P&P, Paid & Penalized

Public Medicare data, made visible.

Census region

West

CMS cut 157 of the 593 hospitals in the West with a payment decision for fiscal year 2026: 26.5%, against 24.9% nationally.

West · FY2026Compared with the nation

1Hospitals cut

157

Of 593 with a payment decision

2Share cut

26.5%

+1.6 pts vs the nation (24.9%)

3Rank

2nd of 4

Share cut, highest first, among the regions

4Median score

−0.0302

Nation: −0.0453

5Scored on all 6

409

Of 593 scored (69%; nation 66%)

6Scored without data

11

Hospitals CMS gave its worst score on a measure

7Estimated dollars

$67.4M estimate
from 154 of its 157 cut hospitals22.0% of the nation’s $306M, this site’s estimate

Likely range $53.2–77.6M

8Per traditional Medicare stay

$55

The nation: $47

26% cut

Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 157 of 718 here Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 718 cut nationally · 157 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 West’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 West: 157 cut of 593 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
Alaska84
Arizona6112
California27776
Colorado497
Hawaii117
Idaho152
Montana104
Nevada194
New Mexico2611
Oregon3213
Utah311
Washington4612
Wyoming84

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. 26.5% of hospitals here scored past CMS’s line, against 24.9% nationally; the middle score here is −0.0302, and nationally −0.0453.
0%5%10%15% −1.6 to −1.4: 1% 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: 4% here, 4% nationally−0.8 to −0.6: 7% here, 7% nationally−0.6 to −0.4: 11% here, 10% nationally−0.4 to −0.2: 12% here, 12% nationally−0.2 to 0.0: 15% here, 14% nationally0.0 to 0.2: 12% here, 12% nationally0.2 to 0.4: 11% here, 12% nationally0.4 to 0.6: 10% here, 8% nationally0.6 to 0.8: 6% here, 6% nationally0.8 to 1.0: 2% here, 4% nationally1.0 to 1.2: 3% here, 3% nationally1.2 to 1.4: 2% 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: 1% 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: 4% here, 4% nationally−0.8 to −0.6: 7% here, 7% nationally−0.6 to −0.4: 11% here, 10% nationally−0.4 to −0.2: 12% here, 12% nationally−0.2 to 0.0: 15% here, 14% nationally0.0 to 0.2: 12% here, 12% nationally0.2 to 0.4: 11% here, 12% nationally0.4 to 0.6: 10% here, 8% nationally0.6 to 0.8: 6% here, 6% nationally0.8 to 1.0: 2% here, 4% nationally1.0 to 1.2: 3% here, 3% nationally1.2 to 1.4: 2% 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
−1.6−1.4640
−1.4−1.2317
−1.2−1.01051
−1.0−0.824126
−0.8−0.639204
−0.6−0.463290
−0.4−0.270357
−0.20.087407
0.00.271343
0.20.463333
0.40.661237
0.60.835173
0.81.014116
1.01.22091
1.21.4930
1.41.6821
1.61.8110
1.82.013
2.02.2513
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 (58% of its hospitals above the national median); best on MRSA (42%).

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

Show table
MeasureHospitals with a valueHalf
PSI 9057449%
CLABSI47249%
CAUTI50251%
SSI48149%
CDI56658%
MRSA44442%

The West across the line

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

Figure 4. 31 of the nation’s 141 hospitals within 0.05 of CMS’s line that this site estimates are the West’s: 14 cut, about $7.5M by this site’s estimate, and 17 not cut, where a cut would have been about $10.2M.
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 Saint John's Health Center, Santa Monica, CA: score 0.3304; a cut would have been $996KRiverside Community Hospital, Riverside, CA: score 0.3381; a cut would have been $1.3MProvidence St Peter Hospital, Olympia, WA: score 0.3406; a cut would have been $1.0MUSC Verdugo Hills Hospital, Glendale, CA: score 0.343; a cut would have been $303KKaiser Foundation Hospital, San Rafael, CA: score 0.3443; a cut would have been $37KEvergreenhealth Monroe, Monroe, WA: score 0.3448; a cut would have been $30KBanner-University Medical Center South Campus, Tucson, AZ: score 0.3505; a cut would have been $217KAsante Rogue Regional Medical Center, Medford, OR: score 0.3514; a cut would have been $983KUniversity of Colorado Hospital Authority, Aurora, CO: score 0.3637; a cut would have been $2.2MProvidence St. Joseph Hospital, Orange, CA: score 0.3656; a cut would have been $889KDenver Health & Hospital Authority, Denver, CO: score 0.3659; a cut would have been $385KPhoenix Indian Medical Center, Phoenix, AZ: score 0.3662; a cut would have been $29KAdventist Health Delano, Delano, CA: score 0.3669; a cut would have been $76KSt Joseph's Medical Center of Stockton, Stockton, CA: score 0.3746; a cut would have been $1.3MKaiser Foundation Hospital Westside, Hillsboro, OR: score 0.3761; a cut would have been $39KTri-City Medical Center, Oceanside, CA: score 0.3784; a cut would have been $367KKaiser Foundation Hospital - Fremont, Fremont, CA: score 0.3788; a cut would have been $30KSummit Healthcare Regional Medical Center, Show Low, AZ: score 0.3808; cut $271KGood Samaritan Medical Center LLC, Lafayette, CO: score 0.3822; cut $154KAdventist Health Simi Valley, Simi Valley, CA: score 0.3861; cut $413KKaiser Foundation Hospital-San Jose, San Jose, CA: score 0.387; cut $148KScripps Green Hospital, La Jolla, CA: score 0.3891; cut $892KSharp Chula Vista Medical Center, Chula Vista, CA: score 0.3905; cut $638KCommunity Hospital of the Monterey Peninsula, Monterey, CA: score 0.3936; cut $1.4MFairbanks Memorial Hospital, Fairbanks, AK: score 0.4022; cut $380KBanner Desert Medical Center, Mesa, AZ: score 0.409; cut $859KSharp Memorial Hospital, San Diego, CA: score 0.4146; cut $1.0MKaiser Sunnyside Medical Center, Clackamas, OR: score 0.4184; cut $203KAntelope Valley Hospital, Lancaster, CA: score 0.4264; cut $554KCalifornia Pacific Medical Ctr-Davies Campus Hosp, San Francisco, CA: score 0.4281; cut $207KAdventist Health Lodi Memorial, Lodi, CA: score 0.4289; cut $349K 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 West, year by year

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

Figure 5. The West’s share cut was above the nation’s in 7 of the 11 years CMS cut anyone; 526 of its 678 hospitals have been cut at least once.
201520162017201820192020202120222023202420252026 No hospital scored or cut 28.6% · 21.9%29.5% · 23.4%27.5% · 24.0%25.4% · 23.6%28.4% · 25.0%26.8% · 25.0%23.8% · 24.9%24.5% · 25.0%23.5% · 24.9%24.0% · 24.8%26.5% · 24.9% Ever cut: 526 Never cut: 152 201520162017201820192020202120222023202420252026 No hospital scored or cut 28.6% · 21.9%29.5% · 23.4%27.5% · 24.0%25.4% · 23.6%28.4% · 25.0%26.8% · 25.0%23.8% · 24.9%24.5% · 25.0%23.5% · 24.9%24.0% · 24.8%26.5% · 24.9% Ever cut: 526 Never cut: 152

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
FY201563018028.6%21.9%
FY201662318429.5%23.4%
FY201761917027.5%24.0%
FY201862215825.4%23.6%
FY201962317728.4%25.0%
FY202062216726.8%25.0%
FY202162114823.8%24.9%
FY202260914924.5%25.0%
FY202300
FY202460114123.5%24.9%
FY202559714324.0%24.8%
FY202659315726.5%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)
Mountain21945−0.1125$13.6Mfrom 43 of its 45 cut hospitals
Pacific3741120.0276$53.8Mfrom 111 of its 112 cut hospitals

Every hospital in the West

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