P&P, Paid & Penalized

Public Medicare data, made visible.

State

Texas

CMS cut 32 of the 255 hospitals in Texas with a payment decision for fiscal year 2026: 12.5%, against 24.9% nationally.

Texas · FY2026Compared with the nation

1Hospitals cut

32

Of 255 with a payment decision

2Share cut

12.5%

−12.3 pts vs the nation (24.9%)

3Rank

43rd of 50

Share cut, highest first, among the states and DC

4Median score

−0.2368

Nation: −0.0453

5Scored on all 6

146

Of 255 scored (57%; nation 66%)

6Scored without data

11

Hospitals CMS gave its worst score on a measure

7Estimated dollars

$10.4M estimate
from 30 of its 32 cut hospitals3.4% of the nation’s $306M, this site’s estimate

Likely range $8.2–12.0M

8Per traditional Medicare stay

$23

The nation: $47

13% cut

Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 32 of 718 here Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 718 cut nationally · 32 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 Texas’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. Texas: 32 cut of 255 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
PlaceWith a decisionHospitals cut
Texas25532

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. 12.5% of hospitals here scored past CMS’s line, against 24.9% nationally; the middle score here is −0.2368, and nationally −0.0453.
0%5%10%15% −1.6 to −1.4: 1% here, 1% nationally−1.4 to −1.2: 1% here, 1% nationally−1.2 to −1.0: 3% here, 2% nationally−1.0 to −0.8: 9% here, 4% nationally−0.8 to −0.6: 11% here, 7% nationally−0.6 to −0.4: 13% here, 10% nationally−0.4 to −0.2: 15% here, 12% nationally−0.2 to 0.0: 16% here, 14% nationally0.0 to 0.2: 12% here, 12% nationally0.2 to 0.4: 7% here, 12% nationally0.4 to 0.6: 4% here, 8% nationally0.6 to 0.8: 2% here, 6% nationally0.8 to 1.0: 2% here, 4% nationally1.0 to 1.2: 1% 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: 1% here, 0% nationally2.2 to 2.4: 2% here, 1% nationally CMS’s line −1.00.01.02.0 0%5%10%15% −1.6 to −1.4: 1% here, 1% nationally−1.4 to −1.2: 1% here, 1% nationally−1.2 to −1.0: 3% here, 2% nationally−1.0 to −0.8: 9% here, 4% nationally−0.8 to −0.6: 11% here, 7% nationally−0.6 to −0.4: 13% here, 10% nationally−0.4 to −0.2: 15% here, 12% nationally−0.2 to 0.0: 16% here, 14% nationally0.0 to 0.2: 12% here, 12% nationally0.2 to 0.4: 7% here, 12% nationally0.4 to 0.6: 4% here, 8% nationally0.6 to 0.8: 2% here, 6% nationally0.8 to 1.0: 2% here, 4% nationally1.0 to 1.2: 1% 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: 1% here, 0% nationally2.2 to 2.4: 2% 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
−1.6−1.4240
−1.4−1.2217
−1.2−1.0751
−1.0−0.822126
−0.8−0.629204
−0.6−0.434290
−0.4−0.237357
−0.20.040407
0.00.231343
0.20.419333
0.40.69237
0.60.85173
0.81.04116
1.01.2391
1.21.4130
1.41.6021
1.61.8010
1.82.013
2.02.2313
2.22.4624

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 PSI 90 (47% of its hospitals above the national median); best on CDI (26%).

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

Show table
MeasureHospitals with a valueHalf
PSI 9024247%
CLABSI16245%
CAUTI17133%
SSI17844%
CDI21226%
MRSA15044%

Texas across the line

The nation’s hospitals within 0.05 of CMS’s line that this site estimates, Texas’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 Texas’s: 3 cut, about $2.7M by this site’s estimate, and 4 not cut, where a cut would have been about $3.1M.
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 Faith Community Hospital, Jacksboro, TX: score 0.3315; a cut would have been $31KCHRISTUS Santa Rosa Medical Center, San Antonio, TX: score 0.3349; a cut would have been $932KMedical City Lewisville, Lewisville, TX: score 0.3494; a cut would have been $210KHarris Health, Houston, TX: score 0.3776; a cut would have been $2.0MJPS Health Network, Fort Worth, TX: score 0.3934; cut $1.3MUnited Regional Health Care System, Wichita Falls, TX: score 0.4055; cut $746KMethodist Dallas Medical Center, Dallas, TX: score 0.408; cut $582K 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

Texas, year by year

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

Figure 5. Texas’s share cut was above the nation’s in 0 of the 11 years CMS cut anyone; 211 of its 350 hospitals have been cut at least once.
201520162017201820192020202120222023202420252026 No hospital scored or cut 14.0% · 21.9%18.3% · 23.4%20.9% · 24.0%17.2% · 23.6%19.7% · 25.0%18.2% · 25.0%16.8% · 24.9%14.5% · 25.0%18.0% · 24.9%13.6% · 24.8%12.5% · 24.9% Ever cut: 211 Never cut: 139 201520162017201820192020202120222023202420252026 No hospital scored or cut 14.0% · 21.9%18.3% · 23.4%20.9% · 24.0%17.2% · 23.6%19.7% · 25.0%18.2% · 25.0%16.8% · 24.9%14.5% · 25.0%18.0% · 24.9%13.6% · 24.8%12.5% · 24.9% Ever cut: 211 Never cut: 139

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
FY20152994214.0%21.9%
FY20162895318.3%23.4%
FY20172926120.9%24.0%
FY20182915017.2%23.6%
FY20193005919.7%25.0%
FY20202925318.2%25.0%
FY20212804716.8%24.9%
FY20222754014.5%25.0%
FY202300
FY20242614718.0%24.9%
FY20252573513.6%24.8%
FY20262553212.5%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)
Abilene, TX100.2106$0
Amarillo, TX30−0.2368$0
Austin-Round Rock-San Marcos, TX181−0.3001$17K
Beaumont-Port Arthur, TX41−0.1733$3K
Brownsville-Harlingen, TX400.1950$0
College Station-Bryan, TX310.2332$329K
Corpus Christi, TX20−0.4703$0
Dallas-Plano-Irving, TX487−0.2539$3.3M
Eagle Pass, TX10−1.1856$0
El Paso, TX61−0.1804$766K
Fort Worth-Arlington-Grapevine, TX252−0.2589$1.4M
Houston-Pasadena-The Woodlands, TX456−0.3709$2.3M
Killeen-Temple, TX30−0.2114$0
Laredo, TX21−0.1150$171K
Longview, TX30−0.5663$0
Lubbock, TX40−0.1251$0
McAllen-Edinburg-Mission, TX60−0.0223$0
Midland, TX110.4753$395K
Odessa, TX21−0.0393$528K
San Angelo, TX10−0.1758$0
San Antonio-New Braunfels, TX142−0.3728$16Kfrom 1 of its 2 cut hospitals
Sherman-Denison, TX30−0.2964$0
Texarkana, TX-AR20−0.6155$0
Tyler, TX40−0.5502$0
Victoria, TX210.0462$252K
Waco, TX20−0.5217$0
Wichita Falls, TX21−0.2439$746K
Outside any metro area446−0.1509$146Kfrom 5 of its 6 cut hospitals

Every hospital in Texas

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