P&P, Paid & Penalized

Public Medicare data, made visible.

Census region

South

CMS cut 263 of the 1,174 hospitals in the South with a payment decision for fiscal year 2026: 22.4%, against 24.9% nationally.

Maryland’s hospitals are scored but not subject to the reduction: under an agreement with the state, CMS exempts them.

South · FY2026Compared with the nation

1Hospitals cut

263

Of 1,174 with a payment decision

2Share cut

22.4%

−2.5 pts vs the nation (24.9%)

3Rank

4th of 4

Share cut, highest first, among the regions

4Median score

−0.1056

Nation: −0.0453

5Scored on all 6

768

Of 1,217 scored (63%; nation 66%)

6Scored without data

29

Hospitals CMS gave its worst score on a measure

7Estimated dollars

$94.2M estimate
from 259 of its 263 cut hospitals30.8% of the nation’s $306M, this site’s estimate

Likely range $75.0–107M

8Per traditional Medicare stay

$38

The nation: $47

22% cut

Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 263 of 718 here Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 718 cut nationally · 263 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 South’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 South: 263 cut of 1,174 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
Alabama6829
Arkansas3914
Delaware60
District of Columbia61
Florida16518
Georgia8927
Kentucky5621
Louisiana7625
Maryland00
Mississippi5018
North Carolina7920
Oklahoma6815
South Carolina5112
Tennessee7314
Texas25532
Virginia705
West Virginia2312

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. 22.4% of hospitals here scored past CMS’s line, against 24.9% nationally; the middle score here is −0.1056, and nationally −0.0453.
0%5%10%15% −1.6 to −1.4: 2% here, 1% nationally−1.4 to −1.2: 1% here, 1% nationally−1.2 to −1.0: 2% here, 2% nationally−1.0 to −0.8: 6% 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: 13% here, 12% nationally−0.2 to 0.0: 13% here, 14% nationally0.0 to 0.2: 12% here, 12% nationally0.2 to 0.4: 11% here, 12% nationally0.4 to 0.6: 7% here, 8% nationally0.6 to 0.8: 5% here, 6% nationally0.8 to 1.0: 3% here, 4% nationally1.0 to 1.2: 3% here, 3% nationally1.2 to 1.4: 1% here, 1% nationally1.4 to 1.6: 1% here, 1% nationally1.6 to 1.8: 0% here, 0% nationally1.8 to 2.0: 0% here, 0% nationally2.0 to 2.2: 1% here, 0% nationally2.2 to 2.4: 1% here, 1% nationally CMS’s line −1.00.01.02.0 0%5%10%15% −1.6 to −1.4: 2% here, 1% nationally−1.4 to −1.2: 1% here, 1% nationally−1.2 to −1.0: 2% here, 2% nationally−1.0 to −0.8: 6% 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: 13% here, 12% nationally−0.2 to 0.0: 13% here, 14% nationally0.0 to 0.2: 12% here, 12% nationally0.2 to 0.4: 11% here, 12% nationally0.4 to 0.6: 7% here, 8% nationally0.6 to 0.8: 5% here, 6% nationally0.8 to 1.0: 3% here, 4% nationally1.0 to 1.2: 3% here, 3% nationally1.2 to 1.4: 1% here, 1% nationally1.4 to 1.6: 1% here, 1% nationally1.6 to 1.8: 0% here, 0% nationally1.8 to 2.0: 0% here, 0% nationally2.0 to 2.2: 1% here, 0% nationally2.2 to 2.4: 1% 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
−1.6−1.42440
−1.4−1.21217
−1.2−1.02951
−1.0−0.867126
−0.8−0.685204
−0.6−0.4122290
−0.4−0.2157357
−0.20.0153407
0.00.2138343
0.20.4124333
0.40.680237
0.60.859173
0.81.040116
1.01.23991
1.21.41230
1.41.6621
1.61.8410
1.82.013
2.02.2613
2.22.41624

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 (57% of its hospitals above the national median); best on CDI (37%).

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

Show table
MeasureHospitals with a valueHalf
PSI 901,14151%
CLABSI85851%
CAUTI94345%
SSI89648%
CDI1,13237%
MRSA81257%

The South across the line

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

Figure 4. 47 of the nation’s 141 hospitals within 0.05 of CMS’s line that this site estimates are the South’s: 21 cut, about $10.4M by this site’s estimate, and 26 not cut, where a cut would have been about $19.9M.
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 Faith Community Hospital, Jacksboro, TX: score 0.3315; a cut would have been $31KMcLeod Regional Medical Center-Pee Dee, Florence, SC: score 0.3316; a cut would have been $1.0MBMH-Golden Triangle, Columbus, MS: score 0.3324; a cut would have been $377KEmory Johns Creek Hospital, Johns Creek, GA: score 0.3325; a cut would have been $282KCHRISTUS Santa Rosa Medical Center, San Antonio, TX: score 0.3349; a cut would have been $932KEphraim McDowell Regional Medical Center, Danville, KY: score 0.3383; a cut would have been $195KHCA Florida Putnam Hospital, Palatka, FL: score 0.3408; a cut would have been $153KGeorge Washington Univ Hospital, Washington, DC: score 0.3419; a cut would have been $1.1MJohnston Health, Smithfield, NC: score 0.3447; a cut would have been $328KNovant Health New Hanover Regional Medical Center, Wilmington, NC: score 0.3485; a cut would have been $2.0MMedical City Lewisville, Lewisville, TX: score 0.3494; a cut would have been $210KUNC Health Nash, Rocky Mount, NC: score 0.3505; a cut would have been $370KDuke University Hospital, Durham, NC: score 0.3547; a cut would have been $3.1MHill Hospital of Sumter County, York, AL: score 0.3548; a cut would have been $1KJefferson Hospital, Louisville, GA: score 0.3548; a cut would have been $7KHCA Florida Bayonet Point Hospital, Hudson, FL: score 0.3598; a cut would have been $795KSouth Florida Baptist Hospital, Plant City, FL: score 0.3639; a cut would have been $164KUNC Hospitals, Chapel Hill, NC: score 0.3655; a cut would have been $2.2MGulf Breeze Hospital, Gulf Breeze, FL: score 0.3675; a cut would have been $122KGrady General Hospital, Cairo, GA: score 0.3693; a cut would have been $19KVanderbilt Clarksville Hospital, Clarksville, TN: score 0.3721; a cut would have been $287KUniversity of Virginia Medical Center, Charlottesville, VA: score 0.373; a cut would have been $2.7MHarris Health, Houston, TX: score 0.3776; a cut would have been $2.0MNorth Oaks Medical Center, Hammond, LA: score 0.379; a cut would have been $295KAtrium Health Navicent the Medical Center, Macon, GA: score 0.3792; a cut would have been $1.0MUNC Lenoir Health Care, Kinston, NC: score 0.3792; a cut would have been $165KHigh Point Regional Health System, High Point, NC: score 0.381; cut $266KMUSC Health Columbia Medical Center Downtown, Columbia, SC: score 0.3823; cut $450KSpringhill Medical Center, Springhill, LA: score 0.3887; cut $20KJPS Health Network, Fort Worth, TX: score 0.3934; cut $1.3MVanderbilt Bedford Hospital, Shelbyville, TN: score 0.3942; cut $62KMurray-Calloway County Hospital, Murray, KY: score 0.3966; cut $150KUniversity of Kentucky Hospital, Lexington, KY: score 0.3966; cut $1.6MSt Marys Regional Medical Center, Russellville, AR: score 0.3993; cut $113KBaptist Health Hardin, Elizabethtown, KY: score 0.4031; cut $388KUF Health Leesburg Hospital, Leesburg, FL: score 0.4035; cut $629KUnited Regional Health Care System, Wichita Falls, TX: score 0.4055; cut $746KAdventHealth Tampa, Tampa, FL: score 0.4057; cut $847KMethodist Dallas Medical Center, Dallas, TX: score 0.408; cut $582KSentara Martha Jefferson Hospital, Charlottesville, VA: score 0.4105; cut $362KDCH Regional Medical Center, Tuscaloosa, AL: score 0.4111; cut $824KHighlands ARH Regional Medical Center, Prestonsburg, KY: score 0.4116; cut $62KHillcrest Hospital Pryor, Pryor, OK: score 0.4226; cut $18KEmory Decatur Hospital, Decatur, GA: score 0.4235; cut $325KWellstar North Fulton Medical Center, Roswell, GA: score 0.4267; cut $333KWellstar Douglas Medical Center, Douglasville, GA: score 0.4274; cut $222KAscension St John Medical Center, Tulsa, OK: score 0.4282; cut $1.1M 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 South, year by year

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

Figure 5. The South’s share cut was above the nation’s in 1 of the 11 years CMS cut anyone; 1,030 of its 1,453 hospitals have been cut at least once.
201520162017201820192020202120222023202420252026 No hospital scored or cut 17.5% · 21.9%18.9% · 23.4%21.7% · 24.0%24.3% · 23.6%23.6% · 25.0%23.1% · 25.0%23.5% · 24.9%22.2% · 25.0%24.0% · 24.9%23.1% · 24.8%22.4% · 24.9% Ever cut: 1,030 Never cut: 423 201520162017201820192020202120222023202420252026 No hospital scored or cut 17.5% · 21.9%18.9% · 23.4%21.7% · 24.0%24.3% · 23.6%23.6% · 25.0%23.1% · 25.0%23.5% · 24.9%22.2% · 25.0%24.0% · 24.9%23.1% · 24.8%22.4% · 24.9% Ever cut: 1,030 Never cut: 423

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
FY20151,34723617.5%21.9%
FY20161,33025118.9%23.4%
FY20171,32928821.7%24.0%
FY20181,31531924.3%23.6%
FY20191,33331423.6%25.0%
FY20201,30330123.1%25.0%
FY20211,27930123.5%24.9%
FY20221,26328022.2%25.0%
FY202300
FY20241,18128424.0%24.9%
FY20251,19027523.1%24.8%
FY20261,17426322.4%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 South Central247820.1084$28.5M
South Atlantic48995−0.0908$41.1Mfrom 94 of its 95 cut hospitals
West South Central43886−0.1826$24.5Mfrom 83 of its 86 cut hospitals

Every hospital in the South

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