P&P, Paid & Penalized

Public Medicare data, made visible.

State

Kentucky

CMS cut 21 of the 56 hospitals in Kentucky with a payment decision for fiscal year 2026: 37.5%, against 24.9% nationally.

Kentucky · FY2026Compared with the nation

1Hospitals cut

21

Of 56 with a payment decision

2Share cut

37.5%

+12.6 pts vs the nation (24.9%)

3Rank

13th of 50

Share cut, highest first, among the states and DC

4Median score

0.1861

Nation: −0.0453

5Scored on all 6

34

Of 56 scored (61%; nation 66%)

6Scored without data

0

Hospitals CMS gave its worst score on a measure

7Estimated dollars

$8.8M estimate
2.9% of the nation’s $306M, this site’s estimate

Likely range $7.1–9.8M

8Per traditional Medicare stay

$88

The nation: $47

38% cut

Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 21 of 718 here Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 718 cut nationally · 21 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 Kentucky’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. Kentucky: 21 cut of 56 with a payment decision.
St Elizabeth Ft Thomas, Fort Thomas: −0.0730 · not cutWhitesburg ARH Hospital, Whitesburg: −0.5670 · not cutOwensboro Health Muhlenberg Community Hospital, Greenville: 0.1128 · not cutHighlands ARH Regional Medical Center, Prestonsburg: 0.4116 · cutKing's Daughters' Medical Center, Ashland: 0.5316 · cutSaint Joseph Hospital, Lexington: −0.2718 · not cutSaint Joseph London, London: −0.3937 · not cutBaptist Health Hardin, Elizabethtown: 0.4031 · cutThe Medical Center (Bowling Green), Bowling Green: 0.5805 · cutUofL Health - Shelbyville Hospital, Shelbyville: −0.2788 · not cutT J Samson Community Hospital, Glasgow: −1.0950 · not cutSt Claire Regional Medical Center, Morehead: 0.0396 · not cutMeadowview Regional Medical Center, Maysville: −0.2068 · not cutMiddlesboro ARH Hospital, Middlesboro: 0.1133 · not cutSpring View Hospital, Lebanon: −0.7900 · not cutCHI Saint Joseph Flaget Memorial Hospital, Bardstown: 0.5378 · cutMurray-Calloway County Hospital, Murray: 0.3966 · cutHazard ARH Regional Medical Center, Hazard: 0.5086 · cutSt Elizabeth Edgewood, Edgewood: 0.1806 · not cutOwensboro Health Regional Hospital, Owensboro: 0.1925 · not cutUOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital, Louisville: 0.6917 · cutAdventHealthManchester, Manchester: 0.4460 · cutPikeville Medical Center, Pikeville: 1.0519 · cutSt Elizabeth Florence, Florence: −0.1041 · not cutBourbon Community Hospital, Paris: N/A · not subjectEphraim McDowell Regional Medical Center, Danville: 0.3383 · not cutBaptist Health Richmond, Richmond: −0.8727 · not cutHarlan ARH Hospital, Harlan: 0.5562 · cutJennie Stuart Medical Center, Hopkinsville: 1.0681 · cutDeaconess Henderson Hospital, Henderson: −0.0870 · not cutSaint Joseph Mount Sterling, Mount Sterling: 1.0215 · cutThe Medical Center at Russellville, Russellville: 0.1916 · not cutUniversity of Kentucky Hospital, Lexington: 0.3966 · cutTug Valley ARH Regional Medical Center, South Williamson: −0.3108 · not cutOwensboro Health Twin Lakes Medical Center, Leitchfield: 0.2749 · not cutPaintsville ARH Hospital, Paintsville: −0.8061 · not cutHarrison Memorial Hospital, Cynthiana: −0.1056 · not cutBaptist Health Corbin, Corbin: 0.2333 · not cutTaylor Regional Hospital, Campbellsville: 1.2645 · cutNorton Hospitals, Inc, Louisville: 0.4739 · cutClark Regional Medical Center, Winchester: −1.0072 · not cutBaptist Health Deaconess Madisonville, Madisonville: −0.3353 · not cutGeorgetown Community Hospital, Georgetown: 0.1743 · not cutMercy Health - Lourdes Hospital, Paducah: 0.1966 · not cutBaptist Health Lexington, Lexington: 0.2194 · not cutBaptist Health Paducah, Paducah: 0.5755 · cutMonroe County Medical Center, Tompkinsville: 1.6665 · cutRockcastle County Hospital, Inc., Mount Vernon: 1.1268 · cutJackson Purchase Medical Center, Mayfield: 1.0693 · cutTristar Greenview Regional Hospital, Bowling Green: 0.1739 · not cutFrankfort Regional Medical Center, Frankfort: −0.7662 · not cutThree Rivers Medical Center, Louisa: −0.6938 · not cutBaptist Health Louisville, Louisville: 0.1084 · not cutLake Cumberland Regional Hospital, Somerset: −0.2727 · not cutBaptist Health Lagrange, La Grange: −0.0692 · not cutUniversity of Louisville Hospital, Louisville: 0.7073 · cutSaint Joseph East, Lexington: −0.8469 · not cutTJ Health Columbia, Columbia: N/A · not subjectPineville Community Health Center, Inc, Pineville: N/A · not subject St Elizabeth Ft Thomas, Fort Thomas: −0.0730 · not cutWhitesburg ARH Hospital, Whitesburg: −0.5670 · not cutOwensboro Health Muhlenberg Community Hospital, Greenville: 0.1128 · not cutHighlands ARH Regional Medical Center, Prestonsburg: 0.4116 · cutKing's Daughters' Medical Center, Ashland: 0.5316 · cutSaint Joseph Hospital, Lexington: −0.2718 · not cutSaint Joseph London, London: −0.3937 · not cutBaptist Health Hardin, Elizabethtown: 0.4031 · cutThe Medical Center (Bowling Green), Bowling Green: 0.5805 · cutUofL Health - Shelbyville Hospital, Shelbyville: −0.2788 · not cutT J Samson Community Hospital, Glasgow: −1.0950 · not cutSt Claire Regional Medical Center, Morehead: 0.0396 · not cutMeadowview Regional Medical Center, Maysville: −0.2068 · not cutMiddlesboro ARH Hospital, Middlesboro: 0.1133 · not cutSpring View Hospital, Lebanon: −0.7900 · not cutCHI Saint Joseph Flaget Memorial Hospital, Bardstown: 0.5378 · cutMurray-Calloway County Hospital, Murray: 0.3966 · cutHazard ARH Regional Medical Center, Hazard: 0.5086 · cutSt Elizabeth Edgewood, Edgewood: 0.1806 · not cutOwensboro Health Regional Hospital, Owensboro: 0.1925 · not cutUOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital, Louisville: 0.6917 · cutAdventHealthManchester, Manchester: 0.4460 · cutPikeville Medical Center, Pikeville: 1.0519 · cutSt Elizabeth Florence, Florence: −0.1041 · not cutBourbon Community Hospital, Paris: N/A · not subjectEphraim McDowell Regional Medical Center, Danville: 0.3383 · not cutBaptist Health Richmond, Richmond: −0.8727 · not cutHarlan ARH Hospital, Harlan: 0.5562 · cutJennie Stuart Medical Center, Hopkinsville: 1.0681 · cutDeaconess Henderson Hospital, Henderson: −0.0870 · not cutSaint Joseph Mount Sterling, Mount Sterling: 1.0215 · cutThe Medical Center at Russellville, Russellville: 0.1916 · not cutUniversity of Kentucky Hospital, Lexington: 0.3966 · cutTug Valley ARH Regional Medical Center, South Williamson: −0.3108 · not cutOwensboro Health Twin Lakes Medical Center, Leitchfield: 0.2749 · not cutPaintsville ARH Hospital, Paintsville: −0.8061 · not cutHarrison Memorial Hospital, Cynthiana: −0.1056 · not cutBaptist Health Corbin, Corbin: 0.2333 · not cutTaylor Regional Hospital, Campbellsville: 1.2645 · cutNorton Hospitals, Inc, Louisville: 0.4739 · cutClark Regional Medical Center, Winchester: −1.0072 · not cutBaptist Health Deaconess Madisonville, Madisonville: −0.3353 · not cutGeorgetown Community Hospital, Georgetown: 0.1743 · not cutMercy Health - Lourdes Hospital, Paducah: 0.1966 · not cutBaptist Health Lexington, Lexington: 0.2194 · not cutBaptist Health Paducah, Paducah: 0.5755 · cutMonroe County Medical Center, Tompkinsville: 1.6665 · cutRockcastle County Hospital, Inc., Mount Vernon: 1.1268 · cutJackson Purchase Medical Center, Mayfield: 1.0693 · cutTristar Greenview Regional Hospital, Bowling Green: 0.1739 · not cutFrankfort Regional Medical Center, Frankfort: −0.7662 · not cutThree Rivers Medical Center, Louisa: −0.6938 · not cutBaptist Health Louisville, Louisville: 0.1084 · not cutLake Cumberland Regional Hospital, Somerset: −0.2727 · not cutBaptist Health Lagrange, La Grange: −0.0692 · not cutUniversity of Louisville Hospital, Louisville: 0.7073 · cutSaint Joseph East, Lexington: −0.8469 · not cutTJ Health Columbia, Columbia: N/A · not subjectPineville Community Health Center, Inc, Pineville: N/A · not subject
  • 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
AdventHealthManchesterManchester0.4460Yes
Baptist Health CorbinCorbin0.2333No
Baptist Health Deaconess MadisonvilleMadisonville−0.3353No
Baptist Health HardinElizabethtown0.4031Yes
Baptist Health LagrangeLa Grange−0.0692No
Baptist Health LexingtonLexington0.2194No
Baptist Health LouisvilleLouisville0.1084No
Baptist Health PaducahPaducah0.5755Yes
Baptist Health RichmondRichmond−0.8727No
Bourbon Community HospitalParisN/ANo
CHI Saint Joseph Flaget Memorial HospitalBardstown0.5378Yes
Clark Regional Medical CenterWinchester−1.0072No
Deaconess Henderson HospitalHenderson−0.0870No
Ephraim McDowell Regional Medical CenterDanville0.3383No
Frankfort Regional Medical CenterFrankfort−0.7662No
Georgetown Community HospitalGeorgetown0.1743No
Harlan ARH HospitalHarlan0.5562Yes
Harrison Memorial HospitalCynthiana−0.1056No
Hazard ARH Regional Medical CenterHazard0.5086Yes
Highlands ARH Regional Medical CenterPrestonsburg0.4116Yes
Jackson Purchase Medical CenterMayfield1.0693Yes
Jennie Stuart Medical CenterHopkinsville1.0681Yes
King's Daughters' Medical CenterAshland0.5316Yes
Lake Cumberland Regional HospitalSomerset−0.2727No
Meadowview Regional Medical CenterMaysville−0.2068No
Mercy Health - Lourdes HospitalPaducah0.1966No
Middlesboro ARH HospitalMiddlesboro0.1133No
Monroe County Medical CenterTompkinsville1.6665Yes
Murray-Calloway County HospitalMurray0.3966Yes
Norton Hospitals, IncLouisville0.4739Yes
Owensboro Health Muhlenberg Community HospitalGreenville0.1128No
Owensboro Health Regional HospitalOwensboro0.1925No
Owensboro Health Twin Lakes Medical CenterLeitchfield0.2749No
Paintsville ARH HospitalPaintsville−0.8061No
Pikeville Medical CenterPikeville1.0519Yes
Pineville Community Health Center, IncPinevilleN/ANo
Rockcastle County Hospital, Inc.Mount Vernon1.1268Yes
Saint Joseph EastLexington−0.8469No
Saint Joseph HospitalLexington−0.2718No
Saint Joseph LondonLondon−0.3937No
Saint Joseph Mount SterlingMount Sterling1.0215Yes
Spring View HospitalLebanon−0.7900No
St Claire Regional Medical CenterMorehead0.0396No
St Elizabeth EdgewoodEdgewood0.1806No
St Elizabeth FlorenceFlorence−0.1041No
St Elizabeth Ft ThomasFort Thomas−0.0730No
T J Samson Community HospitalGlasgow−1.0950No
Taylor Regional HospitalCampbellsville1.2645Yes
The Medical Center (Bowling Green)Bowling Green0.5805Yes
The Medical Center at RussellvilleRussellville0.1916No
Three Rivers Medical CenterLouisa−0.6938No
TJ Health ColumbiaColumbiaN/ANo
Tristar Greenview Regional HospitalBowling Green0.1739No
Tug Valley ARH Regional Medical CenterSouth Williamson−0.3108No
University of Kentucky HospitalLexington0.3966Yes
University of Louisville HospitalLouisville0.7073Yes
UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth HospitalLouisville0.6917Yes
UofL Health - Shelbyville HospitalShelbyville−0.2788No
Whitesburg ARH HospitalWhitesburg−0.5670No

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. 37.5% of hospitals here scored past CMS’s line, against 24.9% nationally; the middle score here is 0.1861, 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: 2% here, 2% nationally−1.0 to −0.8: 5% here, 4% nationally−0.8 to −0.6: 7% here, 7% nationally−0.6 to −0.4: 2% here, 10% nationally−0.4 to −0.2: 11% here, 12% nationally−0.2 to 0.0: 11% here, 14% nationally0.0 to 0.2: 13% here, 12% nationally0.2 to 0.4: 13% here, 12% nationally0.4 to 0.6: 20% here, 8% nationally0.6 to 0.8: 5% here, 6% nationally0.8 to 1.0: 0% here, 4% nationally1.0 to 1.2: 9% here, 3% nationally1.2 to 1.4: 2% here, 1% nationally1.4 to 1.6: 0% here, 1% nationally1.6 to 1.8: 2% 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%20% −1.6 to −1.4: 0% here, 1% nationally−1.4 to −1.2: 0% here, 1% nationally−1.2 to −1.0: 2% here, 2% nationally−1.0 to −0.8: 5% here, 4% nationally−0.8 to −0.6: 7% here, 7% nationally−0.6 to −0.4: 2% here, 10% nationally−0.4 to −0.2: 11% here, 12% nationally−0.2 to 0.0: 11% here, 14% nationally0.0 to 0.2: 13% here, 12% nationally0.2 to 0.4: 13% here, 12% nationally0.4 to 0.6: 20% here, 8% nationally0.6 to 0.8: 5% here, 6% nationally0.8 to 1.0: 0% here, 4% nationally1.0 to 1.2: 9% here, 3% nationally1.2 to 1.4: 2% here, 1% nationally1.4 to 1.6: 0% here, 1% nationally1.6 to 1.8: 2% 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
−1.6−1.4040
−1.4−1.2017
−1.2−1.0151
−1.0−0.83126
−0.8−0.64204
−0.6−0.41290
−0.4−0.26357
−0.20.06407
0.00.27343
0.20.47333
0.40.611237
0.60.83173
0.81.00116
1.01.2591
1.21.4130
1.41.6021
1.61.8110
1.82.003
2.02.2013
2.22.4024

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 (71% of its hospitals above the national median); best on CAUTI (42%).

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

Show table
MeasureHospitals with a valueHalf
PSI 905564%
CLABSI3871%
CAUTI4342%
SSI4058%
CDI5645%
MRSA3669%

Kentucky across the line

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

Figure 4. 5 of the nation’s 141 hospitals within 0.05 of CMS’s line that this site estimates are Kentucky’s: 4 cut, about $2.2M by this site’s estimate, and 1 not cut, where a cut would have been about $195K.
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 Ephraim McDowell Regional Medical Center, Danville, KY: score 0.3383; a cut would have been $195KMurray-Calloway County Hospital, Murray, KY: score 0.3966; cut $150KUniversity of Kentucky Hospital, Lexington, KY: score 0.3966; cut $1.6MBaptist Health Hardin, Elizabethtown, KY: score 0.4031; cut $388KHighlands ARH Regional Medical Center, Prestonsburg, KY: score 0.4116; cut $62K 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

Kentucky, year by year

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

Figure 5. Kentucky’s share cut was above the nation’s in 7 of the 11 years CMS cut anyone; 50 of its 66 hospitals have been cut at least once.
201520162017201820192020202120222023202420252026 No hospital scored or cut 15.4% · 21.9%13.8% · 23.4%17.2% · 24.0%26.6% · 23.6%29.7% · 25.0%28.1% · 25.0%19.4% · 24.9%32.8% · 25.0%36.7% · 24.9%35.6% · 24.8%37.5% · 24.9% Ever cut: 50 Never cut: 16 201520162017201820192020202120222023202420252026 No hospital scored or cut 15.4% · 21.9%13.8% · 23.4%17.2% · 24.0%26.6% · 23.6%29.7% · 25.0%28.1% · 25.0%19.4% · 24.9%32.8% · 25.0%36.7% · 24.9%35.6% · 24.8%37.5% · 24.9% Ever cut: 50 Never cut: 16

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
FY2015651015.4%21.9%
FY201665913.8%23.4%
FY2017641117.2%24.0%
FY2018641726.6%23.6%
FY2019641929.7%25.0%
FY2020641828.1%25.0%
FY2021621219.4%24.9%
FY2022612032.8%25.0%
FY202300
FY2024602236.7%24.9%
FY2025592135.6%24.8%
FY2026562137.5%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)
Bowling Green, KY210.3772$628K
Cincinnati, OH-KY-IN171−0.0730$38K
Clarksville, TN-KY210.7201$96K
Elizabethtown, KY110.4031$388K
Huntington-Ashland, WV-KY-OH420.3921$1.2M
Lexington-Fayette, KY61−0.0487$1.6M
Louisville/Jefferson County, KY-IN1040.2257$4.0M
Owensboro, KY100.1925$0
Paducah, KY-IL210.3861$395K
Outside any metro area31110.1133$1.2M

Every hospital in Kentucky

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

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