P&P, Paid & Penalized

Public Medicare data, made visible.

Metro area

Blacksburg-Christiansburg-Radford, VA

3 of 3 hospitals take a cut in FY2027: 100% of the 3 measured on at least one condition. The average cut, counting all 3 hospitals, is 0.53%. Estimated total: $72Kestimate.

Blacksburg-Christiansburg-Radford, VA · FY2027Compared with all hospitals nationally

1Hospitals

3

2Penalized

100%

of 3 measured · +17 pts vs nation

3Average cut

0.53%

+0.18 pts vs nation

4Cut 1% or more

1

33% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$72Kestimate

Hospitals on the map

Figure 1. 3 of the 3 hospitals here take a cut; the largest, 1.43%, is at Lewisgale Hospital Pulaski.
Carilion Medical Center, Roanoke, VA: cut 0.28%Lewisgale Medical Center, Salem, VA: cut 0.88%Smyth County Community Hospital, Marion, VA: cut 0.63%Centra Bedford Memorial Hospital, Bedford, VA: no cutCarilion Franklin Memorial Hospital, Rocky Mount, VA: cut 1.09%Wythe County Community Hospital, Wytheville, VA: cut 0.04%Twin County Regional Hospital, Galax, VA: no cutCarilion Tazewell Community Hospital, Tazewell, VA: cut 0.20%Lewisgale Hospital Alleghany, Low Moor, VA: no cutCarilion New River Valley Medical Center, Christiansburg, VA: cut 0.05%Lewisgale Hospital Montgomery, Blacksburg, VA: cut 0.10%Lewisgale Hospital Pulaski, Pulaski, VA: cut 1.43% Carilion Medical Center, Roanoke, VA: cut 0.28%Lewisgale Medical Center, Salem, VA: cut 0.88%Smyth County Community Hospital, Marion, VA: cut 0.63%Centra Bedford Memorial Hospital, Bedford, VA: no cutCarilion Franklin Memorial Hospital, Rocky Mount, VA: cut 1.09%Wythe County Community Hospital, Wytheville, VA: cut 0.04%Twin County Regional Hospital, Galax, VA: no cutCarilion Tazewell Community Hospital, Tazewell, VA: cut 0.20%Lewisgale Hospital Alleghany, Low Moor, VA: no cutCarilion New River Valley Medical Center, Christiansburg, VA: cut 0.05%Lewisgale Hospital Montgomery, Blacksburg, VA: cut 0.10%Lewisgale Hospital Pulaski, Pulaski, VA: cut 1.43%

Hospital dots, by cut

  • No cut
  • Under 0.25%
  • 0.25%–0.49%
  • 0.50%–0.99%
  • 1.00%–1.99%
  • 2.00%–3.00%
  • Other hospitals

Dots are sized by Medicare volume and shaded by cut. Select one to open it. Gray dots are other hospitals in the state.

CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File. Locations geocoded from street addresses (U.S. Census Bureau Geocoder), else ZIP or county centers.

Show table
HospitalCityCutBase payments (dot size)
Lewisgale Hospital PulaskiPulaski1.43%$3.2M
Lewisgale Hospital MontgomeryBlacksburg0.10%$15.2M
Carilion New River Valley Medical CenterChristiansburg0.05%$22.8M

Size of the cuts

Figure 2. All 3 hospitals here take a cut, 0.53% on average; across all hospitals 20% take none.
0%10%20%30% No cut: 0 here (0%); 20% of all hospitals0.0% to 0.1%: 1 here (33%); 18% of all hospitals0.1% to 0.2%: 1 here (33%); 11% of all hospitals0.2% to 0.3%: 0 here (0%); 10% of all hospitals0.3% to 0.4%: 0 here (0%); 8% of all hospitals0.4% to 0.5%: 0 here (0%); 6% of all hospitals0.5% to 0.6%: 0 here (0%); 6% of all hospitals0.6% to 0.7%: 0 here (0%); 4% of all hospitals0.7% to 0.8%: 0 here (0%); 3% of all hospitals0.8% to 0.9%: 0 here (0%); 3% of all hospitals0.9% to 1.0%: 0 here (0%); 2% of all hospitals1.0% to 1.1%: 0 here (0%); 2% of all hospitals1.1% to 1.2%: 0 here (0%); 1% of all hospitals1.2% to 1.3%: 0 here (0%); 1% of all hospitals1.3% to 1.4%: 0 here (0%); 1% of all hospitals1.4% to 1.5%: 1 here (33%); 1% of all hospitals1.5% to 1.6%: 0 here (0%); 1% of all hospitals1.6% to 1.7%: 0 here (0%); 0% of all hospitals1.7% to 1.8%: 0 here (0%); 0% of all hospitals1.8% to 1.9%: 0 here (0%); 0% of all hospitals1.9% to 2.0%: 0 here (0%); 0% of all hospitals2.0% to 2.1%: 0 here (0%); 0% of all hospitals2.1% to 2.2%: 0 here (0%); 0% of all hospitals2.2% to 2.3%: 0 here (0%); 0% of all hospitals2.3% to 2.4%: 0 here (0%); 0% of all hospitals2.4% to 2.5%: 0 here (0%); 0% of all hospitals2.5% to 2.6%: 0 here (0%); 0% of all hospitals2.6% to 2.7%: 0 here (0%); 0% of all hospitals2.7% to 2.8%: 0 here (0%); 0% of all hospitals2.8% to 2.9%: 0 here (0%); 0% of all hospitals2.9% to 3.0%: 0 here (0%); 0% of all hospitals 1%2%3%average 0.53%none 0%10%20%30% No cut: 0 here (0%); 20% of all hospitals0.0% to 0.1%: 1 here (33%); 18% of all hospitals0.1% to 0.2%: 1 here (33%); 11% of all hospitals0.2% to 0.3%: 0 here (0%); 10% of all hospitals0.3% to 0.4%: 0 here (0%); 8% of all hospitals0.4% to 0.5%: 0 here (0%); 6% of all hospitals0.5% to 0.6%: 0 here (0%); 6% of all hospitals0.6% to 0.7%: 0 here (0%); 4% of all hospitals0.7% to 0.8%: 0 here (0%); 3% of all hospitals0.8% to 0.9%: 0 here (0%); 3% of all hospitals0.9% to 1.0%: 0 here (0%); 2% of all hospitals1.0% to 1.1%: 0 here (0%); 2% of all hospitals1.1% to 1.2%: 0 here (0%); 1% of all hospitals1.2% to 1.3%: 0 here (0%); 1% of all hospitals1.3% to 1.4%: 0 here (0%); 1% of all hospitals1.4% to 1.5%: 1 here (33%); 1% of all hospitals1.5% to 1.6%: 0 here (0%); 1% of all hospitals1.6% to 1.7%: 0 here (0%); 0% of all hospitals1.7% to 1.8%: 0 here (0%); 0% of all hospitals1.8% to 1.9%: 0 here (0%); 0% of all hospitals1.9% to 2.0%: 0 here (0%); 0% of all hospitals2.0% to 2.1%: 0 here (0%); 0% of all hospitals2.1% to 2.2%: 0 here (0%); 0% of all hospitals2.2% to 2.3%: 0 here (0%); 0% of all hospitals2.3% to 2.4%: 0 here (0%); 0% of all hospitals2.4% to 2.5%: 0 here (0%); 0% of all hospitals2.5% to 2.6%: 0 here (0%); 0% of all hospitals2.6% to 2.7%: 0 here (0%); 0% of all hospitals2.7% to 2.8%: 0 here (0%); 0% of all hospitals2.8% to 2.9%: 0 here (0%); 0% of all hospitals2.9% to 3.0%: 0 here (0%); 0% of all hospitals 0.5%1%1.5%2%2.5%3%average 0.53%none

Bars: Blacksburg-Christiansburg-Radford, VA. Outline: all hospitals. Both as shares, so areas of any size compare. The bar at the left is hospitals with no cut.

CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File.

Show table
Cut fromtoHospitals hereShare hereShare of all hospitals
No cut—00%20%
0.0%0.1%133%18%
0.1%0.2%133%11%
0.2%0.3%00%10%
0.3%0.4%00%8%
0.4%0.5%00%6%
0.5%0.6%00%6%
0.6%0.7%00%4%
0.7%0.8%00%3%
0.8%0.9%00%3%
0.9%1.0%00%2%
1.0%1.1%00%2%
1.1%1.2%00%1%
1.2%1.3%00%1%
1.3%1.4%00%1%
1.4%1.5%133%1%
1.5%1.6%00%1%
1.6%1.7%00%0%
1.7%1.8%00%0%
1.8%1.9%00%0%
1.9%2.0%00%0%
2.0%2.1%00%0%
2.1%2.2%00%0%
2.2%2.3%00%0%
2.3%2.4%00%0%
2.4%2.5%00%0%
2.5%2.6%00%0%
2.6%2.7%00%0%
2.7%2.8%00%0%
2.8%2.9%00%0%
2.9%3.0%00%0%

Peer groups

Figure 3. Most of the 3 hospitals here are in group 2.
Group 1: no hospital hereGroup 1none0Group 2: 2 hospitals, average cut 0.08%Group 2avg cut 0.08%2Group 3: 1 hospital, average cut 1.43%Group 3avg cut 1.43%1Group 4: no hospital hereGroup 4none0Group 5: no hospital hereGroup 5none0 Group 1: no hospital hereGroup 1none0Group 2: 2 hospitals, average cut 0.08%Group 2avg cut 0.08%2Group 3: 1 hospital, average cut 1.43%Group 3avg cut 1.43%1Group 4: no hospital hereGroup 4none0Group 5: no hospital hereGroup 5none0

How many hospitals here fall in each dual-eligible peer group. Group 1 serves the fewest low-income patients, group 5 the most. Under each group: its average cut here.

CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File.

Show table
Peer groupHospitals hereAverage cut
Group 10none
Group 220.08%
Group 311.43%
Group 40none
Group 50none

Which conditions drive the penalties here

Figure 4. Pneumonia is the largest part of the estimated dollars here, 64%.
  • All hospitals

Penalized on this condition

Heart attack: 1 of 2 measured hospitals penalized, 50%; all hospitals 50%Heart attack1 of 250%COPD: 1 of 3 measured hospitals penalized, 33%; all hospitals 50%COPD1 of 333%Heart failure: 2 of 3 measured hospitals penalized, 67%; all hospitals 50%Heart failure2 of 367%Pneumonia: 2 of 3 measured hospitals penalized, 67%; all hospitals 50%Pneumonia2 of 367%Hip/knee replacement: 0 of 1 measured hospitals penalized, 0%; all hospitals 50%Hip/knee0 of 10% Heart attack: 1 of 2 measured hospitals penalized, 50%; all hospitals 50%Heart attack1 of 2 measured50%COPD: 1 of 3 measured hospitals penalized, 33%; all hospitals 50%COPD1 of 3 measured33%Heart failure: 2 of 3 measured hospitals penalized, 67%; all hospitals 50%Heart failure2 of 3 measured67%Pneumonia: 2 of 3 measured hospitals penalized, 67%; all hospitals 50%Pneumonia2 of 3 measured67%Hip/knee replacement: 0 of 1 measured hospitals penalized, 0%; all hospitals 50%Hip/knee replacement0 of 1 measured0%

Share of estimated dollars

Pneumonia: $46K of the modeled dollars, 64%Pneumonia≈ $46K64%Heart failure: $15K of the modeled dollars, 20%Heart failure≈ $15K20%Heart attack: $11K of the modeled dollars, 16%Heart attack≈ $11K16%COPD: $266 of the modeled dollars, 0%COPD≈ $2660%Bypass surgery: $0 of the modeled dollars, 0%Bypass (CABG)≈ $00%Hip/knee replacement: $0 of the modeled dollars, 0%Hip/knee≈ $00% Pneumonia: $46K of the modeled dollars, 64%Pneumonia≈ $46K64%Heart failure: $15K of the modeled dollars, 20%Heart failure≈ $15K20%Heart attack: $11K of the modeled dollars, 16%Heart attack≈ $11K16%COPD: $266 of the modeled dollars, 0%COPD≈ $2660%Bypass surgery: $0 of the modeled dollars, 0%Bypass surgery≈ $00%Hip/knee replacement: $0 of the modeled dollars, 0%Hip/knee replacement≈ $00%

Left: share of measured hospitals penalized on each condition (tick: all hospitals, about half). Right: share of the estimated dollars. Each condition flags about half of the hospitals measured on it by design, because CMS compares a hospital with the median of its peer group, so a bar near the tick is not a finding on its own. Dollars are modeled here: each cut hospital’s estimated dollars split by its conditions’ parts of the cut.

Estimate · CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File; dollars are modeled here.

Show table
ConditionMeasured herePenalized hereShare penalizedAll hospitals’ shareModeled dollarsShare of dollars
Heart attack2150%50%$11K16%
COPD3133%50%$2660%
Heart failure3267%50%$15K20%
Pneumonia3267%50%$46K64%
Bypass surgery00—49%$00%
Hip/knee replacement100%50%$00%

Average cut over time

Figure 5. In FY2027, the average cut in Blacksburg-Christiansburg-Radford, VA was 0.53%, against 0.35% across all hospitals in the program.
Shaded: the years whose data reach the claims of January 1, 2020 to June 30, 2020, which CMS left out. 0%0.5%1%1.5%2% 3% cap FY2013: 0.67% here; 0.28% across all hospitals in the programFY2014: 0.77% here; 0.26% across all hospitals in the programFY2015: 1.59% here; 0.50% across all hospitals in the programFY2016: 0.71% here; 0.49% across all hospitals in the programFY2017: 0.90% here; 0.60% across all hospitals in the programFY2018: 1.42% here; 0.61% across all hospitals in the programFY2019: 1.61% here; 0.59% across all hospitals in the programFY2020: 1.42% here; 0.60% across all hospitals in the programFY2021: 0.93% here; 0.58% across all hospitals in the programFY2022: 0.87% here; 0.54% across all hospitals in the programFY2023: 0.42% here; 0.33% across all hospitals in the programFY2024: 0.42% here; 0.34% across all hospitals in the programFY2025: 0.52% here; 0.33% across all hospitals in the programFY2026: 0.27% here; 0.35% across all hospitals in the programFY2027: 0.53% here; 0.35% across all hospitals in the program0.53% ’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%1.5%2% 2%3% cap FY2013: 0.67% here; 0.28% across all hospitals in the programFY2014: 0.77% here; 0.26% across all hospitals in the programFY2015: 1.59% here; 0.50% across all hospitals in the programFY2016: 0.71% here; 0.49% across all hospitals in the programFY2017: 0.90% here; 0.60% across all hospitals in the programFY2018: 1.42% here; 0.61% across all hospitals in the programFY2019: 1.61% here; 0.59% across all hospitals in the programFY2020: 1.42% here; 0.60% across all hospitals in the programFY2021: 0.93% here; 0.58% across all hospitals in the programFY2022: 0.87% here; 0.54% across all hospitals in the programFY2023: 0.42% here; 0.33% across all hospitals in the programFY2024: 0.42% here; 0.34% across all hospitals in the programFY2025: 0.52% here; 0.33% across all hospitals in the programFY2026: 0.27% here; 0.35% across all hospitals in the programFY2027: 0.53% here; 0.35% across all hospitals in the program0.53% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in Blacksburg-Christiansburg-Radford, VA that are in the FY2027 program. Dashed: every hospital in the FY2027 program, nationwide. Each year averages those 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.

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

Show table
Fiscal yearAverage cut hereAverage cut, all hospitals in the program
FY20130.67%0.28%
FY20140.77%0.26%
FY20151.59%0.50%
FY20160.71%0.49%
FY20170.90%0.60%
FY20181.42%0.61%
FY20191.61%0.59%
FY20201.42%0.60%
FY20210.93%0.58%
FY20220.87%0.54%
FY20230.42%0.33%
FY20240.42%0.34%
FY20250.52%0.33%
FY20260.27%0.35%
FY20270.53%0.35%

Hospitals in Blacksburg-Christiansburg-Radford, VA

Largest cut first. Select a hospital to open its page.

Hospitals in Blacksburg-Christiansburg-Radford, VA, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
Lewisgale Hospital PulaskiPulaski, VA · CCN 4901161.43%$46K3Heart attack: too few cases to be measured; COPD: measured, adds nothing; Heart failure: adds to the cut; Pneumonia: adds to the cut; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredCounted toward the cut: Heart failure and Pneumonia147
Lewisgale Hospital MontgomeryBlacksburg, VA · CCN 4901100.10%$15K2Heart attack: measured, adds nothing; COPD: adds to the cut; Heart failure: adds to the cut; Pneumonia: adds to the cut; Bypass surgery: too few cases to be measured; Hip/knee replacement: measured, adds nothingCounted toward the cut: COPD, Heart failure, and Pneumonia146
Carilion New River Valley Medical CenterChristiansburg, VA · CCN 4900420.05%$11K2Heart attack: adds to the cut; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredCounted toward the cut: Heart attack146

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