwaukee, Milwaukee, WI6−0.0518not cut
Orthopaedic Hospital of Wisconsin, Glendale, WI6−0.8045not cut
Midwest Orthopedic Specialty Hospital, Franklin, WI9−0.3350not cut
Waukesha Memorial Hospital, Waukesha, WI15−0.4077not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Ascension St Francis HospitalMilwaukee, WIunder 1−0.0992No cut$0Above the national median on 2 of 4 measures
2West Allis Memorial HospitalWest Allis, WI40.58181% cut$188KAbove the national median on 5 of 6 measures
3Froedtert Memorial Lutheran HospitalMilwaukee, WI5−0.1351No cut$0Above the national median on 3 of 6 measures
4Ascension SE Wisconsin HospitalMilwaukee, WI60.2283No cut$0Above the national median on 5 of 6 measures
5Ascension Columbia St Marys Hospital MilwaukeeMilwaukee, WI6−0.0518No cut$0Above the national median on 2 of 6 measures
6Orthopaedic Hospital of WisconsinGlendale, WI6−0.8045No cut$0Above the national median on 0 of 1 measures
7Midwest Orthopedic Specialty HospitalFranklin, WI9−0.3350No cut$0Above the national median on 0 of 1 measures
8Waukesha Memorial HospitalWaukesha, WI15−0.4077No cut$0Above the national median on 2 of 6 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. Aurora St Lukes Medical Center, Milwaukee, WI: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/520138/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.