P&P, Paid & Penalized

Public Medicare data, made visible.

Metro area

San Diego-Chula Vista-Carlsbad, CA

CMS cut 6 of the 15 hospitals in San Diego-Chula Vista-Carlsbad, CA with a payment decision for fiscal year 2026: 40.0%, against 24.9% nationally.

San Diego-Chula Vista-Carlsbad, CA · FY2026Compared with the nation

1Hospitals cut

6

Of 15 with a payment decision

2Share cut

40.0%

+15.1 pts vs the nation (24.9%)

3Rank

5th of 59

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

4Median score

0.2072

Nation: −0.0453

5Scored on all 6

12

Of 15 scored (80%; nation 66%)

6Scored without data

0

Hospitals CMS gave its worst score on a measure

7Estimated dollars

$2.9M estimate
0.9% of the nation’s $306M, this site’s estimate

Likely range $2.3–3.3M

8Per traditional Medicare stay

$56

The nation: $47

40% cut

Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 6 of 718 here Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 718 cut nationally · 6 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 San Diego-Chula Vista-Carlsbad, CA’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. San Diego-Chula Vista-Carlsbad, CA: 6 cut of 15 with a payment decision.
Paradise Valley Hospital, National City: −0.3630 · not cutUC San Diego Health Hillcrest - Hillcrest Med Ctr, San Diego: 0.2056 · not cutGrossmont Hospital, La Mesa: 0.0755 · not cutScripps Mercy Hospital, San Diego: −0.0743 · not cutSharp Memorial Hospital, San Diego: 0.4146 · cutPalomar Health Downtown Campus, Escondido: −0.0878 · not cutTri-City Medical Center, Oceanside: 0.3784 · not cutSharp Chula Vista Medical Center, Chula Vista: 0.3905 · cutSharp Coronado Hospital and Hlthcr Ctr, Coronado: 0.4857 · cutScripps Memorial Hospital La Jolla, La Jolla: 0.2003 · not cutScripps Green Hospital, La Jolla: 0.3891 · cutScripps Memorial Hospital - Encinitas, Encinitas: −0.3285 · not cutKaiser Foundation Hospital - San Diego, San Diego: 0.4316 · cutPalomar Medical Center Poway, Poway: 0.2072 · not cutKaiser Foundation Hospital - San Marcos, San Marcos: 1.1604 · cut Paradise Valley Hospital, National City: −0.3630 · not cutUC San Diego Health Hillcrest - Hillcrest Med Ctr, San Diego: 0.2056 · not cutGrossmont Hospital, La Mesa: 0.0755 · not cutScripps Mercy Hospital, San Diego: −0.0743 · not cutSharp Memorial Hospital, San Diego: 0.4146 · cutPalomar Health Downtown Campus, Escondido: −0.0878 · not cutTri-City Medical Center, Oceanside: 0.3784 · not cutSharp Chula Vista Medical Center, Chula Vista: 0.3905 · cutSharp Coronado Hospital and Hlthcr Ctr, Coronado: 0.4857 · cutScripps Memorial Hospital La Jolla, La Jolla: 0.2003 · not cutScripps Green Hospital, La Jolla: 0.3891 · cutScripps Memorial Hospital - Encinitas, Encinitas: −0.3285 · not cutKaiser Foundation Hospital - San Diego, San Diego: 0.4316 · cutPalomar Medical Center Poway, Poway: 0.2072 · not cutKaiser Foundation Hospital - San Marcos, San Marcos: 1.1604 · cut
  • 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
Grossmont HospitalLa Mesa0.0755No
Kaiser Foundation Hospital - San DiegoSan Diego0.4316Yes
Kaiser Foundation Hospital - San MarcosSan Marcos1.1604Yes
Palomar Health Downtown CampusEscondido−0.0878No
Palomar Medical Center PowayPoway0.2072No
Paradise Valley HospitalNational City−0.3630No
Scripps Green HospitalLa Jolla0.3891Yes
Scripps Memorial Hospital - EncinitasEncinitas−0.3285No
Scripps Memorial Hospital La JollaLa Jolla0.2003No
Scripps Mercy HospitalSan Diego−0.0743No
Sharp Chula Vista Medical CenterChula Vista0.3905Yes
Sharp Coronado Hospital and Hlthcr CtrCoronado0.4857Yes
Sharp Memorial HospitalSan Diego0.4146Yes
Tri-City Medical CenterOceanside0.3784No
UC San Diego Health Hillcrest - Hillcrest Med CtrSan Diego0.2056No

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. 40.0% of hospitals here scored past CMS’s line, against 24.9% nationally; the middle score here is 0.2072, and nationally −0.0453.
0%10%20%30% −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: 0% here, 4% nationally−0.8 to −0.6: 0% here, 7% nationally−0.6 to −0.4: 0% here, 10% nationally−0.4 to −0.2: 13% here, 12% nationally−0.2 to 0.0: 13% here, 14% nationally0.0 to 0.2: 7% here, 12% nationally0.2 to 0.4: 27% here, 12% nationally0.4 to 0.6: 33% here, 8% nationally0.6 to 0.8: 0% here, 6% nationally0.8 to 1.0: 0% here, 4% nationally1.0 to 1.2: 7% 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%10%20%30% −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: 0% here, 4% nationally−0.8 to −0.6: 0% here, 7% nationally−0.6 to −0.4: 0% here, 10% nationally−0.4 to −0.2: 13% here, 12% nationally−0.2 to 0.0: 13% here, 14% nationally0.0 to 0.2: 7% here, 12% nationally0.2 to 0.4: 27% here, 12% nationally0.4 to 0.6: 33% here, 8% nationally0.6 to 0.8: 0% here, 6% nationally0.8 to 1.0: 0% here, 4% nationally1.0 to 1.2: 7% 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
−1.0−0.80126
−0.8−0.60204
−0.6−0.40290
−0.4−0.22357
−0.20.02407
0.00.21343
0.20.44333
0.40.65237
0.60.80173
0.81.00116
1.01.2191
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 CLABSI (80% of its hospitals above the national median); best on MRSA (33%).

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

Show table
MeasureHospitals with a valueHalf
PSI 901464%
CLABSI1580%
CAUTI1567%
SSI1346%
CDI1567%
MRSA1533%

San Diego-Chula Vista-Carlsbad, CA across the line

The nation’s hospitals within 0.05 of CMS’s line that this site estimates, San Diego-Chula Vista-Carlsbad, CA’s in full ink: scores a hair apart, money all or nothing.

Figure 4. 4 of the nation’s 141 hospitals within 0.05 of CMS’s line that this site estimates are San Diego-Chula Vista-Carlsbad, CA’s: 3 cut, about $2.6M by this site’s estimate, and 1 not cut, where a cut would have been about $367K.
CMS’s line 82 not cut $52.8M at stake82 not cut$52.8M at stake 59 cut $29.8M cut59 cut$29.8M cut 0.340.360.380.400.42 Total HAC Score CMS’s line 82 not cut $52.8M at stake82 not cut$52.8M at stake 59 cut $29.8M cut59 cut$29.8M cut Tri-City Medical Center, Oceanside, CA: score 0.3784; a cut would have been $367KScripps Green Hospital, La Jolla, CA: score 0.3891; cut $892KSharp Chula Vista Medical Center, Chula Vista, CA: score 0.3905; cut $638KSharp Memorial Hospital, San Diego, CA: score 0.4146; cut $1.0M 0.340.360.380.400.42 Total HAC Score

3 more within 0.05 have no estimate, and Maryland’s 2 are exempt.

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
Side of the lineHospitalsEstimated cut, taken or not (whole dollars)
Under the line: not cut82$52,846,861
Over the line: cut59$29,847,503

San Diego-Chula Vista-Carlsbad, CA, year by year

Every hospital in San Diego-Chula Vista-Carlsbad, CA 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 San Diego-Chula Vista-Carlsbad, CA’s hospitals cut that year, then the nation’s.

Figure 5. San Diego-Chula Vista-Carlsbad, CA’s share cut was above the nation’s in 8 of the 11 years CMS cut anyone; 14 of its 15 hospitals have been cut at least once.
201520162017201820192020202120222023202420252026 No hospital scored or cut 57.1% · 21.9%42.9% · 23.4%57.1% · 24.0%35.7% · 23.6%42.9% · 25.0%28.6% · 25.0%21.4% · 24.9%14.3% · 25.0%14.3% · 24.9%28.6% · 24.8%40.0% · 24.9% Ever cut: 14 Never cut: 1 201520162017201820192020202120222023202420252026 No hospital scored or cut 57.1% · 21.9%42.9% · 23.4%57.1% · 24.0%35.7% · 23.6%42.9% · 25.0%28.6% · 25.0%21.4% · 24.9%14.3% · 25.0%14.3% · 24.9%28.6% · 24.8%40.0% · 24.9% Ever cut: 14 Never cut: 1

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
FY201514857.1%21.9%
FY201614642.9%23.4%
FY201714857.1%24.0%
FY201814535.7%23.6%
FY201914642.9%25.0%
FY202014428.6%25.0%
FY202114321.4%24.9%
FY202214214.3%25.0%
FY202300
FY202414214.3%24.9%
FY202514428.6%24.8%
FY202615640.0%24.9%

Every hospital in San Diego-Chula Vista-Carlsbad, CA

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

Download all hospitals’ data (CSV) · Data dictionary · CMS’s dataset page

Download all hospitals’ data (CSV) · Data dictionary · CMS’s dataset page

Back to the national picture

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. San Diego-Chula Vista-Carlsbad, CA: hospital-acquired conditions, FY2026. https://paidandpenalized.org/hacrp/metro/41740/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.