P&P, Paid & Penalized

Public Medicare data, made visible.

Metro area

Brownsville-Harlingen, TX

4 of 4 hospitals take a cut in FY2027: 100% of the 4 measured on at least one condition. The average cut, counting all 4 hospitals, is 0.55%. Estimated total: $382Kestimate.

Brownsville-Harlingen, TX · FY2027Compared with all hospitals nationally

1Hospitals

4

2Penalized

100%

of 4 measured · +17 pts vs nation

3Average cut

0.55%

+0.20 pts vs nation

4Cut 1% or more

0

0% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$382Kestimate

Hospitals on the map

Figure 1. 4 of the 4 hospitals here take a cut; the largest, 0.86%, is at VHS Harlingen Hospital Company LLC.
South Texas Health System, Edinburg, TX: cut 0.31%Rio Grande Regional Hospital, McAllen, TX: cut 0.10%Doctors Hosptal at Renaissance, Edinburg, TX: no cutKnapp Medical Center, Weslaco, TX: no cutMission Regional Medical Center, Mission, TX: cut 0.28%Cornerstone Regional Hospital, Edinburg, TX: no cutValley Baptist Medical Center- Brownsville, Brownsville, TX: cut 0.45%Valley Regional Medical Center, Brownsville, TX: cut 0.36%VHS Harlingen Hospital Company LLC, Harlingen, TX: cut 0.86%Harlingen Medical Center, Harlingen, TX: cut 0.52% South Texas Health System, Edinburg, TX: cut 0.31%Rio Grande Regional Hospital, McAllen, TX: cut 0.10%Doctors Hosptal at Renaissance, Edinburg, TX: no cutKnapp Medical Center, Weslaco, TX: no cutMission Regional Medical Center, Mission, TX: cut 0.28%Cornerstone Regional Hospital, Edinburg, TX: no cutValley Baptist Medical Center- Brownsville, Brownsville, TX: cut 0.45%Valley Regional Medical Center, Brownsville, TX: cut 0.36%VHS Harlingen Hospital Company LLC, Harlingen, TX: cut 0.86%Harlingen Medical Center, Harlingen, TX: cut 0.52%

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)
VHS Harlingen Hospital Company LLCHarlingen0.86%$25.4M
Harlingen Medical CenterHarlingen0.52%$11.7M
Valley Baptist Medical Center- BrownsvilleBrownsville0.45%$12.1M
Valley Regional Medical CenterBrownsville0.36%$13.4M

Size of the cuts

Figure 2. All 4 hospitals here take a cut, 0.55% on average; across all hospitals 20% take none.
0%5%10%15%20%25% No cut: 0 here (0%); 20% of all hospitals0.0% to 0.1%: 0 here (0%); 18% of all hospitals0.1% to 0.2%: 0 here (0%); 11% of all hospitals0.2% to 0.3%: 0 here (0%); 10% of all hospitals0.3% to 0.4%: 1 here (25%); 8% of all hospitals0.4% to 0.5%: 1 here (25%); 6% of all hospitals0.5% to 0.6%: 1 here (25%); 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%: 1 here (25%); 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%: 0 here (0%); 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 0.55%none 0%5%10%15%20%25% No cut: 0 here (0%); 20% of all hospitals0.0% to 0.1%: 0 here (0%); 18% of all hospitals0.1% to 0.2%: 0 here (0%); 11% of all hospitals0.2% to 0.3%: 0 here (0%); 10% of all hospitals0.3% to 0.4%: 1 here (25%); 8% of all hospitals0.4% to 0.5%: 1 here (25%); 6% of all hospitals0.5% to 0.6%: 1 here (25%); 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%: 1 here (25%); 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%: 0 here (0%); 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 0.55%none

Bars: Brownsville-Harlingen, TX. 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%00%18%
0.1%0.2%00%11%
0.2%0.3%00%10%
0.3%0.4%125%8%
0.4%0.5%125%6%
0.5%0.6%125%6%
0.6%0.7%00%4%
0.7%0.8%00%3%
0.8%0.9%125%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%00%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. The largest group here is group 4, with 2 of the 4 hospitals.
Group 1: no hospital hereGroup 1none0Group 2: no hospital hereGroup 2none0Group 3: no hospital hereGroup 3none0Group 4: 2 hospitals, average cut 0.69%Group 4avg cut 0.69%2Group 5: 2 hospitals, average cut 0.41%Group 5avg cut 0.41%2 Group 1: no hospital hereGroup 1none0Group 2: no hospital hereGroup 2none0Group 3: no hospital hereGroup 3none0Group 4: 2 hospitals, average cut 0.69%Group 4avg cut 0.69%2Group 5: 2 hospitals, average cut 0.41%Group 5avg cut 0.41%2

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 20none
Group 30none
Group 420.69%
Group 520.41%

Which conditions drive the penalties here

Figure 4. Bypass surgery is the largest part of the estimated dollars here, 46%.
  • All hospitals

Penalized on this condition

Heart attack: 3 of 4 measured hospitals penalized, 75%; all hospitals 50%Heart attack3 of 475%COPD: 2 of 4 measured hospitals penalized, 50%; all hospitals 50%COPD2 of 450%Heart failure: 0 of 4 measured hospitals penalized, 0%; all hospitals 50%Heart failure0 of 40%Pneumonia: 3 of 4 measured hospitals penalized, 75%; all hospitals 50%Pneumonia3 of 475%Bypass surgery: 3 of 4 measured hospitals penalized, 75%; all hospitals 49%Bypass (CABG)3 of 475%Hip/knee replacement: 2 of 4 measured hospitals penalized, 50%; all hospitals 50%Hip/knee2 of 450% Heart attack: 3 of 4 measured hospitals penalized, 75%; all hospitals 50%Heart attack3 of 4 measured75%COPD: 2 of 4 measured hospitals penalized, 50%; all hospitals 50%COPD2 of 4 measured50%Heart failure: 0 of 4 measured hospitals penalized, 0%; all hospitals 50%Heart failure0 of 4 measured0%Pneumonia: 3 of 4 measured hospitals penalized, 75%; all hospitals 50%Pneumonia3 of 4 measured75%Bypass surgery: 3 of 4 measured hospitals penalized, 75%; all hospitals 49%Bypass surgery3 of 4 measured75%Hip/knee replacement: 2 of 4 measured hospitals penalized, 50%; all hospitals 50%Hip/knee replacement2 of 4 measured50%

Share of estimated dollars

Bypass surgery: $177K of the modeled dollars, 46%Bypass (CABG)≈ $177K46%Heart attack: $100K of the modeled dollars, 26%Heart attack≈ $100K26%Pneumonia: $99K of the modeled dollars, 26%Pneumonia≈ $99K26%COPD: $4K of the modeled dollars, 1%COPD≈ $4K1%Hip/knee replacement: $2K of the modeled dollars, 0%Hip/knee≈ $2K0%Heart failure: $0 of the modeled dollars, 0%Heart failure≈ $00% Bypass surgery: $177K of the modeled dollars, 46%Bypass surgery≈ $177K46%Heart attack: $100K of the modeled dollars, 26%Heart attack≈ $100K26%Pneumonia: $99K of the modeled dollars, 26%Pneumonia≈ $99K26%COPD: $4K of the modeled dollars, 1%COPD≈ $4K1%Hip/knee replacement: $2K of the modeled dollars, 0%Hip/knee replacement≈ $2K0%Heart failure: $0 of the modeled dollars, 0%Heart failure≈ $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 attack4375%50%$100K26%
COPD4250%50%$4K1%
Heart failure400%50%$00%
Pneumonia4375%50%$99K26%
Bypass surgery4375%49%$177K46%
Hip/knee replacement4250%50%$2K0%

Average cut over time

Figure 5. In FY2027, the average cut in Brownsville-Harlingen, TX was 0.55%, 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% 3% cap FY2013: 0.61% here; 0.28% across all hospitals in the programFY2014: 0.24% here; 0.26% across all hospitals in the programFY2015: 0.14% here; 0.50% across all hospitals in the programFY2016: 0.04% here; 0.49% across all hospitals in the programFY2017: 0.19% here; 0.60% across all hospitals in the programFY2018: 0.43% here; 0.61% across all hospitals in the programFY2019: 0.73% here; 0.59% across all hospitals in the programFY2020: 0.74% here; 0.60% across all hospitals in the programFY2021: 0.85% here; 0.58% across all hospitals in the programFY2022: 0.80% here; 0.54% across all hospitals in the programFY2023: 0.24% here; 0.33% across all hospitals in the programFY2024: 0.21% here; 0.34% across all hospitals in the programFY2025: 0.23% here; 0.33% across all hospitals in the programFY2026: 0.34% here; 0.35% across all hospitals in the programFY2027: 0.55% here; 0.35% across all hospitals in the program0.55% ’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: 0.61% here; 0.28% across all hospitals in the programFY2014: 0.24% here; 0.26% across all hospitals in the programFY2015: 0.14% here; 0.50% across all hospitals in the programFY2016: 0.04% here; 0.49% across all hospitals in the programFY2017: 0.19% here; 0.60% across all hospitals in the programFY2018: 0.43% here; 0.61% across all hospitals in the programFY2019: 0.73% here; 0.59% across all hospitals in the programFY2020: 0.74% here; 0.60% across all hospitals in the programFY2021: 0.85% here; 0.58% across all hospitals in the programFY2022: 0.80% here; 0.54% across all hospitals in the programFY2023: 0.24% here; 0.33% across all hospitals in the programFY2024: 0.21% here; 0.34% across all hospitals in the programFY2025: 0.23% here; 0.33% across all hospitals in the programFY2026: 0.34% here; 0.35% across all hospitals in the programFY2027: 0.55% here; 0.35% across all hospitals in the program0.55% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in Brownsville-Harlingen, TX 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
FY20130.61%0.28%
FY20140.24%0.26%
FY20150.14%0.50%
FY20160.04%0.49%
FY20170.19%0.60%
FY20180.43%0.61%
FY20190.73%0.59%
FY20200.74%0.60%
FY20210.85%0.58%
FY20220.80%0.54%
FY20230.24%0.33%
FY20240.21%0.34%
FY20250.23%0.33%
FY20260.34%0.35%
FY20270.55%0.35%

Hospitals in Brownsville-Harlingen, TX

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

Hospitals in Brownsville-Harlingen, TX, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
VHS Harlingen Hospital Company LLCHarlingen, TX · CCN 4500330.86%$219K4Heart attack: adds to the cut; COPD: adds to the cut; Heart failure: measured, adds nothing; Pneumonia: adds to the cut; Bypass surgery: adds to the cut; Hip/knee replacement: measured, adds nothingCounted toward the cut: Heart attack, COPD, Pneumonia, and Bypass surgery578
Harlingen Medical CenterHarlingen, TX · CCN 4508550.52%$61K4Heart attack: adds to the cut; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: adds to the cut; Hip/knee replacement: measured, adds nothingCounted toward the cut: Heart attack and Bypass surgery112
Valley Baptist Medical Center- BrownsvilleBrownsville, TX · CCN 4500280.45%$54K5Heart attack: adds to the cut; COPD: adds to the cut; Heart failure: measured, adds nothing; Pneumonia: adds to the cut; Bypass surgery: measured, adds nothing; Hip/knee replacement: adds to the cutCounted toward the cut: Heart attack, COPD, Pneumonia, and Hip/knee replacement240
Valley Regional Medical CenterBrownsville, TX · CCN 4506620.36%$48K5Heart attack: measured, adds nothing; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: adds to the cut; Bypass surgery: adds to the cut; Hip/knee replacement: adds to the cutCounted toward the cut: Pneumonia, Bypass surgery, and Hip/knee replacement214

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