P&P, Paid & Penalized

Public Medicare data, made visible.

State

California

CMS cut 76 of the 277 hospitals in California with a payment decision for fiscal year 2026: 27.4%, against 24.9% nationally.

California · FY2026Compared with the nation

1Hospitals cut

76

Of 277 with a payment decision

2Share cut

27.4%

+2.6 pts vs the nation (24.9%)

3Rank

23rd of 50

Share cut, highest first, among the states and DC

4Median score

−0.0217

Nation: −0.0453

5Scored on all 6

209

Of 277 scored (75%; nation 66%)

6Scored without data

5

Hospitals CMS gave its worst score on a measure

7Estimated dollars

$36.5M estimate
from 75 of its 76 cut hospitals11.9% of the nation’s $306M, this site’s estimate

Likely range $28.8–42.5M

8Per traditional Medicare stay

$58

The nation: $47

27% cut

Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 76 of 718 here Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 718 cut nationally · 76 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 California’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. California: 76 cut of 277 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
California27776

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. 27.4% of hospitals here scored past CMS’s line, against 24.9% nationally; the middle score here is −0.0217, 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: 4% here, 7% nationally−0.6 to −0.4: 12% here, 10% nationally−0.4 to −0.2: 12% here, 12% nationally−0.2 to 0.0: 14% here, 14% nationally0.0 to 0.2: 12% here, 12% nationally0.2 to 0.4: 11% here, 12% nationally0.4 to 0.6: 12% here, 8% nationally0.6 to 0.8: 5% here, 6% nationally0.8 to 1.0: 2% here, 4% nationally1.0 to 1.2: 4% 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: 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: 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: 4% here, 7% nationally−0.6 to −0.4: 12% here, 10% nationally−0.4 to −0.2: 12% here, 12% nationally−0.2 to 0.0: 14% here, 14% nationally0.0 to 0.2: 12% here, 12% nationally0.2 to 0.4: 11% here, 12% nationally0.4 to 0.6: 12% here, 8% nationally0.6 to 0.8: 5% here, 6% nationally0.8 to 1.0: 2% here, 4% nationally1.0 to 1.2: 4% 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: 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
−1.6−1.4240
−1.4−1.2317
−1.2−1.0651
−1.0−0.812126
−0.8−0.612204
−0.6−0.433290
−0.4−0.232357
−0.20.039407
0.00.232343
0.20.430333
0.40.633237
0.60.814173
0.81.06116
1.01.21091
1.21.4630
1.41.6421
1.61.8010
1.82.013
2.02.2113
2.22.4124

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 (57% of its hospitals above the national median); best on PSI 90 (45%).

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

Show table
MeasureHospitals with a valueHalf
PSI 9026945%
CLABSI24552%
CAUTI25652%
SSI22548%
CDI26757%
MRSA23448%

California across the line

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

Figure 4. 18 of the nation’s 141 hospitals within 0.05 of CMS’s line that this site estimates are California’s: 9 cut, about $5.6M by this site’s estimate, and 9 not cut, where a cut would have been about $5.3M.
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 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 $1.3MUSC 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 $37KProvidence St. Joseph Hospital, Orange, CA: score 0.3656; a cut would have been $889KAdventist 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 $1.3MTri-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 $30KAdventist 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 $1.4MSharp Memorial Hospital, San Diego, CA: score 0.4146; cut $1.0MAntelope 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

California, year by year

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

Figure 5. California’s share cut was above the nation’s in 10 of the 11 years CMS cut anyone; 246 of its 309 hospitals have been cut at least once.
201520162017201820192020202120222023202420252026 No hospital scored or cut 26.7% · 21.9%29.9% · 23.4%33.0% · 24.0%29.9% · 23.6%33.7% · 25.0%32.7% · 25.0%27.1% · 24.9%28.6% · 25.0%24.0% · 24.9%26.8% · 24.8%27.4% · 24.9% Ever cut: 246 Never cut: 63 201520162017201820192020202120222023202420252026 No hospital scored or cut 26.7% · 21.9%29.9% · 23.4%33.0% · 24.0%29.9% · 23.6%33.7% · 25.0%32.7% · 25.0%27.1% · 24.9%28.6% · 25.0%24.0% · 24.9%26.8% · 24.8%27.4% · 24.9% Ever cut: 246 Never cut: 63

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
FY20152967926.7%21.9%
FY20162948829.9%23.4%
FY20172919633.0%24.0%
FY20182948829.9%23.6%
FY20192949933.7%25.0%
FY20202949632.7%25.0%
FY20212887827.1%24.9%
FY20222808028.6%25.0%
FY202300
FY20242796724.0%24.9%
FY20252767426.8%24.8%
FY20262777627.4%24.9%

Its metro areas

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

PlaceWith a decisionHospitals cutShare cutMedian scoreEst. cut ($, modeled)
Anaheim-Santa Ana-Irvine, CA2490.1499$2.0M
Bakersfield-Delano, CA60−0.2472$0
Chico, CA210.2844$649K
El Centro, CA220.9787$346K
Fresno, CA650.7208$3.9M
Hanford-Corcoran, CA10−0.4649$0
Los Angeles-Long Beach-Glendale, CA70210.0200$10.1M
Merced, CA20−0.7226$0
Modesto, CA410.0463$23K
Napa, CA20−0.0727$0
Oakland-Fremont-Berkeley, CA184−0.0479$3.6M
Oxnard-Thousand Oaks-Ventura, CA530.3861$1.6M
Redding, CA30−0.0672$0
Riverside-San Bernardino-Ontario, CA304−0.3020$778K
Sacramento-Roseville-Folsom, CA151−0.1543$3.3M
Salinas, CA31−0.1175$1.4M
San Diego-Chula Vista-Carlsbad, CA1560.2072$2.9M
San Francisco-San Mateo-Redwood City, CA164−0.0847$1.6M
San Jose-Sunnyvale-Santa Clara, CA730.2933$2.4M
San Luis Obispo-Paso Robles, CA31−0.5574$216K
San Rafael, CA30−0.1555$0
Santa Cruz-Watsonville, CA31−0.0394$162K
Santa Maria-Santa Barbara, CA41−0.1300$160K
Santa Rosa-Petaluma, CA520.3119$173K
Stockton-Lodi, CA720.2186$464K
Vallejo, CA400.0620$0
Visalia, CA420.2970$255K
Yuba City, CA20−0.5744$0
Outside any metro area112−0.4743$423Kfrom 1 of its 2 cut hospitals

Every hospital in California

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