P&P, Paid & Penalized

Public Medicare data, made visible.

Census region

Midwest

CMS cut 174 of the 683 hospitals in the Midwest with a payment decision for fiscal year 2026: 25.5%, against 24.9% nationally.

Midwest · FY2026Compared with the nation

1Hospitals cut

174

Of 683 with a payment decision

2Share cut

25.5%

+0.6 pts vs the nation (24.9%)

3Rank

3rd of 4

Share cut, highest first, among the regions

4Median score

−0.0268

Nation: −0.0453

5Scored on all 6

421

Of 683 scored (62%; nation 66%)

6Scored without data

6

Hospitals CMS gave its worst score on a measure

7Estimated dollars

$67.1M estimate
21.9% of the nation’s $306M, this site’s estimate

Likely range $52.9–77.4M

8Per traditional Medicare stay

$47

The nation: $47

25% cut

Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 174 of 718 here Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 718 cut nationally · 174 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 the Midwest’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. The Midwest: 174 cut of 683 with a payment decision.
  • Cut
  • Not cut
  • Not subject (Maryland) or no score

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

Show table
PlaceWith a decisionHospitals cut
Illinois11231
Indiana8010
Iowa3016
Kansas4410
Michigan8830
Minnesota4511
Missouri629
Nebraska246
North Dakota61
Ohio11431
South Dakota163
Wisconsin6216

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. 25.5% of hospitals here scored past CMS’s line, against 24.9% nationally; the middle score here is −0.0268, and nationally −0.0453.
0%5%10%15% −1.6 to −1.4: 1% here, 1% nationally−1.4 to −1.2: 0% here, 1% nationally−1.2 to −1.0: 1% here, 2% nationally−1.0 to −0.8: 3% here, 4% nationally−0.8 to −0.6: 7% here, 7% nationally−0.6 to −0.4: 10% here, 10% nationally−0.4 to −0.2: 12% here, 12% nationally−0.2 to 0.0: 16% here, 14% nationally0.0 to 0.2: 12% here, 12% nationally0.2 to 0.4: 12% here, 12% nationally0.4 to 0.6: 8% here, 8% nationally0.6 to 0.8: 7% here, 6% nationally0.8 to 1.0: 5% here, 4% nationally1.0 to 1.2: 3% here, 3% nationally1.2 to 1.4: 0% here, 1% nationally1.4 to 1.6: 1% here, 1% nationally1.6 to 1.8: 1% 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% −1.6 to −1.4: 1% here, 1% nationally−1.4 to −1.2: 0% here, 1% nationally−1.2 to −1.0: 1% here, 2% nationally−1.0 to −0.8: 3% here, 4% nationally−0.8 to −0.6: 7% here, 7% nationally−0.6 to −0.4: 10% here, 10% nationally−0.4 to −0.2: 12% here, 12% nationally−0.2 to 0.0: 16% here, 14% nationally0.0 to 0.2: 12% here, 12% nationally0.2 to 0.4: 12% here, 12% nationally0.4 to 0.6: 8% here, 8% nationally0.6 to 0.8: 7% here, 6% nationally0.8 to 1.0: 5% here, 4% nationally1.0 to 1.2: 3% here, 3% nationally1.2 to 1.4: 0% here, 1% nationally1.4 to 1.6: 1% here, 1% nationally1.6 to 1.8: 1% 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
−1.6−1.4940
−1.4−1.2117
−1.2−1.0651
−1.0−0.821126
−0.8−0.650204
−0.6−0.469290
−0.4−0.283357
−0.20.0107407
0.00.279343
0.20.484333
0.40.655237
0.60.848173
0.81.035116
1.01.21991
1.21.4330
1.41.6521
1.61.8410
1.82.013
2.02.2113
2.22.4324

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 CDI (59% of its hospitals above the national median); best on MRSA (43%).

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

Show table
MeasureHospitals with a valueHalf
PSI 9066947%
CLABSI47752%
CAUTI51653%
SSI52855%
CDI64559%
MRSA44443%

The Midwest across the line

The nation’s hospitals within 0.05 of CMS’s line that this site estimates, the Midwest’s in full ink: scores a hair apart, money all or nothing.

Figure 4. 34 of the nation’s 141 hospitals within 0.05 of CMS’s line that this site estimates are the Midwest’s: 12 cut, about $3.4M by this site’s estimate, and 22 not cut, where a cut would have been about $9.3M.
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 Southeastern Ohio Regional Medical Center, Cambridge, OH: score 0.3327; a cut would have been $94KCitizens Memorial Hospital, Bolivar, MO: score 0.34; a cut would have been $74KKansas Heart Hospital, Wichita, KS: score 0.3418; a cut would have been $128KRidgeview Medical Center, Waconia, MN: score 0.3419; a cut would have been $170KBaptist Health Floyd, New Albany, IN: score 0.3429; a cut would have been $635KAmita Health Resurrection Medical Center, Chicago, IL: score 0.3433; a cut would have been $767KUniversity of WI Hospitals & Clinics Authority, Madison, WI: score 0.3436; a cut would have been $2.3MGenesis Hlth System dba Genesis Mdl Ctr-Illini, Silvis, IL: score 0.3446; a cut would have been $81KChristian Hospital Northeast, Saint Louis, MO: score 0.3501; a cut would have been $446KThe Women's Hospital, Newburgh, IN: score 0.3526; a cut would have been $7KGrand Itasca Clinic and Hospital, Grand Rapids, MN: score 0.3564; a cut would have been $78KKearney Regional Medical Center, Kearney, NE: score 0.3568; a cut would have been $248KDublin Methodist Hospital, Dublin, OH: score 0.3608; a cut would have been $260KAultman Hospital, Canton, OH: score 0.3612; a cut would have been $631KAvera McKennan Hospital & University Health Center, Sioux Falls, SD: score 0.3618; a cut would have been $1.1MBarnes-Jewish St Peters Hospital, Saint Peters, MO: score 0.3634; a cut would have been $223KWinona Health Services, Winona, MN: score 0.3649; a cut would have been $40KMarshfield Medical Center - Rice Lake, Rice Lake, WI: score 0.3725; a cut would have been $53KOSF Heart of Mary Medical Center, Urbana, IL: score 0.3745; a cut would have been $122KBeaumont Hospital, Troy, Troy, MI: score 0.376; a cut would have been $1.2MHuron Valley-Sinai Hospital, Commerce Township, MI: score 0.3772; a cut would have been $266KSt Vincent Heart Center, Carmel, IN: score 0.3776; a cut would have been $390KFinley Hospital, Dubuque, IA: score 0.3806; cut $181KSSM St Joseph Hospital West, Lake Saint Louis, MO: score 0.3814; cut $249KOSF Little Company of Mary Medical Center, Evergreen Park, IL: score 0.3837; cut $385KSalina Surgical Hospital, Salina, KS: score 0.3882; cut $64KWyandotte Hospital and Medical Center, Wyandotte, MI: score 0.3894; cut $415KMadison Health, London, OH: score 0.3982; cut $30KThe Nebraska Methodist Hospital, Omaha, NE: score 0.3984; cut $946KHMHP St Elizabeth Boardman Health Center, Boardman, OH: score 0.3993; cut $342KLake Region Healthcare Corporation, Fergus Falls, MN: score 0.4034; cut $55KOverland Park Reg Med Ctr, Overland Park, KS: score 0.4059; cut $484KBlanchard Valley Hospital, Findlay, OH: score 0.4095; cut $245KLakes Regional Healthcare, Spirit Lake, IA: score 0.4133; cut $48K 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

The Midwest, year by year

Every hospital in the Midwest 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 the Midwest’s hospitals cut that year, then the nation’s.

Figure 5. The Midwest’s share cut was above the nation’s in 3 of the 11 years CMS cut anyone; 566 of its 787 hospitals have been cut at least once.
201520162017201820192020202120222023202420252026 No hospital scored or cut 20.7% · 21.9%21.2% · 23.4%18.1% · 24.0%17.1% · 23.6%21.9% · 25.0%23.9% · 25.0%23.8% · 24.9%24.7% · 25.0%25.8% · 24.9%26.5% · 24.8%25.5% · 24.9% Ever cut: 566 Never cut: 221 201520162017201820192020202120222023202420252026 No hospital scored or cut 20.7% · 21.9%21.2% · 23.4%18.1% · 24.0%17.1% · 23.6%21.9% · 25.0%23.9% · 25.0%23.8% · 24.9%24.7% · 25.0%25.8% · 24.9%26.5% · 24.8%25.5% · 24.9% Ever cut: 566 Never cut: 221

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
FY201576015720.7%21.9%
FY201675416021.2%23.4%
FY201775513718.1%24.0%
FY201874312717.1%23.6%
FY201975316521.9%25.0%
FY202073717623.9%25.0%
FY202173117423.8%24.9%
FY202272217824.7%25.0%
FY202300
FY202469517925.8%24.9%
FY202569118326.5%24.8%
FY202668317425.5%24.9%

Its divisions

Hospitals CMS cut, of those with a payment decision, and the middle score, by place.

PlaceWith a decisionHospitals cutShare cutMedian scoreEst. cut ($, modeled)
East North Central4561180.0102$48.7M
West North Central22756−0.0645$18.4M

Every hospital in the Midwest

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. Midwest: hospital-acquired conditions, FY2026. https://paidandpenalized.org/hacrp/region/midwest/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.