P&P, Paid & Penalized

Public Medicare data, made visible.

State

North Dakota

CMS cut 1 of the 6 hospitals in North Dakota with a payment decision for fiscal year 2026: 16.7%, against 24.9% nationally.

A share of a handful of hospitals moves a long way with one hospital; read it with its counts.

North Dakota · FY2026Compared with the nation

1Hospitals cut

1

Of 6 with a payment decision

2Share cut

16.7%

−8.2 pts vs the nation (24.9%)

3Rank

38th of 50

Share cut, highest first, among the states and DC

4Median score

−0.2361

Nation: −0.0453

5Scored on all 6

6

Of 6 scored (100%; nation 66%)

6Scored without data

0

Hospitals CMS gave its worst score on a measure

7Estimated dollars

$326K estimate
0.1% of the nation’s $306M, this site’s estimate

Likely range $249–410K

8Per traditional Medicare stay

$15

The nation: $47

17% cut

Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 1 of 718 here Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 718 cut nationally · 1 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 North Dakota’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 Dakota: 1 cut of 6 with a payment decision.
CHI St Alexius Health, Bismarck: 0.8100 · cutTrinity Hospitals, Minot: −0.3037 · not cutSanford Medical Center Fargo, Fargo: −0.3139 · not cutSanford Medical Center Bismarck, Bismarck: −0.1685 · not cutAltru Hospital, Grand Forks: −0.0753 · not cutP H S Indian Hosp at Belcourt-Quentin N Burdick, Belcourt: N/A · not subjectEssentia Health, Fargo: −0.5119 · not cut CHI St Alexius Health, Bismarck: 0.8100 · cutTrinity Hospitals, Minot: −0.3037 · not cutSanford Medical Center Fargo, Fargo: −0.3139 · not cutSanford Medical Center Bismarck, Bismarck: −0.1685 · not cutAltru Hospital, Grand Forks: −0.0753 · not cutP H S Indian Hosp at Belcourt-Quentin N Burdick, Belcourt: N/A · not subjectEssentia Health, Fargo: −0.5119 · 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
Altru HospitalGrand Forks−0.0753No
CHI St Alexius HealthBismarck0.8100Yes
Essentia HealthFargo−0.5119No
P H S Indian Hosp at Belcourt-Quentin N BurdickBelcourtN/ANo
Sanford Medical Center BismarckBismarck−0.1685No
Sanford Medical Center FargoFargo−0.3139No
Trinity HospitalsMinot−0.3037No

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. 16.7% of hospitals here scored past CMS’s line, against 24.9% nationally; the middle score here is −0.2361, and nationally −0.0453.
0%10%20%30% −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: 0% here, 7% nationally−0.6 to −0.4: 17% here, 10% nationally−0.4 to −0.2: 33% here, 12% nationally−0.2 to 0.0: 33% here, 14% nationally0.0 to 0.2: 0% here, 12% nationally0.2 to 0.4: 0% here, 12% nationally0.4 to 0.6: 0% here, 8% nationally0.6 to 0.8: 0% here, 6% nationally0.8 to 1.0: 17% here, 4% nationally1.0 to 1.2: 0% 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%10%20%30% −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: 0% here, 7% nationally−0.6 to −0.4: 17% here, 10% nationally−0.4 to −0.2: 33% here, 12% nationally−0.2 to 0.0: 33% here, 14% nationally0.0 to 0.2: 0% here, 12% nationally0.2 to 0.4: 0% here, 12% nationally0.4 to 0.6: 0% here, 8% nationally0.6 to 0.8: 0% here, 6% nationally0.8 to 1.0: 17% here, 4% nationally1.0 to 1.2: 0% 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
−0.8−0.60204
−0.6−0.41290
−0.4−0.22357
−0.20.02407
0.00.20343
0.20.40333
0.40.60237
0.60.80173
0.81.01116
1.01.2091
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 SSI (83% of its hospitals above the national median); best on MRSA (17%).

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

Show table
MeasureHospitals with a valueHalf
PSI 90667%
CLABSI650%
CAUTI633%
SSI683%
CDI650%
MRSA617%

North Dakota, year by year

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

Figure 4. North Dakota’s share cut was above the nation’s in 4 of the 11 years CMS cut anyone; 6 of its 8 hospitals have been cut at least once.
201520162017201820192020202120222023202420252026 No hospital scored or cut 14.3% · 21.9%16.7% · 23.4%14.3% · 24.0%12.5% · 23.6%50.0% · 25.0%37.5% · 25.0%28.6% · 24.9%28.6% · 25.0%0.0% · 24.9%14.3% · 24.8%16.7% · 24.9% Ever cut: 6 Never cut: 2 201520162017201820192020202120222023202420252026 No hospital scored or cut 14.3% · 21.9%16.7% · 23.4%14.3% · 24.0%12.5% · 23.6%50.0% · 25.0%37.5% · 25.0%28.6% · 24.9%28.6% · 25.0%0.0% · 24.9%14.3% · 24.8%16.7% · 24.9% Ever cut: 6 Never cut: 2

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
FY20157114.3%21.9%
FY20166116.7%23.4%
FY20177114.3%24.0%
FY20188112.5%23.6%
FY20198450.0%25.0%
FY20208337.5%25.0%
FY20217228.6%24.9%
FY20227228.6%25.0%
FY202300
FY2024600.0%24.9%
FY20257114.3%24.8%
FY20266116.7%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)
Bismarck, ND210.3208$326K
Fargo, ND-MN20−0.4129$0
Grand Forks, ND-MN10−0.0753$0
Minot, ND10−0.3037$0

Every hospital in North Dakota

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