State

North Carolina

CMS cut 20 of the 79 hospitals in North Carolina with a payment decision for fiscal year 2026: 25.3%, against 24.9% nationally.

North Carolina · FY2026Compared with the nation

1Hospitals cut

Of 79 with a payment decision

2Share cut

25.3%

+0.4 pts vs the nation (24.9%)

3Rank

27th of 50

Share cut, highest first, among the states and DC

4Median score

0.0502

Nation: −0.0453

5Scored on all 6

Of 79 scored (77%; nation 66%)

6Scored without data

Hospitals CMS gave its worst score on a measure

7Estimated dollars

$6.4M estimate

2.1% of the nation’s $306M, this site’s estimate

Likely range $5.1–7.3M

8Per traditional Medicare stay

$33

The nation: $47

25% 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 North Carolina’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. North Carolina: 20 cut of 79 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
AdventHealth Hendersonville	Hendersonville	0.1073	No
Alamance Regional Medical Center	Burlington	0.1862	No
Atrium Health Anson	Wadesboro	N/A	No
Atrium Health Cleveland	Shelby	−0.1306	No
Atrium Health Lincoln	Lincolnton	0.4868	Yes
Atrium Health Pineville	Charlotte	−0.0724	No
Atrium Health Union	Monroe	0.0437	No
Atrium Health University City	Charlotte	0.1904	No
Betsy Johnson Regional Hospital	Dunn	0.6104	Yes
Blue Ridge Healthcare Hospitals, Inc	Morganton	−0.4048	No
Caldwell Memorial Hospital	Lenoir	0.8964	Yes
Cape Fear Valley Hoke Hospital	Raeford	−0.1544	No
Cape Fear Valley Medical Center	Fayetteville	0.8061	Yes
Carolina East Medical Center	New Bern	−0.3772	No
Carolinas Medical Center-Northeast	Concord	−0.0797	No
Carolinas Medical Center/Behav Health	Charlotte	0.0606	No
Caromont Regional Medical Center	Gastonia	−0.5320	No
Carteret General Hospital	Morehead City	1.4007	Yes
Catawba Valley Medical Center	Hickory	−0.4279	No
Central Carolina Hospital	Sanford	−0.0156	No
Cherokee Indian Hospital Authority	Cherokee	−0.0992	No
Columbus Regional Healthcare System	Whiteville	0.9299	Yes
Duke Health Lake Norman Hospital	Mooresville	−0.4174	No
Duke Regional Hospital	Durham	−0.3071	No
Duke University Hospital	Durham	0.3547	No
ECU Health Medical Center	Greenville	0.0502	No
ECU Health North Hospital	Roanoke Rapids	−0.0012	No
Firsthealth Moore Regional Hospital	Pinehurst	−0.4996	No
Frye Regional Medical Center	Hickory	0.2464	No
Granville Health Systems	Oxford	0.8198	Yes
Harris Regional Hospital	Sylva	0.0629	No
Haywood Regional Medical Center	Clyde	−0.5431	No
High Point Regional Health System	High Point	0.3810	Yes
Hugh Chatham Memorial Hospital	Elkin	−0.1691	No
Iredell Memorial Hospital Inc	Statesville	0.1545	No
Johnston Health	Smithfield	0.3447	No
Lexington Memorial Hospital Inc	Lexington	0.6702	Yes
Maria Parham Medical Center	Henderson	−0.8484	No
Memorial Mission Hospital and Asheville Surgery Ce	Asheville	−0.4110	No
Moses H. Cone Memorial Hospital, The	Greensboro	−0.2097	No
North Carolina Baptist Hospital	Winston-Salem	0.6105	Yes
North Carolina Specialty Hospital	Durham	−0.9478	No
Northern Regional Hospital	Mount Airy	−0.1907	No
Novant Health Ballantyne Medical Center	Charlotte	−0.3199	No
Novant Health Brunswick Medical Center	Supply	−0.5165	No
Novant Health Forsyth Medical Center	Winston-Salem	−0.2189	No
Novant Health Huntersville Medical Center	Huntersville	−0.1442	No
Novant Health Matthews Medical Center	Matthews	0.0596	No
Novant Health Medical Park Hospital	Winston-Salem	−1.1460	No
Novant Health Mint Hill Medical Center	Charlotte	−0.5715	No
Novant Health New Hanover Regional Medical Center	Wilmington	0.3485	No
Novant Health Presbyterian Medical Center	Charlotte	−0.2387	No
Novant Health Rowan Medical Center	Salisbury	−0.5199	No
Novant Health Thomasville Medical Center	Thomasville	−0.1672	No
Onslow Memorial Hospital	Jacksonville	0.1833	No
Pardee Hospital Henderson County	Hendersonville	−0.1523	No
Person Memorial Hospital	Roxboro	−0.0968	No
Randolph Hospital	Asheboro	−0.4334	No
Rex Hospital	Raleigh	0.5908	Yes
Rutherford Regional Medical Center	Rutherfordton	0.3283	No
Sampson Regional Medical Center	Clinton	0.4316	Yes
Scotland Memorial Hospital	Laurinburg	0.6359	Yes
Sentara Albemarle Medical Center	Elizabeth City	0.3005	No
Southeastern Regional Medical Center	Lumberton	−0.1212	No
Stanly Regional Medical Center	Albemarle	−0.2761	No
The McDowell Hospital	Marion	1.2376	Yes
UNC Health Care Wayne	Goldsboro	0.5234	Yes
UNC Health Nash	Rocky Mount	0.3505	No
UNC Hospitals	Chapel Hill	0.3655	No
UNC Lenoir Health Care	Kinston	0.3792	No
UNC Rockingham	Eden	−0.5579	No
Vidant Duplin Hospital	Kenansville	0.7830	Yes
Vidant Edgecombe Hospital	Tarboro	0.5118	Yes
Vidant Roanoke Chowan Hospital	Ahoskie	0.2676	No
Wakemed, Cary Hospital	Cary	−0.1307	No
Wakemed, Raleigh Campus	Raleigh	−0.2779	No
Watauga Medical Center	Boone	0.2806	No
Wilkes Regional Medical Center	North Wilkesboro	0.5764	Yes
Wilmington Treatment Center	Wilmington	2.2091	Yes
Wilson Medical Center	Wilson	0.8296	Yes

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. 25.3% of hospitals here scored past CMS’s line, against 24.9% nationally; the middle score here is 0.0502, 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	0	40
−1.4	−1.2	0	17
−1.2	−1.0	1	51
−1.0	−0.8	2	126
−0.8	−0.6	0	204
−0.6	−0.4	10	290
−0.4	−0.2	9	357
−0.2	0.0	14	407
0.0	0.2	9	343
0.2	0.4	14	333
0.4	0.6	6	237
0.6	0.8	5	173
0.8	1.0	6	116
1.0	1.2	0	91
1.2	1.4	1	30
1.4	1.6	1	21
1.6	1.8	0	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 CAUTI (68% of its hospitals above the national median); best on CDI (42%).

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

Show table

Measure	Hospitals with a value	Half
PSI 90	76	46%
CLABSI	66	59%
CAUTI	72	68%
SSI	67	55%
CDI	78	42%
MRSA	66	59%

North Carolina across the line

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

Figure 4. 7 of the nation’s 141 hospitals within 0.05 of CMS’s line that this site estimates are North Carolina’s: 1 cut, about $266K by this site’s estimate, and 6 not cut, where a cut would have been about $8.2M.

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

North Carolina, year by year

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

Figure 5. North Carolina’s share cut was above the nation’s in 5 of the 11 years CMS cut anyone; 69 of its 88 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	84	17	20.2%	21.9%
FY2016	84	15	17.9%	23.4%
FY2017	84	19	22.6%	24.0%
FY2018	85	20	23.5%	23.6%
FY2019	84	21	25.0%	25.0%
FY2020	84	21	25.0%	25.0%
FY2021	84	26	31.0%	24.9%
FY2022	84	24	28.6%	25.0%
FY2023	0	0
FY2024	81	24	29.6%	24.9%
FY2025	80	23	28.8%	24.8%
FY2026	79	20	25.3%	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)
Asheville, NC	3	0	0.0%	−0.1523	$0
Burlington, NC	1	0	0.0%	0.1862	$0
Charlotte-Concord-Gastonia, NC-SC	19	1	5.3%	−0.1602	$149K
Durham-Chapel Hill, NC	5	0	0.0%	−0.0968	$0
Fayetteville, NC	2	1	50.0%	0.3259	$1.0M
Goldsboro, NC	1	1	100.0%	0.5234	$299K
Greensboro-High Point, NC	4	1	25.0%	−0.3216	$266K
Greenville, NC	1	0	0.0%	0.0502	$0
Hickory-Lenoir-Morganton, NC	4	1	25.0%	−0.0792	$117K
Jacksonville, NC	1	0	0.0%	0.1833	$0
Pinehurst-Southern Pines, NC	1	0	0.0%	−0.4996	$0
Raleigh-Cary, NC	4	1	25.0%	0.1070	$1.2M
Rocky Mount, NC	2	1	50.0%	0.4312	$108K
Wilmington, NC	3	1	33.3%	0.3485	$30K
Winston-Salem, NC	5	2	40.0%	−0.1672	$2.1M
Outside any metro area	26	10	38.5%	0.2906	$1.2M

Every hospital in North Carolina

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

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Every hospital in CMS’s file in North Carolina, 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. North Carolina: hospital-acquired conditions, FY2026. https://paidandpenalized.org/hacrp/state/nc/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.