P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalAscension Seton Hays Estimated FY2026 net: −$53K×

Hospital record · FY2026CCN 670056

1Hospital

Ascension Seton Hays

2Location

Kyle, TX (Texas’s hospitals on the map and in the table) 78640

Hays County

3Type

Not a teaching hospital · 154 beds · Nonprofit · Urban

4Care Compare stars

3 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

−0.7218

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $319K, likely $243⁠–⁠401K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of −0.7218 for Ascension Seton Hays and a payment reduction decision of No.

A cut would have taken about $319K estimate 1% of about $31.9M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year. Its score was 1.1017 under 0.3799, the lowest score CMS cut.

Likely range $243–401K

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.

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: −0.7218 This hospital −0.7218 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: −0.7218 This hospital −0.7218

Higher than 12% 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. 18Cut
  5. 19Cut
  6. 20No
  7. 21No
  8. 22No
  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 SSI down to the national median (0.795) would lower the score the most: by 0.0114, to −0.7332. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 2.
  • 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 93% 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 value0.7916

    Z-score−1.3744

    Part of score−0.2291

  2. CLABSI (what it counts)

    Bloodstream infections tied to a central line, a tube often placed in a large vein in the neck, chest or groin. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Central line–associated bloodstream infections

    Better than 60% 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 value0.458

    Z-score−0.3440

    Part of score−0.0573

  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 51% 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 value0.507

    Z-score−0.0965

    Part of score−0.0161

  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 52% 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 value0.835

    Z-score−0.0261

    Part of score−0.0044

  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 84% 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 value0.111

    Z-score−1.0324

    Part of score−0.1721

  6. MRSA (what it counts)

    Bloodstream infections with MRSA, a germ that resists several antibiotics, found by a lab test and starting in the hospital. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    MRSA bloodstream infections

    Better than 87% 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 value0.000

    Z-score−1.4573

    Part of score−0.2429

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.79160.9623−1.3744−0.2291Better than 93% of the other 2,808 hospitals
CLABSI0.4580.559−0.3440−0.0573Better than 60% of the other 2,181 hospitals
CAUTI0.5070.489−0.0965−0.0161Worse than 51% of the other 2,354 hospitals
SSI0.8350.795−0.0261−0.0044Worse than 52% of the other 2,269 hospitals
CDI0.1110.346−1.0324−0.1721Better than 84% of the other 2,766 hospitals
MRSA0.0000.641−1.4573−0.2429Better than 87% 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.

(−1.3744PSI 90−0.3440CLABSI−0.0965CAUTI−0.0261SSI−1.0324CDI−1.4573MRSA)÷6measures=−0.7218Total HAC Score

Added from the rounded z‑scores CMS published, the parts make −0.7218; CMS reports −0.7218. The small difference is rounding.

This hospital’s score is 1.1017 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to −0.7218, below CMS’s line.
1% cut PSI 90: z‑score −1.3744 divided by 6 = −0.2291PSI 90−0.2291 CLABSI: z‑score −0.3440 divided by 6 = −0.0573CLABSI−0.0573 CAUTI: z‑score −0.0965 divided by 6 = −0.0161CAUTI−0.0161 SSI: z‑score −0.0261 divided by 6 = −0.0044SSI−0.0044 CDI: z‑score −1.0324 divided by 6 = −0.1721CDI−0.1721 MRSA: z‑score −1.4573 divided by 6 = −0.2429MRSA−0.2429 Total HAC Score: −0.7218Score−0.7218 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.8−0.6−0.4−0.20.00.20.4 1% cut PSI 90: z‑score −1.3744 divided by 6 = −0.2291PSI 90−0.2291 CLABSI: z‑score −0.3440 divided by 6 = −0.0573CLABSI−0.0573 CAUTI: z‑score −0.0965 divided by 6 = −0.0161CAUTI−0.0161 SSI: z‑score −0.0261 divided by 6 = −0.0044SSI−0.0044 CDI: z‑score −1.0324 divided by 6 = −0.1721CDI−0.1721 MRSA: z‑score −1.4573 divided by 6 = −0.2429MRSA−0.2429 Total HAC Score: −0.7218Score−0.7218 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.8−0.6−0.4−0.20.00.20.4

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 90−1.3744−0.2291−0.2291
CLABSI−0.3440−0.0573−0.2864
CAUTI−0.0965−0.0161−0.3025
SSI−0.0261−0.0044−0.3069
CDI−1.0324−0.1721−0.4790
MRSA−1.4573−0.2429−0.7219
Total HAC Score−0.7218
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; 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, 1.1017 under the lowest score CMS cut, costs it nothing; 1.1017 higher, the cut would have been about $319K 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 $319K at any score from 0.3799 $0at any score up to 0.3792 $319K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: −0.7218 This hospital −0.7218 CMS’s line $0 at any score up to 0.3792 $319K at any score from 0.3799 $0at any score up to 0.3792 $319Kat 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: −0.7218 This hospital −0.7218

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−$319,097
This hospital−0.7218$0
CMS’s highest score2.3133−$319,097

The money, line by line

This site estimates what traditional Medicare pays the hospital for a year of inpatient 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.

($31,962,528payment−$52,863readmissions+$0value-based)×1%the cut=$319,097at stake

$319,097at stake÷1,921traditional Medicare stays=$166per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $319K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$53K and $0.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $22,984,077
Many low-income patients (disproportionate share) $680,559
Outliers: unusually costly stays $477,839
Capital: buildings and equipment $1,896,371
Uncompensated care $5,923,682
Total, before the three programs $31,962,528
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9977 − 1) −$52,863
Value-based purchasing (HVBP) not in CMS’s value-based factors: no adjustment $0
After these two $31,909,665
HAC Reduction Program no cut; 1% would have been $319,097 $0
Net of the three programs likely −$62K to −$43K −$52,863

Not paid to this hospital: a Medicare-dependent hospital add-on, teaching payments, 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)$22,984,077
Many low-income patients (disproportionate share)$680,559
Outliers: unusually costly stays$477,839
Capital: buildings and equipment$1,896,371
Uncompensated care$5,923,682
Total, before the three programs$31,962,528
Readmissions (HRRP) (base × (0.9977 − 1))−$52,863
Value-based purchasing (HVBP) (not in CMS’s value-based factors: no adjustment)$0
After these two$31,909,665
HAC Reduction Program (no cut; 1% would have been $319,097)$0
Net of the three programs (likely −$62K to −$43K)−$52,863

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 Score−0.7218same
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 −0.7218 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 $319K out of this program’s cut, this site estimates: a score a hair over would cost all of it.

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

MeasureHighest value that keeps No
PSI 90any value: every PSI 90 value past the cap (1.3482) scores the same
CLABSIany value: every CLABSI value past the cap (1.572) scores the same
CAUTIany value: every CAUTI value past the cap (1.537) scores the same
SSIany value: every SSI value past the cap (2.118) scores the same
CDIany value: every CDI value past the cap (0.944) scores the same
MRSAany value: every MRSA value past the cap (1.762) scores the same

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 0.7916 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.458 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.507 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.835 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.111 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.000 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. Each bar is one measure’s part of this hospital’s Total HAC Score of −0.7218: its z‑score divided by 6, the number of measures scored.
  • PSI 90 −0.2291
  • CLABSI −0.0573
  • CAUTI −0.0161
  • SSI −0.0044
  • CDI −0.1721
  • MRSA −0.2429

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 90−1.3744−0.2291same
CLABSI−0.3440−0.0573same
CAUTI−0.0965−0.0161same
SSI−0.0261−0.0044same
CDI−1.0324−0.1721same
MRSA−1.4573−0.2429same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/670056/

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 2 years in a row.

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 5.6750, higher than 52% of scores; not cutFY2016: score 5.7500, higher than 52% of scores; not cutFY2017: score 5.6200, higher than 54% of scores; not cutFY2018: score 0.3777, higher than 76% of scores; cutFY2019: score 0.3762, higher than 76% of scores; cutFY2020: score 0.3283, higher than 74% of scores; not cutFY2021: score −0.2392, higher than 34% of scores; not cutFY2022: score −0.7893, higher than 9% of scores; not cutFY2024: score −0.7545, higher than 10% of scores; not cutFY2025: score −0.9017, higher than 6% of scores; not cutFY2026: score −0.7218, higher than 12% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 5.6750, higher than 52% of scores; not cutFY2016: score 5.7500, higher than 52% of scores; not cutFY2017: score 5.6200, higher than 54% of scores; not cutFY2018: score 0.3777, higher than 76% of scores; cutFY2019: score 0.3762, higher than 76% of scores; cutFY2020: score 0.3283, higher than 74% of scores; not cutFY2021: score −0.2392, higher than 34% of scores; not cutFY2022: score −0.7893, higher than 9% of scores; not cutFY2024: score −0.7545, higher than 10% of scores; not cutFY2025: score −0.9017, higher than 6% of scores; not cutFY2026: score −0.7218, higher than 12% 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
FY20155.675052.2%not cut
FY20165.750052.5%not cut
FY20175.620054.7%not cut
FY20180.377776.3%cut
FY20190.376276.5%cut
FY20200.328374.4%not cut
FY2021−0.239234.7%not cut
FY2022−0.78939.5%not cut
FY2023no decision
FY2024−0.754510.2%not cut
FY2025−0.90176.0%not cut
FY2026−0.721812.0%not cut

Its infections, year by year

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

Figure 7. 4 of its 5 infection measures ended lower than they started.
CLABSI 1.09 → 0.00 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 1.091CLABSI, 2018: 0.951CLABSI, 2019: 0.000CLABSI, 2021: 0.377CLABSI, 2022: 0.723CLABSI, 2023: 0.564CLABSI, 2024: 0.000 CAUTI 0.76 → 1.67 1 0 ’18’21’24 CAUTI, 2017: 0.762CAUTI, 2018: 1.446CAUTI, 2019: 0.804CAUTI, 2021: 0.192CAUTI, 2022: 0.435CAUTI, 2023: 0.212CAUTI, 2024: 1.671 SSI, colon 0.53 → 0.00 1 0 ’18’21’24 SSI, colon, 2017: 0.525SSI, colon, 2018: 1.248SSI, colon, 2019: 0.000SSI, colon, 2021: 1.089SSI, colon, 2022: 0.327SSI, colon, 2023: 0.000 MRSA 2.59 → 0.00 1 0 ’18’21’24 MRSA, 2017: 2.588MRSA, 2018: 0.000MRSA, 2019: 0.000MRSA, 2021: 0.516MRSA, 2022: 0.518MRSA, 2023: 0.000 C. diff 0.89 → 0.21 1 0 ’18’21’24 C. diff, 2017: 0.892C. diff, 2018: 0.692C. diff, 2019: 0.510C. diff, 2021: 0.189C. diff, 2022: 0.117C. diff, 2023: 0.091C. diff, 2024: 0.208 CLABSI 1.09 → 0.00 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 1.091CLABSI, 2018: 0.951CLABSI, 2019: 0.000CLABSI, 2021: 0.377CLABSI, 2022: 0.723CLABSI, 2023: 0.564CLABSI, 2024: 0.000 CAUTI 0.76 → 1.67 1 0 ’18’20’22’24 CAUTI, 2017: 0.762CAUTI, 2018: 1.446CAUTI, 2019: 0.804CAUTI, 2021: 0.192CAUTI, 2022: 0.435CAUTI, 2023: 0.212CAUTI, 2024: 1.671 SSI, colon 0.53 → 0.00 1 0 ’18’20’22’24 SSI, colon, 2017: 0.525SSI, colon, 2018: 1.248SSI, colon, 2019: 0.000SSI, colon, 2021: 1.089SSI, colon, 2022: 0.327SSI, colon, 2023: 0.000 MRSA 2.59 → 0.00 1 0 ’18’20’22’24 MRSA, 2017: 2.588MRSA, 2018: 0.000MRSA, 2019: 0.000MRSA, 2021: 0.516MRSA, 2022: 0.518MRSA, 2023: 0.000 C. diff 0.89 → 0.21 1 0 ’18’20’22’24 C. diff, 2017: 0.892C. diff, 2018: 0.692C. diff, 2019: 0.510C. diff, 2021: 0.189C. diff, 2022: 0.117C. diff, 2023: 0.091C. diff, 2024: 0.208

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
20171.0910.7620.5252.5880.892
20180.9511.4461.2480.0000.692
20190.0000.8040.0000.0000.510
20210.3770.1921.0890.5160.189
20220.7230.4350.3270.5180.117
20230.5640.2120.0000.0000.091
20240.0001.6710.208

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 20% of the other 254 scored there.

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

Figure 8. Its score is below the middle in all 8 groups it belongs to; the share cut runs from 6% (Austin-Round Rock-San Marcos, TX area) to 26% (Nonprofit).
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 Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching 1,563 hospitals25% 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: −0.7218 This hospital −0.7218 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 Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching1,563 hospitals25% 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: −0.7218 This hospital −0.7218

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%−0.045312%
South region1,17426322%−0.105615%
Texas2553213%−0.236820%
Austin-Round Rock-San Marcos, TX area1816%−0.300117%
Not teaching1,56338925%−0.105316%
100 to 299 beds1,19327523%−0.073211%
Nonprofit1,83047826%−0.01348%
Urban2,24151023%−0.057410%
This hospital−0.7218
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 none of the 8 nearest hospitals; the closest is 5 miles away.
5 mi10 mi8. St David's Medical Center, Austin: score 0.1673, not cut, 21 miles87. The Hospital at Westlake Medical Center, Austin: score −0.5845, not cut, 20 miles76. Dell Seton Med Center at the University of TX, Austin: score 0.3109, not cut, 20 miles65. St David's South Austin Medical Center, Austin: score −0.1688, not cut, 16 miles54. Baylor Scott & White Medical Center- Austin, Austin: score 0.1196, not cut, 16 miles43. Ascension Seton Southwest, Austin: score 0.0142, not cut, 15 miles32. CHRISTUS Santa Rosa Hospital-San Marcos, San Marcos: score −0.3907, not cut, 12 miles21. Baylor Scott & White Medical Center - Buda, Buda: score 0.1341, not cut, 5 miles1This hospital: Ascension Seton Hays

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

Show table
HospitalMilesScoreDecision
Baylor Scott & White Medical Center - Buda, Buda, TX50.1341not cut
CHRISTUS Santa Rosa Hospital-San Marcos, San Marcos, TX12−0.3907not cut
Ascension Seton Southwest, Austin, TX150.0142not cut
Baylor Scott & White Medical Center- Austin, Austin, TX160.1196not cut
St David's South Austin Medical Center, Austin, TX16−0.1688not cut
Dell Seton Med Center at the University of TX, Austin, TX200.3109not cut
The Hospital at Westlake Medical Center, Austin, TX20−0.5845not cut
St David's Medical Center, Austin, TX210.1673not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Baylor Scott & White Medical Center - BudaBuda, TX50.1341No cut$0Above the national median on 1 of 1 measures
2CHRISTUS Santa Rosa Hospital-San MarcosSan Marcos, TX12−0.3907No cut$0Above the national median on 3 of 6 measures
3Ascension Seton SouthwestAustin, TX150.0142No cut$0Above the national median on 1 of 1 measures
4Baylor Scott & White Medical Center- AustinAustin, TX160.1196No cut$0Above the national median on 2 of 3 measures
5St David's South Austin Medical CenterAustin, TX16−0.1688No cut$0Above the national median on 3 of 6 measures
6Dell Seton Med Center at the University of TXAustin, TX200.3109No cut$0Above the national median on 4 of 6 measures
7The Hospital at Westlake Medical CenterAustin, TX20−0.5845No cut$0Above the national median on 0 of 1 measures
8St David's Medical CenterAustin, TX210.1673No cut$0Above the national median on 5 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. Ascension Seton Hays, Kyle, TX: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/670056/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.