P&P, Paid & Penalized

Public Medicare data, made visible.

State

Iowa

CMS cut 16 of the 30 hospitals in Iowa with a payment decision for fiscal year 2026: 53.3%, against 24.9% nationally.

Iowa · FY2026Compared with the nation

1Hospitals cut

16

Of 30 with a payment decision

2Share cut

53.3%

+28.5 pts vs the nation (24.9%)

3Rank

3rd of 50

Share cut, highest first, among the states and DC

4Median score

0.3970

Nation: −0.0453

5Scored on all 6

21

Of 30 scored (70%; nation 66%)

6Scored without data

0

Hospitals CMS gave its worst score on a measure

7Estimated dollars

$5.3M estimate
1.7% of the nation’s $306M, this site’s estimate

Likely range $4.2–6.2M

8Per traditional Medicare stay

$84

The nation: $47

53% cut

Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 16 of 718 here Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 718 cut nationally · 16 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 Iowa’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. Iowa: 16 cut of 30 with a payment decision.
UnityPoint Health - Marshalltown, Marshalltown: 0.8756 · cutTrinity Muscatine, Muscatine: −0.8115 · not cutTrinity Regional Medical Center, Fort Dodge: 0.8681 · cutCHI Health Mercy Council Bluffs, Council Bluffs: −0.0259 · not cutUniversity of Iowa Health Care Medical Center Down, Iowa City: −0.4889 · not cutMary Greeley Medical Center, Ames: 0.5064 · cutMercyOne Newton Medical Center, Newton: 2.1931 · cutGenesis Medical Center-Davenport, Davenport: 1.0207 · cutSartori Memorial Hospital, Inc, Cedar Falls: 0.9326 · cutSt Lukes Hospital, Cedar Rapids: −0.0122 · not cutMethodist Jennie Edmundson, Council Bluffs: 0.8103 · cutSoutheast Iowa Regional Medical Center, West Burlington: 1.0485 · cutUniversity of Iowa Hospital & Clinics, Iowa City: 0.5618 · cutMercyOne North Iowa Medical Center, Mason City: −0.3912 · not cutMercyOne Waterloo Medical Center, Waterloo: 0.1145 · not cutMercyOne Dubuque Medical Center, Dubuque: −0.3947 · not cutMercy Medical Center - Cedar Rapids, Cedar Rapids: 0.7091 · cutMercyOne Clinton Medical Center, Clinton: −0.0679 · not cutUnityPoint Health - Des Moines Iowa Methodist Medi, Des Moines: −0.1312 · not cutMercyOne Des Moines Medical Center, Des Moines: 0.0690 · not cutOttumwa Regional Health Center, Ottumwa: −0.5825 · not cutBroadlawns Medical Center, Des Moines: 0.2689 · not cutTrinity - Bettendorf, Bettendorf: −0.6292 · not cutAllen Hospital, Waterloo: −0.1674 · not cutSpencer Municipal Hospital, Spencer: 0.7954 · cutFinley Hospital, Dubuque: 0.3806 · cutLakes Regional Healthcare, Spirit Lake: 0.4133 · cutSt Lukes Regional Medical Center, Sioux City: 0.6377 · cutGrinnell Regional Medical Center, Grinnell: 1.3968 · cutMercyOne Siouxland Medical Center, Sioux City: 0.8012 · cut UnityPoint Health - Marshalltown, Marshalltown: 0.8756 · cutTrinity Muscatine, Muscatine: −0.8115 · not cutTrinity Regional Medical Center, Fort Dodge: 0.8681 · cutCHI Health Mercy Council Bluffs, Council Bluffs: −0.0259 · not cutUniversity of Iowa Health Care Medical Center Down, Iowa City: −0.4889 · not cutMary Greeley Medical Center, Ames: 0.5064 · cutMercyOne Newton Medical Center, Newton: 2.1931 · cutGenesis Medical Center-Davenport, Davenport: 1.0207 · cutSartori Memorial Hospital, Inc, Cedar Falls: 0.9326 · cutSt Lukes Hospital, Cedar Rapids: −0.0122 · not cutMethodist Jennie Edmundson, Council Bluffs: 0.8103 · cutSoutheast Iowa Regional Medical Center, West Burlington: 1.0485 · cutUniversity of Iowa Hospital & Clinics, Iowa City: 0.5618 · cutMercyOne North Iowa Medical Center, Mason City: −0.3912 · not cutMercyOne Waterloo Medical Center, Waterloo: 0.1145 · not cutMercyOne Dubuque Medical Center, Dubuque: −0.3947 · not cutMercy Medical Center - Cedar Rapids, Cedar Rapids: 0.7091 · cutMercyOne Clinton Medical Center, Clinton: −0.0679 · not cutUnityPoint Health - Des Moines Iowa Methodist Medi, Des Moines: −0.1312 · not cutMercyOne Des Moines Medical Center, Des Moines: 0.0690 · not cutOttumwa Regional Health Center, Ottumwa: −0.5825 · not cutBroadlawns Medical Center, Des Moines: 0.2689 · not cutTrinity - Bettendorf, Bettendorf: −0.6292 · not cutAllen Hospital, Waterloo: −0.1674 · not cutSpencer Municipal Hospital, Spencer: 0.7954 · cutFinley Hospital, Dubuque: 0.3806 · cutLakes Regional Healthcare, Spirit Lake: 0.4133 · cutSt Lukes Regional Medical Center, Sioux City: 0.6377 · cutGrinnell Regional Medical Center, Grinnell: 1.3968 · cutMercyOne Siouxland Medical Center, Sioux City: 0.8012 · cut
  • Cut
  • Not cut
  • Not subject (Maryland) or no score

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

Show table
HospitalCityTotal HAC ScorePayment reduction
Allen HospitalWaterloo−0.1674No
Broadlawns Medical CenterDes Moines0.2689No
CHI Health Mercy Council BluffsCouncil Bluffs−0.0259No
Finley HospitalDubuque0.3806Yes
Genesis Medical Center-DavenportDavenport1.0207Yes
Grinnell Regional Medical CenterGrinnell1.3968Yes
Lakes Regional HealthcareSpirit Lake0.4133Yes
Mary Greeley Medical CenterAmes0.5064Yes
Mercy Medical Center - Cedar RapidsCedar Rapids0.7091Yes
MercyOne Clinton Medical CenterClinton−0.0679No
MercyOne Des Moines Medical CenterDes Moines0.0690No
MercyOne Dubuque Medical CenterDubuque−0.3947No
MercyOne Newton Medical CenterNewton2.1931Yes
MercyOne North Iowa Medical CenterMason City−0.3912No
MercyOne Siouxland Medical CenterSioux City0.8012Yes
MercyOne Waterloo Medical CenterWaterloo0.1145No
Methodist Jennie EdmundsonCouncil Bluffs0.8103Yes
Ottumwa Regional Health CenterOttumwa−0.5825No
Sartori Memorial Hospital, IncCedar Falls0.9326Yes
Southeast Iowa Regional Medical CenterWest Burlington1.0485Yes
Spencer Municipal HospitalSpencer0.7954Yes
St Lukes HospitalCedar Rapids−0.0122No
St Lukes Regional Medical CenterSioux City0.6377Yes
Trinity - BettendorfBettendorf−0.6292No
Trinity MuscatineMuscatine−0.8115No
Trinity Regional Medical CenterFort Dodge0.8681Yes
UnityPoint Health - Des Moines Iowa Methodist MediDes Moines−0.1312No
UnityPoint Health - MarshalltownMarshalltown0.8756Yes
University of Iowa Health Care Medical Center DownIowa City−0.4889No
University of Iowa Hospital & ClinicsIowa City0.5618Yes

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. 53.3% of hospitals here scored past CMS’s line, against 24.9% nationally; the middle score here is 0.3970, and nationally −0.0453.
0%5%10%15%20% −1.6 to −1.4: 0% here, 1% nationally−1.4 to −1.2: 0% here, 1% nationally−1.2 to −1.0: 0% here, 2% nationally−1.0 to −0.8: 0% here, 4% nationally−0.8 to −0.6: 7% here, 7% nationally−0.6 to −0.4: 7% here, 10% nationally−0.4 to −0.2: 7% here, 12% nationally−0.2 to 0.0: 13% here, 14% nationally0.0 to 0.2: 10% here, 12% nationally0.2 to 0.4: 3% here, 12% nationally0.4 to 0.6: 13% here, 8% nationally0.6 to 0.8: 7% here, 6% nationally0.8 to 1.0: 20% here, 4% nationally1.0 to 1.2: 7% here, 3% nationally1.2 to 1.4: 0% here, 1% nationally1.4 to 1.6: 3% 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: 3% here, 1% nationally CMS’s line −1.00.01.02.0 0%5%10%15%20% −1.6 to −1.4: 0% here, 1% nationally−1.4 to −1.2: 0% here, 1% nationally−1.2 to −1.0: 0% here, 2% nationally−1.0 to −0.8: 0% here, 4% nationally−0.8 to −0.6: 7% here, 7% nationally−0.6 to −0.4: 7% here, 10% nationally−0.4 to −0.2: 7% here, 12% nationally−0.2 to 0.0: 13% here, 14% nationally0.0 to 0.2: 10% here, 12% nationally0.2 to 0.4: 3% here, 12% nationally0.4 to 0.6: 13% here, 8% nationally0.6 to 0.8: 7% here, 6% nationally0.8 to 1.0: 20% here, 4% nationally1.0 to 1.2: 7% here, 3% nationally1.2 to 1.4: 0% here, 1% nationally1.4 to 1.6: 3% 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: 3% 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
−1.6−1.4040
−1.4−1.2017
−1.2−1.0051
−1.0−0.80126
−0.8−0.62204
−0.6−0.42290
−0.4−0.22357
−0.20.04407
0.00.23343
0.20.41333
0.40.64237
0.60.82173
0.81.06116
1.01.2291
1.21.4030
1.41.6121
1.61.8010
1.82.003
2.02.2013
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 CLABSI (77% of its hospitals above the national median); best on MRSA (38%).

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

Show table
MeasureHospitals with a valueHalf
PSI 902976%
CLABSI2277%
CAUTI2442%
SSI2442%
CDI3070%
MRSA2138%

Iowa across the line

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

Figure 4. Of the nation’s 141 hospitals within 0.05 of CMS’s line that this site estimates, Iowa has 2 cut hospitals, about $229K by this site’s estimate.
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 Finley Hospital, Dubuque, IA: score 0.3806; cut $181KLakes 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

Iowa, year by year

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

Figure 5. Iowa’s share cut was above the nation’s in 5 of the 11 years CMS cut anyone; 28 of its 34 hospitals have been cut at least once.
201520162017201820192020202120222023202420252026 No hospital scored or cut 8.8% · 21.9%17.6% · 23.4%20.6% · 24.0%20.6% · 23.6%29.4% · 25.0%35.3% · 25.0%30.3% · 24.9%21.2% · 25.0%19.4% · 24.9%43.3% · 24.8%53.3% · 24.9% Ever cut: 28 Never cut: 6 201520162017201820192020202120222023202420252026 No hospital scored or cut 8.8% · 21.9%17.6% · 23.4%20.6% · 24.0%20.6% · 23.6%29.4% · 25.0%35.3% · 25.0%30.3% · 24.9%21.2% · 25.0%19.4% · 24.9%43.3% · 24.8%53.3% · 24.9% Ever cut: 28 Never cut: 6

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
FY20153438.8%21.9%
FY201634617.6%23.4%
FY201734720.6%24.0%
FY201834720.6%23.6%
FY2019341029.4%25.0%
FY2020341235.3%25.0%
FY2021331030.3%24.9%
FY202233721.2%25.0%
FY202300
FY202431619.4%24.9%
FY2025301343.3%24.8%
FY2026301653.3%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)
Ames, IA110.5064$295K
Cedar Rapids, IA210.3485$409K
Davenport-Moline-Rock Island, IA-IL410.2027$645K
Des Moines-West Des Moines, IA410.1690$24K
Dubuque, IA21−0.0071$181K
Iowa City, IA210.0364$2.2M
Omaha, NE-IA123−0.2822$1.3M
Sioux City, IA-NE-SD320.6377$594K
Waterloo-Cedar Falls, IA310.1145$18K
Outside any metro area1060.6043$711K

Every hospital in Iowa

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