P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalAlexandria Hospital×

Hospital record · FY2027CCN 190319

1Hospital

Alexandria Hospital

2Location

Alexandria, LA 71303

Rapides Parish

3Metro area

Alexandria, LA

See this metro

4Type

Non-teaching · 10 beds · For-profit · Urban

5Peer group

1 of 5

4.2% of stays dual-eligible

6Care Compare stars

Not rated

Open on Medicare.gov (opens in a new tab)

No cut

Alexandria Hospital has no FY2027 cut. None of its six conditions reached 25 cases in the data window, so none could count against it.

APayment adjustment factor

1.0000

CMS, final

BEstimated dollars

$0estimate

on ≈ $237K of base payments

No reduction, like 577 other hospitals.

Report a problem with this hospital’s data (opens in a new tab)

Figure 1. No condition has 25 or more cases, so none is counted and none can add to a cut.
  • This hospital
  • Peer median

  1. Heart attack

    No cases

    Ratio: not counted

    Median: 0.9955

    Gap: not counted

    Per 0.01: —

    Modeled cut: —

  2. COPD

    No cases

    Ratio: not counted

    Median: 0.9954

    Gap: not counted

    Per 0.01: —

    Modeled cut: —

  3. Heart failure

    1 cases

    Ratio: not counted

    Median: 0.9928

    Gap: not counted

    Per 0.01: —

    Modeled cut: —

  4. Pneumonia

    4 cases

    Ratio: not counted

    Median: 0.9945

    Gap: not counted

    Per 0.01: —

    Modeled cut: —

  5. Bypass surgery

    No cases

    Ratio: not counted

    Median: 0.9837

    Gap: not counted

    Per 0.01: —

    Modeled cut: —

  6. Hip/knee replacement

    No cases

    Ratio: not counted

    Median: 0.9942

    Gap: not counted

    Per 0.01: —

    Modeled cut: —

Each row is one condition, drawn on its own peer group’s range: the gray columns are the hospitals in the group with enough cases, so a triangle halfway across means a different ratio on each row. Triangle: this hospital, red when over the median. Line: the peer median.

Estimate · CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File. Dollars are modeled on this site from the hospital’s base payments and CMS’s payment weights.

Show table
ConditionCasesRatioPeer medianOver or under the medianWorth per 0.01 over the medianModeled cut
Heart attack0—0.9955not counted——
COPD0—0.9954not counted——
Heart failure1—0.9928not counted——
Pneumonia4—0.9945not counted——
Bypass surgery0—0.9837not counted——
Hip/knee replacement0—0.9942not counted——

No condition had 25 or more cases, so there is nothing to simulate.

Show the full worksheet

Worksheet R · Readmissions payment adjustmentFY2027

AHospital

Alexandria Hospital

Alexandria, LA · CCN 190319

BPeer group

1 of 5

4.2% dual-eligible stays

CNeutrality modifier

0.9628

same for every hospital
ConditionLine 1
Cases		Line 2
Ratio (ERR)		Line 3
Peer median		Line 4
Excess (2 − 3)		Line 5
Payment weight		Line 6
C × 4 × 5
Heart attack — — 0.9955 no cases — 0
COPD — — 0.9954 no cases — 0
Heart failure 1 0.9984 0.9928 under 25 cases 0.0328 0
Pneumonia 4 1.0069 0.9945 under 25 cases 0.2309 0
Bypass surgery — — 0.9837 no cases — 0
Hip/knee replacement — — 0.9942 no cases — 0

Ratios, medians, weights, and the neutrality modifier are printed to four decimals; lines 4 and 6 use the site’s stored values, kept to six or more decimals, so the last digit can differ from a hand calculation.

  1. Line 7 · Sum of line 60.000%
  2. Line 8 · Line 7, capped at 3%, rounded0.00%
  3. Line 9 · Payment adjustment factor (1 − line 8)1.0000
  4. CMS published factor1.0000 · matches
Figure 2. Not penalized in the one year with data.

The cut each year

Shaded: the years whose data reach the claims of January 1, 2020 to June 30, 2020, which CMS left out. 0%0.5%1% 3% cap FY2013: not in that year’s filen/aFY2014: not in that year’s filen/aFY2015: not in that year’s filen/aFY2016: not in that year’s filen/aFY2017: not in that year’s filen/aFY2018: not in that year’s filen/aFY2019: not in that year’s filen/aFY2020: not in that year’s filen/aFY2021: not in that year’s filen/aFY2022: not in that year’s filen/aFY2023: not in that year’s filen/aFY2024: not in that year’s filen/aFY2025: not in that year’s filen/aFY2026: not in that year’s filen/aFY2027: no cut; average across the program’s hospitals 0.35% ’13’15’17’19’21’23’25’27 Shaded: the years whose data reach the claims of January 1, 2020 to June 30, 2020, which CMS left out. 0%0.5%1% 2%3% cap FY2013: not in that year’s filen/aFY2014: not in that year’s filen/aFY2015: not in that year’s filen/aFY2016: not in that year’s filen/aFY2017: not in that year’s filen/aFY2018: not in that year’s filen/aFY2019: not in that year’s filen/aFY2020: not in that year’s filen/aFY2021: not in that year’s filen/aFY2022: not in that year’s filen/aFY2023: not in that year’s filen/aFY2024: not in that year’s filen/aFY2025: not in that year’s filen/aFY2026: not in that year’s filen/aFY2027: no cut; average across the program’s hospitals 0.35% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Bars: this hospital’s cut. Dashed line: the average across every hospital in the FY2027 program. “n/a”: the hospital was not in that year’s file. The cap on the cut changed over the years, so a cut in one year is not the same size of penalty in another. Shaded: the years whose data reach the claims of January 1, 2020 to June 30, 2020, which CMS left out.

Where the cut fell among hospitals

Most Mid Least Measure changed FY2027: no cut, like 20% of today’s hospitals in that year’s file ’13’15’17’19’21’23’25’27 Most Mid Least Measure changed FY2027: no cut, like 20% of today’s hospitals in that year’s file ’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Each dot is where this hospital’s cut fell, in each year, among today’s hospitals (those in the FY2027 program), from the smallest cut at the bottom to the largest at the top; the shaded part is the hospitals that were cut. A place among hospitals compares across years where the cap and the measure changed, which the cut itself does not.

This site recomputes · CMS Hospital Readmissions Reduction Program supplemental data files, FY2013–FY2027.

Show table
Fiscal yearCutAverage cut, all hospitals in the programLarger cut than, of today’s hospitals
FY2013n/a0.28%n/a
FY2014n/a0.26%n/a
FY2015n/a0.50%n/a
FY2016n/a0.49%n/a
FY2017n/a0.60%n/a
FY2018n/a0.61%n/a
FY2019n/a0.59%n/a
FY2020n/a0.60%n/a
FY2021n/a0.58%n/a
FY2022n/a0.54%n/a
FY2023n/a0.33%n/a
FY2024n/a0.34%n/a
FY2025n/a0.33%n/a
FY2026n/a0.35%n/a
FY20270.00%0.35%—

Figure 3. 4 hospitals in the Alexandria, LA metro area, largest cut first. 3 have a cut; this one is marked.
Hospitals in the area, largest cut first
#HospitalCutEstimated dollarsPeer groupConditions
1CHRISTUS Central Louisiana Surgical HospitalAlexandria, LA · CCN 1902983.00%$48K1Heart attack: too few cases to be measured; COPD: too few cases to be measured; Heart failure: too few cases to be measured; Pneumonia: too few cases to be measured; Bypass surgery: too few cases to be measured; Hip/knee replacement: adds to the cutCounted toward the cut: Hip/knee replacement
2Rapides Regional Medical CenterAlexandria, LA · CCN 1900261.61%$655K4Heart attack: adds to the cut; COPD: measured, adds nothing; Heart failure: adds to the cut; Pneumonia: adds to the cut; Bypass surgery: adds to the cut; Hip/knee replacement: too few cases to be measuredCounted toward the cut: Heart attack, Heart failure, Pneumonia, and Bypass surgery
3CHRISTUS St Frances Cabrini HospitalAlexandria, LA · CCN 1900190.34%$146K4Heart attack: measured, adds nothing; COPD: measured, adds nothing; Heart failure: adds to the cut; Pneumonia: adds to the cut; Bypass surgery: adds to the cut; Hip/knee replacement: too few cases to be measuredCounted toward the cut: Heart failure, Pneumonia, and Bypass surgery
4Alexandria Hospital This hospitalAlexandria, LA · CCN 1903190.00%$01Heart attack: too few cases to be measured; COPD: too few cases to be measured; Heart failure: too few cases to be measured; Pneumonia: too few cases to be measured; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredNo condition counted

Download these hospitals as CSV

CHRISTUS St Frances Cabrini Hospital, Alexandria, LA: cut 0.34%Rapides Regional Medical Center, Alexandria, LA: cut 1.61%CHRISTUS Central Louisiana Surgical Hospital, Alexandria, LA: cut 3.00%This hospital: Alexandria Hospital

The triangle is this hospital; each dot is another hospital in the area, red where it has a cut. Hover or focus a dot for its name.

Estimate · CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File. Dollars are modeled on this site.

Show table
#HospitalCutEstimated dollarsPeer group
1CHRISTUS Central Louisiana Surgical Hospital, Alexandria, LA3.00%$48K1
2Rapides Regional Medical Center, Alexandria, LA1.61%$655K4
3CHRISTUS St Frances Cabrini Hospital, Alexandria, LA0.34%$146K4
4Alexandria Hospital, Alexandria, LA0.00%$01

Source: CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File, posted October 7, 2026. Dollar figures marked estimate are modeled on this site.