P&P, Paid & Penalized

Public Medicare data, made visible.

State

Washington

CMS cut 12 of the 46 hospitals in Washington with a payment decision for fiscal year 2026: 26.1%, against 24.9% nationally.

Washington · FY2026Compared with the nation

1Hospitals cut

12

Of 46 with a payment decision

2Share cut

26.1%

+1.2 pts vs the nation (24.9%)

3Rank

25th of 50

Share cut, highest first, among the states and DC

4Median score

0.0723

Nation: −0.0453

5Scored on all 6

37

Of 46 scored (80%; nation 66%)

6Scored without data

0

Hospitals CMS gave its worst score on a measure

7Estimated dollars

$6.7M estimate
2.2% of the nation’s $306M, this site’s estimate

Likely range $5.4–7.5M

8Per traditional Medicare stay

$59

The nation: $47

26% cut

Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 12 of 718 here Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 718 cut nationally · 12 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 Washington’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. Washington: 12 cut of 46 with a payment decision.
Providence St Mary Medical Center, Walla Walla: −0.1921 · not cutSkagit Valley Hospital, Mount Vernon: 0.6025 · cutVirginia Mason Medical Center, Seattle: −0.7265 · not cutIsland Hospital, Anacortes: 0.2435 · not cutUniversity of Washington Medical Ctr, Seattle: 0.7996 · cutHighline Medical Center, Burien: −0.2965 · not cutProvidence Regional Medical Center Everett, Everett: 0.0025 · not cutMulticare Auburn Medical Center, Auburn: −0.1230 · not cutConfluence Health Hospital, Wenatchee: −0.0869 · not cutProvidence Centralia Hospital, Centralia: −0.1347 · not cutSt Clare Hospital, Lakewood: −0.6750 · not cutProvidence St Peter Hospital, Olympia: 0.3406 · not cutSwedish Medical Center / Cherry Hill, Seattle: 0.2676 · not cutSwedish Edmonds Hospital, Edmonds: 0.0590 · not cutSwedish Medical Center, Seattle: 0.3055 · not cutPeacehealth St Joseph Medical Center, Bellingham: −0.3308 · not cutGrays Harbor Community Hospital, Aberdeen: −0.5496 · not cutSamaritan Hospital, Moses Lake: 0.7255 · cutYakima Valley Memorial, Yakima: 0.1866 · not cutAstria Toppenish Hospital, Toppenish: 0.9598 · cutSt Michael Medical Center, Silverdale: −0.3366 · not cutPeacehealth St John Medical Center, Longview: −0.3300 · not cutDeaconess Medical Center, Spokane: 0.1043 · not cutPeacehealth Southwest Medical Cente, Vancouver: 0.0429 · not cutOverlake Hospital Medical Center & Clinics, Bellevue: 0.5857 · cutKaiser Permanente Central Hospital, Seattle: 0.0453 · not cutTrios Health, Kennewick: −0.3106 · not cutProv Sacred HRT Med Ctr & Childs Hosp., Spokane: 0.0855 · not cutKadlec Regional Medical Center, Richland: 0.0986 · not cutCascade Valley Hospital, Arlington: 1.3611 · cutHarborview Medical Center, Seattle: 1.5608 · cutOlympic Medical Center, Port Angeles: −0.3981 · not cutProvidence Holy Family Hospital, Spokane: 0.6757 · cutMulticare Good Samaritan Hospital, Puyallup: 0.0926 · not cutEvergreenhealth Monroe, Monroe: 0.3448 · not cutValley Medical Center, Renton: 0.8737 · cutSt Joseph Medical Center, Tacoma: −0.6681 · not cutMulticare Valley Hospital, Spokane Valley: −0.4169 · not cutEvergreenhealth Medical Center, Kirkland: −0.3875 · not cutTacoma General Allenmore Hospital, Tacoma: 0.4744 · cutCapital Medical Center, Olympia: −0.1015 · not cutSt Francis Community Hospital, Federal Way: −0.4372 · not cutLegacy Salmon Creek Medical Center, Vancouver: 0.5060 · cutSt Anthony Hospital, Gig Harbor: −0.9488 · not cutSwedish Issaquah, Issaquah: 0.1054 · not cutMulticare Covington Medical Center, Covington: 0.4894 · cut Providence St Mary Medical Center, Walla Walla: −0.1921 · not cutSkagit Valley Hospital, Mount Vernon: 0.6025 · cutVirginia Mason Medical Center, Seattle: −0.7265 · not cutIsland Hospital, Anacortes: 0.2435 · not cutUniversity of Washington Medical Ctr, Seattle: 0.7996 · cutHighline Medical Center, Burien: −0.2965 · not cutProvidence Regional Medical Center Everett, Everett: 0.0025 · not cutMulticare Auburn Medical Center, Auburn: −0.1230 · not cutConfluence Health Hospital, Wenatchee: −0.0869 · not cutProvidence Centralia Hospital, Centralia: −0.1347 · not cutSt Clare Hospital, Lakewood: −0.6750 · not cutProvidence St Peter Hospital, Olympia: 0.3406 · not cutSwedish Medical Center / Cherry Hill, Seattle: 0.2676 · not cutSwedish Edmonds Hospital, Edmonds: 0.0590 · not cutSwedish Medical Center, Seattle: 0.3055 · not cutPeacehealth St Joseph Medical Center, Bellingham: −0.3308 · not cutGrays Harbor Community Hospital, Aberdeen: −0.5496 · not cutSamaritan Hospital, Moses Lake: 0.7255 · cutYakima Valley Memorial, Yakima: 0.1866 · not cutAstria Toppenish Hospital, Toppenish: 0.9598 · cutSt Michael Medical Center, Silverdale: −0.3366 · not cutPeacehealth St John Medical Center, Longview: −0.3300 · not cutDeaconess Medical Center, Spokane: 0.1043 · not cutPeacehealth Southwest Medical Cente, Vancouver: 0.0429 · not cutOverlake Hospital Medical Center & Clinics, Bellevue: 0.5857 · cutKaiser Permanente Central Hospital, Seattle: 0.0453 · not cutTrios Health, Kennewick: −0.3106 · not cutProv Sacred HRT Med Ctr & Childs Hosp., Spokane: 0.0855 · not cutKadlec Regional Medical Center, Richland: 0.0986 · not cutCascade Valley Hospital, Arlington: 1.3611 · cutHarborview Medical Center, Seattle: 1.5608 · cutOlympic Medical Center, Port Angeles: −0.3981 · not cutProvidence Holy Family Hospital, Spokane: 0.6757 · cutMulticare Good Samaritan Hospital, Puyallup: 0.0926 · not cutEvergreenhealth Monroe, Monroe: 0.3448 · not cutValley Medical Center, Renton: 0.8737 · cutSt Joseph Medical Center, Tacoma: −0.6681 · not cutMulticare Valley Hospital, Spokane Valley: −0.4169 · not cutEvergreenhealth Medical Center, Kirkland: −0.3875 · not cutTacoma General Allenmore Hospital, Tacoma: 0.4744 · cutCapital Medical Center, Olympia: −0.1015 · not cutSt Francis Community Hospital, Federal Way: −0.4372 · not cutLegacy Salmon Creek Medical Center, Vancouver: 0.5060 · cutSt Anthony Hospital, Gig Harbor: −0.9488 · not cutSwedish Issaquah, Issaquah: 0.1054 · not cutMulticare Covington Medical Center, Covington: 0.4894 · 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
Astria Toppenish HospitalToppenish0.9598Yes
Capital Medical CenterOlympia−0.1015No
Cascade Valley HospitalArlington1.3611Yes
Confluence Health HospitalWenatchee−0.0869No
Deaconess Medical CenterSpokane0.1043No
Evergreenhealth Medical CenterKirkland−0.3875No
Evergreenhealth MonroeMonroe0.3448No
Grays Harbor Community HospitalAberdeen−0.5496No
Harborview Medical CenterSeattle1.5608Yes
Highline Medical CenterBurien−0.2965No
Island HospitalAnacortes0.2435No
Kadlec Regional Medical CenterRichland0.0986No
Kaiser Permanente Central HospitalSeattle0.0453No
Legacy Salmon Creek Medical CenterVancouver0.5060Yes
Multicare Auburn Medical CenterAuburn−0.1230No
Multicare Covington Medical CenterCovington0.4894Yes
Multicare Good Samaritan HospitalPuyallup0.0926No
Multicare Valley HospitalSpokane Valley−0.4169No
Olympic Medical CenterPort Angeles−0.3981No
Overlake Hospital Medical Center & ClinicsBellevue0.5857Yes
Peacehealth Southwest Medical CenteVancouver0.0429No
Peacehealth St John Medical CenterLongview−0.3300No
Peacehealth St Joseph Medical CenterBellingham−0.3308No
Prov Sacred HRT Med Ctr & Childs Hosp.Spokane0.0855No
Providence Centralia HospitalCentralia−0.1347No
Providence Holy Family HospitalSpokane0.6757Yes
Providence Regional Medical Center EverettEverett0.0025No
Providence St Mary Medical CenterWalla Walla−0.1921No
Providence St Peter HospitalOlympia0.3406No
Samaritan HospitalMoses Lake0.7255Yes
Skagit Valley HospitalMount Vernon0.6025Yes
St Anthony HospitalGig Harbor−0.9488No
St Clare HospitalLakewood−0.6750No
St Francis Community HospitalFederal Way−0.4372No
St Joseph Medical CenterTacoma−0.6681No
St Michael Medical CenterSilverdale−0.3366No
Swedish Edmonds HospitalEdmonds0.0590No
Swedish IssaquahIssaquah0.1054No
Swedish Medical CenterSeattle0.3055No
Swedish Medical Center / Cherry HillSeattle0.2676No
Tacoma General Allenmore HospitalTacoma0.4744Yes
Trios HealthKennewick−0.3106No
University of Washington Medical CtrSeattle0.7996Yes
Valley Medical CenterRenton0.8737Yes
Virginia Mason Medical CenterSeattle−0.7265No
Yakima Valley MemorialYakima0.1866No

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. 26.1% of hospitals here scored past CMS’s line, against 24.9% nationally; the middle score here is 0.0723, 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: 2% here, 4% nationally−0.8 to −0.6: 7% here, 7% nationally−0.6 to −0.4: 4% here, 10% nationally−0.4 to −0.2: 17% here, 12% nationally−0.2 to 0.0: 11% here, 14% nationally0.0 to 0.2: 20% here, 12% nationally0.2 to 0.4: 13% here, 12% nationally0.4 to 0.6: 7% here, 8% nationally0.6 to 0.8: 9% here, 6% nationally0.8 to 1.0: 7% here, 4% nationally1.0 to 1.2: 0% here, 3% nationally1.2 to 1.4: 2% here, 1% nationally1.4 to 1.6: 2% 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: 2% here, 4% nationally−0.8 to −0.6: 7% here, 7% nationally−0.6 to −0.4: 4% here, 10% nationally−0.4 to −0.2: 17% here, 12% nationally−0.2 to 0.0: 11% here, 14% nationally0.0 to 0.2: 20% here, 12% nationally0.2 to 0.4: 13% here, 12% nationally0.4 to 0.6: 7% here, 8% nationally0.6 to 0.8: 9% here, 6% nationally0.8 to 1.0: 7% here, 4% nationally1.0 to 1.2: 0% here, 3% nationally1.2 to 1.4: 2% here, 1% nationally1.4 to 1.6: 2% 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
−1.0−0.81126
−0.8−0.63204
−0.6−0.42290
−0.4−0.28357
−0.20.05407
0.00.29343
0.20.46333
0.40.63237
0.60.84173
0.81.03116
1.01.2091
1.21.4130
1.41.6121
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 CDI (69% of its hospitals above the national median); best on MRSA (23%).

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

Show table
MeasureHospitals with a valueHalf
PSI 904652%
CLABSI3949%
CAUTI4260%
SSI4058%
CDI4569%
MRSA3923%

Washington across the line

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

Figure 4. Of the nation’s 141 hospitals within 0.05 of CMS’s line that this site estimates, Washington has 2 hospitals not cut, where a cut would have been about $1.1M.
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 Providence St Peter Hospital, Olympia, WA: score 0.3406; a cut would have been $1.0MEvergreenhealth Monroe, Monroe, WA: score 0.3448; a cut would have been $30K 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

Washington, year by year

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

Figure 5. Washington’s share cut was above the nation’s in 4 of the 11 years CMS cut anyone; 39 of its 50 hospitals have been cut at least once.
201520162017201820192020202120222023202420252026 No hospital scored or cut 35.4% · 21.9%33.3% · 23.4%30.6% · 24.0%20.8% · 23.6%19.1% · 25.0%14.6% · 25.0%12.5% · 24.9%10.6% · 25.0%11.1% · 24.9%17.4% · 24.8%26.1% · 24.9% Ever cut: 39 Never cut: 11 201520162017201820192020202120222023202420252026 No hospital scored or cut 35.4% · 21.9%33.3% · 23.4%30.6% · 24.0%20.8% · 23.6%19.1% · 25.0%14.6% · 25.0%12.5% · 24.9%10.6% · 25.0%11.1% · 24.9%17.4% · 24.8%26.1% · 24.9% Ever cut: 39 Never cut: 11

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
FY2015481735.4%21.9%
FY2016481633.3%23.4%
FY2017491530.6%24.0%
FY2018481020.8%23.6%
FY201947919.1%25.0%
FY202048714.6%25.0%
FY202148612.5%24.9%
FY202247510.6%25.0%
FY202300
FY202445511.1%24.9%
FY202546817.4%24.8%
FY2026461226.1%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)
Bellingham, WA10−0.3308$0
Bremerton-Silverdale-Port Orchard, WA10−0.3366$0
Everett, WA410.2019$56K
Kennewick-Richland, WA20−0.1060$0
Longview-Kelso, WA10−0.3300$0
Mount Vernon-Anacortes, WA210.4230$372K
Olympia-Lacey-Tumwater, WA200.1196$0
Portland-Vancouver-Hillsboro, OR-WA1780.3761$3.9M
Seattle-Bellevue-Kent, WA1450.1865$4.4M
Spokane-Spokane Valley, WA410.0949$257K
Tacoma-Lakewood, WA51−0.6681$1.1M
Walla Walla, WA10−0.1921$0
Wenatchee-East Wenatchee, WA10−0.0869$0
Yakima, WA210.5732$16K
Outside any metro area41−0.2664$105K

Every hospital in Washington

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