P&P, Paid & Penalized

Public Medicare data, made visible.

State

Missouri

CMS cut 9 of the 62 hospitals in Missouri with a payment decision for fiscal year 2026: 14.5%, against 24.9% nationally.

Missouri · FY2026Compared with the nation

1Hospitals cut

9

Of 62 with a payment decision

2Share cut

14.5%

−10.4 pts vs the nation (24.9%)

3Rank

40th of 50

Share cut, highest first, among the states and DC

4Median score

0.0016

Nation: −0.0453

5Scored on all 6

43

Of 62 scored (69%; nation 66%)

6Scored without data

0

Hospitals CMS gave its worst score on a measure

7Estimated dollars

$7.5M estimate
2.4% of the nation’s $306M, this site’s estimate

Likely range $6.0–8.3M

8Per traditional Medicare stay

$52

The nation: $47

15% cut

Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 9 of 718 here Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 718 cut nationally · 9 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 Missouri’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. Missouri: 9 cut of 62 with a payment decision.
Mercy Hospital Joplin, Joplin: 0.1920 · not cutSSM St Joseph Health Center, Saint Charles: −0.0819 · not cutMosaic Life Care at St Joseph, Saint Joseph: 0.5018 · cutBothwell Regional Health Center, Sedalia: −0.7117 · not cutSSM Health St. Mary's Hospital - Jefferson City, Jefferson City: 0.2978 · not cutPhelps County Regional Medical Center, Rolla: 0.1753 · not cutMercy Hospital St Louis, Saint Louis: −0.3496 · not cutNortheast Regional Medical Center, Kirksville: −0.7164 · not cutMercy Hospital Jefferson, Crystal City: 0.5755 · cutTexas County Memorial Hospital, Houston: 0.0547 · not cutHannibal Regional Hospital, Hannibal: 0.8999 · cutResearch Medical Center, Kansas City: 0.3114 · not cutBarnes Jewish Hospital, Saint Louis: 0.5249 · cutBates County Memorial Hospital, Butler: −0.7521 · not cutCox Medical Centers, Springfield: 0.1253 · not cutTruman Medical Center Hospital Hill, Kansas City: 0.4370 · cutMercy Hospital Washington, Washington: 0.0875 · not cutCameron Regional Medical Center, Cameron: −0.1950 · not cutMercy Hospital Lebanon, Lebanon: −0.4223 · not cutNevada Regional Medical Center, Nevada: −0.7383 · not cutSaint Lukes North Hospital, Kansas City: 0.1635 · not cutMercy Hospital Springfield, Springfield: −0.1572 · not cutBoone Hospital Center, Columbia: −0.0542 · not cutPemiscot County Memorial Hospital, Hayti: 0.0115 · not cutMoberly Regional Medical Center, Moberly: −0.4693 · not cutMercy Hospital South, Saint Louis: −0.1816 · not cutOzarks Healthcare, West Plains: −0.3657 · not cutSSM St Clare Health Center, Fenton: 0.3141 · not cutSt Joseph Medical Center, Kansas City: −0.3710 · not cutSSM Health St Mary's Hospital - St Louis, Saint Louis: −0.0729 · not cutCox Medical Center Branson, Branson: −0.4681 · not cutCenterpoint Medical Center, Independence: −0.4546 · not cutNKC Health, North Kansas City: 0.5940 · cutWestern Missouri Medical Center, Warrensburg: 0.1778 · not cutUniversity Health Lakewood Medical Center, Kansas City: −0.2779 · not cutSSM Health Depaul Hospital St Louis, Bridgeton: −0.5429 · not cutSSM Health Saint Louis University Hospital, Saint Louis: 0.1520 · not cutMissouri Baptist Medical Center, Saint Louis: −0.2793 · not cutMercy Hospital Southeast, Cape Girardeau: −0.3915 · not cutMissouri Delta Medical Center, Sikeston: −0.0083 · not cutPoplar Bluff Regional Medical Center, Poplar Bluff: −0.7488 · not cutFreeman Health System - Freeman West, Joplin: 0.5265 · cutSt Lukes Hospital of Kansas City, Kansas City: 0.1237 · not cutUniversity of Missouri Health Care, Columbia: 0.0526 · not cutFitzgibbon Hospital, Marshall: 1.0445 · cutMercy Hospital Stoddard, Dexter: N/A · not subjectBarnes-Jewish West County Hospital, Creve Coeur: −0.6126 · not cutParkland Health Center, Farmington: 0.1911 · not cutGolden Valley Memorial Hospital, Clinton: 0.2070 · not cutSt Luke's Des Peres Hospital, Saint Louis: −0.5786 · not cutLiberty Hospital, Liberty: −0.5430 · not cutSt Lukes Hospital, Chesterfield: −0.1933 · not cutChristian Hospital Northeast, Saint Louis: 0.3501 · not cutSaint Francis Medical Center, Cape Girardeau: −0.0645 · not cutLake Regional Health System, Osage Beach: −0.2858 · not cutLee's Summit Medical Center, Lees Summit: 0.0577 · not cutBarnes-Jewish St Peters Hospital, Saint Peters: 0.3634 · not cutSt Mary's Medical Center, Blue Springs: −0.5251 · not cutCitizens Memorial Hospital, Bolivar: 0.3400 · not cutSSM St Joseph Hospital West, Lake Saint Louis: 0.3814 · cutBelton Regional Medical Center, Belton: 0.2353 · not cutSaint Luke's East Hospital, Lees Summit: −0.0568 · not cutProgress West Hospital, Ofallon: 0.1064 · not cut Mercy Hospital Joplin, Joplin: 0.1920 · not cutSSM St Joseph Health Center, Saint Charles: −0.0819 · not cutMosaic Life Care at St Joseph, Saint Joseph: 0.5018 · cutBothwell Regional Health Center, Sedalia: −0.7117 · not cutSSM Health St. Mary's Hospital - Jefferson City, Jefferson City: 0.2978 · not cutPhelps County Regional Medical Center, Rolla: 0.1753 · not cutMercy Hospital St Louis, Saint Louis: −0.3496 · not cutNortheast Regional Medical Center, Kirksville: −0.7164 · not cutMercy Hospital Jefferson, Crystal City: 0.5755 · cutTexas County Memorial Hospital, Houston: 0.0547 · not cutHannibal Regional Hospital, Hannibal: 0.8999 · cutResearch Medical Center, Kansas City: 0.3114 · not cutBarnes Jewish Hospital, Saint Louis: 0.5249 · cutBates County Memorial Hospital, Butler: −0.7521 · not cutCox Medical Centers, Springfield: 0.1253 · not cutTruman Medical Center Hospital Hill, Kansas City: 0.4370 · cutMercy Hospital Washington, Washington: 0.0875 · not cutCameron Regional Medical Center, Cameron: −0.1950 · not cutMercy Hospital Lebanon, Lebanon: −0.4223 · not cutNevada Regional Medical Center, Nevada: −0.7383 · not cutSaint Lukes North Hospital, Kansas City: 0.1635 · not cutMercy Hospital Springfield, Springfield: −0.1572 · not cutBoone Hospital Center, Columbia: −0.0542 · not cutPemiscot County Memorial Hospital, Hayti: 0.0115 · not cutMoberly Regional Medical Center, Moberly: −0.4693 · not cutMercy Hospital South, Saint Louis: −0.1816 · not cutOzarks Healthcare, West Plains: −0.3657 · not cutSSM St Clare Health Center, Fenton: 0.3141 · not cutSt Joseph Medical Center, Kansas City: −0.3710 · not cutSSM Health St Mary's Hospital - St Louis, Saint Louis: −0.0729 · not cutCox Medical Center Branson, Branson: −0.4681 · not cutCenterpoint Medical Center, Independence: −0.4546 · not cutNKC Health, North Kansas City: 0.5940 · cutWestern Missouri Medical Center, Warrensburg: 0.1778 · not cutUniversity Health Lakewood Medical Center, Kansas City: −0.2779 · not cutSSM Health Depaul Hospital St Louis, Bridgeton: −0.5429 · not cutSSM Health Saint Louis University Hospital, Saint Louis: 0.1520 · not cutMissouri Baptist Medical Center, Saint Louis: −0.2793 · not cutMercy Hospital Southeast, Cape Girardeau: −0.3915 · not cutMissouri Delta Medical Center, Sikeston: −0.0083 · not cutPoplar Bluff Regional Medical Center, Poplar Bluff: −0.7488 · not cutFreeman Health System - Freeman West, Joplin: 0.5265 · cutSt Lukes Hospital of Kansas City, Kansas City: 0.1237 · not cutUniversity of Missouri Health Care, Columbia: 0.0526 · not cutFitzgibbon Hospital, Marshall: 1.0445 · cutMercy Hospital Stoddard, Dexter: N/A · not subjectBarnes-Jewish West County Hospital, Creve Coeur: −0.6126 · not cutParkland Health Center, Farmington: 0.1911 · not cutGolden Valley Memorial Hospital, Clinton: 0.2070 · not cutSt Luke's Des Peres Hospital, Saint Louis: −0.5786 · not cutLiberty Hospital, Liberty: −0.5430 · not cutSt Lukes Hospital, Chesterfield: −0.1933 · not cutChristian Hospital Northeast, Saint Louis: 0.3501 · not cutSaint Francis Medical Center, Cape Girardeau: −0.0645 · not cutLake Regional Health System, Osage Beach: −0.2858 · not cutLee's Summit Medical Center, Lees Summit: 0.0577 · not cutBarnes-Jewish St Peters Hospital, Saint Peters: 0.3634 · not cutSt Mary's Medical Center, Blue Springs: −0.5251 · not cutCitizens Memorial Hospital, Bolivar: 0.3400 · not cutSSM St Joseph Hospital West, Lake Saint Louis: 0.3814 · cutBelton Regional Medical Center, Belton: 0.2353 · not cutSaint Luke's East Hospital, Lees Summit: −0.0568 · not cutProgress West Hospital, Ofallon: 0.1064 · not 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
Barnes Jewish HospitalSaint Louis0.5249Yes
Barnes-Jewish St Peters HospitalSaint Peters0.3634No
Barnes-Jewish West County HospitalCreve Coeur−0.6126No
Bates County Memorial HospitalButler−0.7521No
Belton Regional Medical CenterBelton0.2353No
Boone Hospital CenterColumbia−0.0542No
Bothwell Regional Health CenterSedalia−0.7117No
Cameron Regional Medical CenterCameron−0.1950No
Centerpoint Medical CenterIndependence−0.4546No
Christian Hospital NortheastSaint Louis0.3501No
Citizens Memorial HospitalBolivar0.3400No
Cox Medical Center BransonBranson−0.4681No
Cox Medical CentersSpringfield0.1253No
Fitzgibbon HospitalMarshall1.0445Yes
Freeman Health System - Freeman WestJoplin0.5265Yes
Golden Valley Memorial HospitalClinton0.2070No
Hannibal Regional HospitalHannibal0.8999Yes
Lake Regional Health SystemOsage Beach−0.2858No
Lee's Summit Medical CenterLees Summit0.0577No
Liberty HospitalLiberty−0.5430No
Mercy Hospital JeffersonCrystal City0.5755Yes
Mercy Hospital JoplinJoplin0.1920No
Mercy Hospital LebanonLebanon−0.4223No
Mercy Hospital SouthSaint Louis−0.1816No
Mercy Hospital SoutheastCape Girardeau−0.3915No
Mercy Hospital SpringfieldSpringfield−0.1572No
Mercy Hospital St LouisSaint Louis−0.3496No
Mercy Hospital StoddardDexterN/ANo
Mercy Hospital WashingtonWashington0.0875No
Missouri Baptist Medical CenterSaint Louis−0.2793No
Missouri Delta Medical CenterSikeston−0.0083No
Moberly Regional Medical CenterMoberly−0.4693No
Mosaic Life Care at St JosephSaint Joseph0.5018Yes
Nevada Regional Medical CenterNevada−0.7383No
NKC HealthNorth Kansas City0.5940Yes
Northeast Regional Medical CenterKirksville−0.7164No
Ozarks HealthcareWest Plains−0.3657No
Parkland Health CenterFarmington0.1911No
Pemiscot County Memorial HospitalHayti0.0115No
Phelps County Regional Medical CenterRolla0.1753No
Poplar Bluff Regional Medical CenterPoplar Bluff−0.7488No
Progress West HospitalOfallon0.1064No
Research Medical CenterKansas City0.3114No
Saint Francis Medical CenterCape Girardeau−0.0645No
Saint Luke's East HospitalLees Summit−0.0568No
Saint Lukes North HospitalKansas City0.1635No
SSM Health Depaul Hospital St LouisBridgeton−0.5429No
SSM Health Saint Louis University HospitalSaint Louis0.1520No
SSM Health St Mary's Hospital - St LouisSaint Louis−0.0729No
SSM Health St. Mary's Hospital - Jefferson CityJefferson City0.2978No
SSM St Clare Health CenterFenton0.3141No
SSM St Joseph Health CenterSaint Charles−0.0819No
SSM St Joseph Hospital WestLake Saint Louis0.3814Yes
St Joseph Medical CenterKansas City−0.3710No
St Luke's Des Peres HospitalSaint Louis−0.5786No
St Lukes HospitalChesterfield−0.1933No
St Lukes Hospital of Kansas CityKansas City0.1237No
St Mary's Medical CenterBlue Springs−0.5251No
Texas County Memorial HospitalHouston0.0547No
Truman Medical Center Hospital HillKansas City0.4370Yes
University Health Lakewood Medical CenterKansas City−0.2779No
University of Missouri Health CareColumbia0.0526No
Western Missouri Medical CenterWarrensburg0.1778No

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. 14.5% of hospitals here scored past CMS’s line, against 24.9% nationally; the middle score here is 0.0016, 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: 8% here, 7% nationally−0.6 to −0.4: 15% here, 10% nationally−0.4 to −0.2: 11% here, 12% nationally−0.2 to 0.0: 15% here, 14% nationally0.0 to 0.2: 21% here, 12% nationally0.2 to 0.4: 16% here, 12% nationally0.4 to 0.6: 10% here, 8% nationally0.6 to 0.8: 2% here, 6% nationally0.8 to 1.0: 2% here, 4% nationally1.0 to 1.2: 2% here, 3% nationally1.2 to 1.4: 0% here, 1% nationally1.4 to 1.6: 0% 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%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: 8% here, 7% nationally−0.6 to −0.4: 15% here, 10% nationally−0.4 to −0.2: 11% here, 12% nationally−0.2 to 0.0: 15% here, 14% nationally0.0 to 0.2: 21% here, 12% nationally0.2 to 0.4: 16% here, 12% nationally0.4 to 0.6: 10% here, 8% nationally0.6 to 0.8: 2% here, 6% nationally0.8 to 1.0: 2% here, 4% nationally1.0 to 1.2: 2% here, 3% nationally1.2 to 1.4: 0% here, 1% nationally1.4 to 1.6: 0% 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
−1.6−1.4040
−1.4−1.2017
−1.2−1.0051
−1.0−0.80126
−0.8−0.65204
−0.6−0.49290
−0.4−0.27357
−0.20.09407
0.00.213343
0.20.410333
0.40.66237
0.60.81173
0.81.01116
1.01.2191
1.21.4030
1.41.6021
1.61.8010
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 MRSA (57% of its hospitals above the national median); best on CDI (46%).

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

Show table
MeasureHospitals with a valueHalf
PSI 906256%
CLABSI4856%
CAUTI5353%
SSI5353%
CDI6146%
MRSA4657%

Missouri across the line

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

Figure 4. 4 of the nation’s 141 hospitals within 0.05 of CMS’s line that this site estimates are Missouri’s: 1 cut, about $249K by this site’s estimate, and 3 not cut, where a cut would have been about $743K.
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 Citizens Memorial Hospital, Bolivar, MO: score 0.34; a cut would have been $74KChristian Hospital Northeast, Saint Louis, MO: score 0.3501; a cut would have been $446KBarnes-Jewish St Peters Hospital, Saint Peters, MO: score 0.3634; a cut would have been $223KSSM St Joseph Hospital West, Lake Saint Louis, MO: score 0.3814; cut $249K 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

Missouri, year by year

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

Figure 5. Missouri’s share cut was above the nation’s in 3 of the 11 years CMS cut anyone; 51 of its 75 hospitals have been cut at least once.
201520162017201820192020202120222023202420252026 No hospital scored or cut 25.3% · 21.9%21.9% · 23.4%16.4% · 24.0%12.5% · 23.6%23.6% · 25.0%27.1% · 25.0%27.5% · 24.9%23.5% · 25.0%24.2% · 24.9%20.6% · 24.8%14.5% · 24.9% Ever cut: 51 Never cut: 24 201520162017201820192020202120222023202420252026 No hospital scored or cut 25.3% · 21.9%21.9% · 23.4%16.4% · 24.0%12.5% · 23.6%23.6% · 25.0%27.1% · 25.0%27.5% · 24.9%23.5% · 25.0%24.2% · 24.9%20.6% · 24.8%14.5% · 24.9% Ever cut: 51 Never cut: 24

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
FY2015751925.3%21.9%
FY2016731621.9%23.4%
FY2017731216.4%24.0%
FY201872912.5%23.6%
FY2019721723.6%25.0%
FY2020701927.1%25.0%
FY2021691927.5%24.9%
FY2022681623.5%25.0%
FY202300
FY2024661624.2%24.9%
FY2025631320.6%24.8%
FY202662914.5%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)
Cape Girardeau, MO-IL20−0.2280$0
Columbia, MO20−0.0008$0
Jefferson City, MO100.2978$0
Joplin, MO-KS310.1920$588K
Kansas City, MO-KS286−0.1180$2.3M
Springfield, MO300.1253$0
St. Joseph, MO-KS110.5018$932K
St. Louis, MO-IL273−0.1591$4.5M
Outside any metro area182−0.1471$315K

Every hospital in Missouri

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