State

Alabama

CMS cut 29 of the 68 hospitals in Alabama with a payment decision for fiscal year 2026: 42.6%, against 24.9% nationally.

Alabama · FY2026Compared with the nation

1Hospitals cut

Of 68 with a payment decision

2Share cut

42.6%

+17.8 pts vs the nation (24.9%)

3Rank

7th of 50

Share cut, highest first, among the states and DC

4Median score

0.2561

Nation: −0.0453

5Scored on all 6

Of 68 scored (51%; nation 66%)

6Scored without data

Hospitals CMS gave its worst score on a measure

7Estimated dollars

$6.7M estimate

2.2% of the nation’s $306M, this site’s estimate

Likely range $5.3–7.7M

8Per traditional Medicare stay

$69

The nation: $47

43% cut

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 Alabama’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. Alabama: 29 cut of 68 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

Hospital	City	Total HAC Score	Payment reduction
Andalusia Health	Andalusia	−0.8060	No
Athens Limestone Hospital	Athens	−0.6097	No
Atmore Community Hospital	Atmore	−0.0036	No
Baldwin Health	Foley	−1.0134	No
Baptist Health Brookwood Hospital	Birmingham	−0.2243	No
Baptist Medical Center East	Montgomery	0.6363	Yes
Baptist Medical Center South	Montgomery	1.0846	Yes
Bibb Medical Center	Centreville	1.0547	Yes
Bullock County Hospital	Union Springs	N/A	No
Citizens Baptist Medical Center	Talladega	1.4707	Yes
Clay County Hospital	Ashland	1.0698	Yes
Community Hospital Inc	Tallassee	−1.4622	No
Coosa Valley Medical Center	Sylacauga	−0.8311	No
Crenshaw Community Hospital	Luverne	N/A	No
Crestwood Medical Center	Huntsville	0.3156	No
Cullman Regional Medical Center	Cullman	−0.0208	No
D W McMillan Memorial Hospital	Brewton	−0.0088	No
Dale Medical Center	Ozark	0.7116	Yes
DCH Regional Medical Center	Tuscaloosa	0.4111	Yes
Decatur Morgan Hospital - Decatur Campus	Decatur	−0.6520	No
Dekalb Regional Medical Center	Fort Payne	0.5478	Yes
Elmore Community Hospital	Wetumpka	−1.4622	No
Evergreen Medical Center	Evergreen	−1.4622	No
Fayette Medical Center	Fayette	2.1931	Yes
Flowers Hospital	Dothan	−1.2276	No
Floyd Cherokee Medical Center	Centre	−1.4622	No
Gadsden Regional Medical Center	Gadsden	0.6323	Yes
Grandview Medical Center	Birmingham	−0.2979	No
Greene County Hospital	Eutaw	N/A	No
Grove Hill Memorial Hospital	Grove Hill	N/A	No
Hale County Hospital	Greensboro	N/A	No
Helen Keller Hospital	Sheffield	0.3280	No
Highlands Medical Center	Scottsboro	0.5781	Yes
Hill Hospital of Sumter County	York	0.3548	No
Huntsville Hospital	Huntsville	0.9199	Yes
Jack Hughston Memorial Hospital	Phenix City	−0.8869	No
Jackson Hospital & Clinic Inc	Montgomery	0.9909	Yes
Jackson Medical Center	Jackson	N/A	No
Lake Martin Community Hospital	Dadeville	N/A	No
Lakeland Community Hospital	Haleyville	−1.4622	No
Lawrence Medical Center	Moulton	N/A	No
Marion Regional Medical Center	Hamilton	N/A	No
Marshall Medical Centers	Boaz	0.6065	Yes
Medical Center Enterprise	Enterprise	−1.2251	No
Medical West, An Affiliate of UAB Health System	Bessemer	0.6634	Yes
Mizell Memorial Hospital	Opp	0.8821	Yes
Mobile Infirmary Medical Center	Mobile	0.6871	Yes
Monroe County Hospital	Monroeville	1.6540	Yes
North Alabama Medical Center	Florence	−0.9099	No
North Alabama Shoals Hospital	Muscle Shoals	−0.3755	No
North Baldwin Infirmary	Bay Minette	1.6460	Yes
North Mississippi Health Services - South Marion	Winfield	0.5965	Yes
Northeast Alabama Regional Medical Center	Anniston	0.6627	Yes
Prattville Baptist Hospital	Prattville	1.2435	Yes
Princeton Baptist Medical Center	Birmingham	0.3154	No
Riverview Regional Medical Center	Gadsden	−0.5664	No
Russell Medical Center	Alexander City	0.2240	No
Russellville Hospital	Russellville	−0.9330	No
Shelby Baptist Medical Center	Alabaster	0.6591	Yes
Southeast Health Medical Center	Dothan	−0.3384	No
Springhill Medical Center	Mobile	−0.4764	No
St Vincent's Birmingham	Birmingham	−0.1513	No
St Vincent's Chilton	Clanton	1.0474	Yes
St Vincent's St Clair	Pell City	0.9644	Yes
St. Vincent's East	Birmingham	−0.0474	No
The East Alabama Healthcare Authority	Opelika	0.4943	Yes
The Health Care Authority of the City of Greenville- LV Stabler Hospital	Greenville	−0.9644	No
Thomas Hospital	Fairhope	0.6468	Yes
Troy Regional Medical Center	Troy	−0.7774	No
UAB Callahan Eye Hospital Authority	Birmingham	0.0109	No
University of Alabama Hospital	Birmingham	0.2881	No
USA Health HCA Providence Hospital, LLC	Mobile	−0.1868	No
USA Health University Hospital	Mobile	0.9321	Yes
Vaughan Regional Medical Center Parkway Campus	Selma	−0.2295	No
Walker Baptist Medical Center	Jasper	0.0658	No
Whitfield Regional Hospital	Demopolis	1.0283	Yes
Wiregrass Medical Center	Geneva	−0.7687	No

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. 42.6% of hospitals here scored past CMS’s line, against 24.9% nationally; the middle score here is 0.2561, and nationally −0.0453.

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

Show table

Score from	to	Here	Nation
−1.6	−1.4	5	40
−1.4	−1.2	2	17
−1.2	−1.0	0	51
−1.0	−0.8	6	126
−0.8	−0.6	4	204
−0.6	−0.4	3	290
−0.4	−0.2	5	357
−0.2	0.0	4	407
0.0	0.2	4	343
0.2	0.4	6	333
0.4	0.6	4	237
0.6	0.8	10	173
0.8	1.0	4	116
1.0	1.2	6	91
1.2	1.4	1	30
1.4	1.6	1	21
1.6	1.8	2	10
1.8	2.0	0	3
2.0	2.2	0	13
2.2	2.4	1	24

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 PSI 90 (65% of its hospitals above the national median); best on SSI (31%).

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

Show table

Measure	Hospitals with a value	Half
PSI 90	60	65%
CLABSI	37	62%
CAUTI	47	49%
SSI	39	31%
CDI	65	51%
MRSA	37	65%

Alabama across the line

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

Figure 4. 2 of the nation’s 141 hospitals within 0.05 of CMS’s line that this site estimates are Alabama’s: 1 cut, about $824K by this site’s estimate, and 1 not cut, where a cut would have been about $1K.

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 line	Hospitals	Estimated cut, taken or not (whole dollars)
Under the line: not cut	82	$52,846,861
Over the line: cut	59	$29,847,503

Alabama, year by year

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

Figure 5. Alabama’s share cut was above the nation’s in 3 of the 11 years CMS cut anyone; 55 of its 86 hospitals have been cut at least once.

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 year	Hospitals with a decision	Cut	Share cut	Nation
FY2015	83	11	13.3%	21.9%
FY2016	82	7	8.5%	23.4%
FY2017	81	8	9.9%	24.0%
FY2018	76	14	18.4%	23.6%
FY2019	84	13	15.5%	25.0%
FY2020	81	16	19.8%	25.0%
FY2021	81	18	22.2%	24.9%
FY2022	80	19	23.8%	25.0%
FY2023	0	0
FY2024	65	17	26.2%	24.9%
FY2025	70	25	35.7%	24.8%
FY2026	68	29	42.6%	24.9%

Its metro areas

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

Place	With a decision	Hospitals cut	Share cut	Median score	Est. cut ($, modeled)
Anniston-Oxford, AL	1	1	100.0%	0.6627	$289K
Auburn-Opelika, AL	1	1	100.0%	0.4943	$355K
Birmingham, AL	13	5	38.5%	0.2881	$376K
Columbus, GA-AL	4	1	25.0%	−0.2986	$451K
Daphne-Fairhope-Foley, AL	3	2	66.7%	0.6468	$456K
Decatur, AL	1	0	0.0%	−0.6520	$0
Dothan, AL	2	0	0.0%	−0.7830	$0
Florence-Muscle Shoals, AL	3	0	0.0%	−0.3755	$0
Gadsden, AL	2	1	50.0%	0.0329	$219K
Huntsville, AL	3	1	33.3%	0.3156	$1.6M
Mobile, AL	4	2	50.0%	0.2502	$1.1M
Montgomery, AL	6	4	66.7%	0.8136	$960K
Tuscaloosa, AL	1	1	100.0%	0.4111	$824K
Outside any metro area	27	11	40.7%	−0.0036	$497K

Every hospital in Alabama

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

Sorted by state, then name. Sort by any column or search by name, city or CCN.

Name, city or CCN contains

Sort by

Every hospital in CMS’s file in Alabama, with its Total HAC Score and payment reduction decision as CMS reports them

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