P&P, Paid & Penalized

Public Medicare data, made visible.

Metro area

Austin-Round Rock-San Marcos, TX

CMS cut 1 of the 18 hospitals in Austin-Round Rock-San Marcos, TX with a payment decision for fiscal year 2026: 5.6%, against 24.9% nationally.

Austin-Round Rock-San Marcos, TX · FY2026Compared with the nation

1Hospitals cut

1

Of 18 with a payment decision

2Share cut

5.6%

−19.3 pts vs the nation (24.9%)

3Rank

52nd of 59

Share cut, highest first, among metro areas with at least 10 hospitals with a decision

4Median score

−0.3001

Nation: −0.0453

5Scored on all 6

11

Of 18 scored (61%; nation 66%)

6Scored without data

1

Hospitals CMS gave its worst score on a measure

7Estimated dollars

0.0% of the nation’s $306M, this site’s estimate

Likely range $13–21K

8Per traditional Medicare stay

$1

The nation: $47

6% cut

Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 1 of 718 here Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 718 cut nationally · 1 here
Every hospital in the nation with a payment decision, lowest score to highest, each as tall as its score (above the rule, worse than average); the solid hairlines are Austin-Round Rock-San Marcos, TX’s, red where CMS cut.

On the map

Each dot is a hospital in CMS’s file: red, cut; ringed, not cut; gray, no decision. Pick one to open its page.

Figure 1. Austin-Round Rock-San Marcos, TX: 1 cut of 18 with a payment decision.
Ascension Seton Medical Center Austin, Austin: −0.5209 · not cutDell Seton Med Center at the University of TX, Austin: 0.3109 · not cutCHRISTUS Santa Rosa Hospital-San Marcos, San Marcos: −0.3907 · not cutSt David's Medical Center, Austin: 0.1673 · not cutSt David's South Austin Medical Center, Austin: −0.1688 · not cutRound Rock Medical Center, Round Rock: −0.2478 · not cutNorthwest Hills Surgical Hospital, Austin: 0.8824 · cutNorth Austin Medical Center, Austin: −0.5211 · not cutAscension Seton Southwest, Austin: 0.0142 · not cutAscension Seton Northwest, Austin: −0.9387 · not cutThe Hospital at Westlake Medical Center, Austin: −0.5845 · not cutBaylor Scott & White Medical Center - Round Rock, Round Rock: −0.0563 · not cutAscension Seton Williamson, Round Rock: −0.3524 · not cutAscension Seton Cedar Park, Cedar Park: −0.7917 · not cutAscension Seton Hays, Kyle: −0.7218 · not cutBaylor Scott & White Medical Center Pflugerville, Pflugerville: −0.7982 · not cutBaylor Scott & White Medical Center - Buda, Buda: 0.1341 · not cutBaylor Scott & White Medical Center- Austin, Austin: 0.1196 · not cutBrushy Creek Family Hospital LLC, Round Rock: N/A · not subject Ascension Seton Medical Center Austin, Austin: −0.5209 · not cutDell Seton Med Center at the University of TX, Austin: 0.3109 · not cutCHRISTUS Santa Rosa Hospital-San Marcos, San Marcos: −0.3907 · not cutSt David's Medical Center, Austin: 0.1673 · not cutSt David's South Austin Medical Center, Austin: −0.1688 · not cutRound Rock Medical Center, Round Rock: −0.2478 · not cutNorthwest Hills Surgical Hospital, Austin: 0.8824 · cutNorth Austin Medical Center, Austin: −0.5211 · not cutAscension Seton Southwest, Austin: 0.0142 · not cutAscension Seton Northwest, Austin: −0.9387 · not cutThe Hospital at Westlake Medical Center, Austin: −0.5845 · not cutBaylor Scott & White Medical Center - Round Rock, Round Rock: −0.0563 · not cutAscension Seton Williamson, Round Rock: −0.3524 · not cutAscension Seton Cedar Park, Cedar Park: −0.7917 · not cutAscension Seton Hays, Kyle: −0.7218 · not cutBaylor Scott & White Medical Center Pflugerville, Pflugerville: −0.7982 · not cutBaylor Scott & White Medical Center - Buda, Buda: 0.1341 · not cutBaylor Scott & White Medical Center- Austin, Austin: 0.1196 · not cutBrushy Creek Family Hospital LLC, Round Rock: N/A · not subject
  • Cut
  • Not cut
  • Not subject (Maryland) or no score

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

Show table
HospitalCityTotal HAC ScorePayment reduction
Ascension Seton Cedar ParkCedar Park−0.7917No
Ascension Seton HaysKyle−0.7218No
Ascension Seton Medical Center AustinAustin−0.5209No
Ascension Seton NorthwestAustin−0.9387No
Ascension Seton SouthwestAustin0.0142No
Ascension Seton WilliamsonRound Rock−0.3524No
Baylor Scott & White Medical Center - BudaBuda0.1341No
Baylor Scott & White Medical Center - Round RockRound Rock−0.0563No
Baylor Scott & White Medical Center PflugervillePflugerville−0.7982No
Baylor Scott & White Medical Center- AustinAustin0.1196No
Brushy Creek Family Hospital LLCRound RockN/ANo
CHRISTUS Santa Rosa Hospital-San MarcosSan Marcos−0.3907No
Dell Seton Med Center at the University of TXAustin0.3109No
North Austin Medical CenterAustin−0.5211No
Northwest Hills Surgical HospitalAustin0.8824Yes
Round Rock Medical CenterRound Rock−0.2478No
St David's Medical CenterAustin0.1673No
St David's South Austin Medical CenterAustin−0.1688No
The Hospital at Westlake Medical CenterAustin−0.5845No

Its scores against the nation’s

The columns are this place’s hospitals; the outline is every hospital in the nation. Both are shares of their own hospitals, so a small place and the nation compare.

Figure 2. 5.6% of hospitals here scored past CMS’s line, against 24.9% nationally; the middle score here is −0.3001, and nationally −0.0453.
0%5%10%15%20% −1.6 to −1.4: 0% here, 1% nationally−1.4 to −1.2: 0% here, 1% nationally−1.2 to −1.0: 0% here, 2% nationally−1.0 to −0.8: 6% here, 4% nationally−0.8 to −0.6: 17% here, 7% nationally−0.6 to −0.4: 17% here, 10% nationally−0.4 to −0.2: 17% here, 12% nationally−0.2 to 0.0: 11% here, 14% nationally0.0 to 0.2: 22% here, 12% nationally0.2 to 0.4: 6% here, 12% nationally0.4 to 0.6: 0% here, 8% nationally0.6 to 0.8: 0% here, 6% nationally0.8 to 1.0: 6% here, 4% nationally1.0 to 1.2: 0% here, 3% nationally1.2 to 1.4: 0% here, 1% nationally1.4 to 1.6: 0% here, 1% nationally1.6 to 1.8: 0% here, 0% nationally1.8 to 2.0: 0% here, 0% nationally2.0 to 2.2: 0% here, 0% nationally2.2 to 2.4: 0% here, 1% nationally CMS’s line −1.00.01.02.0 0%5%10%15%20% −1.6 to −1.4: 0% here, 1% nationally−1.4 to −1.2: 0% here, 1% nationally−1.2 to −1.0: 0% here, 2% nationally−1.0 to −0.8: 6% here, 4% nationally−0.8 to −0.6: 17% here, 7% nationally−0.6 to −0.4: 17% here, 10% nationally−0.4 to −0.2: 17% here, 12% nationally−0.2 to 0.0: 11% here, 14% nationally0.0 to 0.2: 22% here, 12% nationally0.2 to 0.4: 6% here, 12% nationally0.4 to 0.6: 0% here, 8% nationally0.6 to 0.8: 0% here, 6% nationally0.8 to 1.0: 6% here, 4% nationally1.0 to 1.2: 0% here, 3% nationally1.2 to 1.4: 0% here, 1% nationally1.4 to 1.6: 0% here, 1% nationally1.6 to 1.8: 0% here, 0% nationally1.8 to 2.0: 0% here, 0% nationally2.0 to 2.2: 0% here, 0% nationally2.2 to 2.4: 0% here, 1% nationally CMS’s line −1.5−1.0−0.50.00.51.01.52.0

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

Show table
Score fromtoHereNation
−1.6−1.4040
−1.4−1.2017
−1.2−1.0051
−1.0−0.81126
−0.8−0.63204
−0.6−0.43290
−0.4−0.23357
−0.20.02407
0.00.24343
0.20.41333
0.40.60237
0.60.80173
0.81.01116
1.01.2091
1.21.4030
1.41.6021
1.61.8010
1.82.003
2.02.2013
2.22.4024

Measure by measure

For each measure, the share of this place’s hospitals with a value worse than the national median. Half would be ordinary; a stem to the right of the line is a measure where more hospitals here did worse.

Figure 3. Worst against the nation on MRSA (64% of its hospitals above the national median); best on CDI (14%).

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

Show table
MeasureHospitals with a valueHalf
PSI 901839%
CLABSI1242%
CAUTI1250%
SSI1346%
CDI1414%
MRSA1164%

Austin-Round Rock-San Marcos, TX, year by year

Every hospital in Austin-Round Rock-San Marcos, TX with a payment decision in any year, one sliver each, one row per fiscal year; red where CMS cut it. At the right of each row: the share of Austin-Round Rock-San Marcos, TX’s hospitals cut that year, then the nation’s.

Figure 4. Austin-Round Rock-San Marcos, TX’s share cut was above the nation’s in 1 of the 11 years CMS cut anyone; 10 of its 18 hospitals have been cut at least once.
201520162017201820192020202120222023202420252026 No hospital scored or cut 20.0% · 21.9%33.3% · 23.4%20.0% · 24.0%6.7% · 23.6%13.3% · 25.0%6.7% · 25.0%13.3% · 24.9%20.0% · 25.0%11.1% · 24.9%16.7% · 24.8%5.6% · 24.9% Ever cut: 10 Never cut: 8 201520162017201820192020202120222023202420252026 No hospital scored or cut 20.0% · 21.9%33.3% · 23.4%20.0% · 24.0%6.7% · 23.6%13.3% · 25.0%6.7% · 25.0%13.3% · 24.9%20.0% · 25.0%11.1% · 24.9%16.7% · 24.8%5.6% · 24.9% Ever cut: 10 Never cut: 8

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 yearHospitals with a decisionCutShare cutNation
FY201515320.0%21.9%
FY201615533.3%23.4%
FY201715320.0%24.0%
FY20181516.7%23.6%
FY201915213.3%25.0%
FY20201516.7%25.0%
FY202115213.3%24.9%
FY202215320.0%25.0%
FY202300
FY202418211.1%24.9%
FY202518316.7%24.8%
FY20261815.6%24.9%

Every hospital in Austin-Round Rock-San Marcos, TX

The sortable table of this place’s hospitals needs JavaScript; the CSV file holds every hospital’s values.

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. Austin-Round Rock-San Marcos, TX: hospital-acquired conditions, FY2026. https://paidandpenalized.org/hacrp/metro/12420/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.