P&P, Paid & Penalized

Public Medicare data, made visible.

Metro area

McAllen-Edinburg-Mission, TX

3 of 6 hospitals take a cut in FY2027: 60% of the 5 measured on at least one condition. The average cut, counting all 6 hospitals, is 0.12%. Estimated total: $140Kestimate.

McAllen-Edinburg-Mission, TX · FY2027Compared with all hospitals nationally

1Hospitals

6

2Penalized

60%

of 5 measured · −23 pts vs nation

3Average cut

0.12%

−0.23 pts vs nation

4Cut 1% or more

0

0% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$140Kestimate

Hospitals on the map

Figure 1. 3 of the 6 hospitals here take a cut; the largest, 0.31%, is at South Texas Health System.
Valley Baptist Medical Center- Brownsville, Brownsville, TX: cut 0.45%VHS Harlingen Hospital Company LLC, Harlingen, TX: cut 0.86%Valley Regional Medical Center, Brownsville, TX: cut 0.36%Starr County Memorial Hospital, Rio Grande City, TX: cut 0.04%Harlingen Medical Center, Harlingen, TX: cut 0.52%Doctors Hosptal at Renaissance, Edinburg, TX: no cutKnapp Medical Center, Weslaco, TX: no cutCornerstone Regional Hospital, Edinburg, TX: no cutRio Grande Regional Hospital, McAllen, TX: cut 0.10%South Texas Health System, Edinburg, TX: cut 0.31%Mission Regional Medical Center, Mission, TX: cut 0.28% Valley Baptist Medical Center- Brownsville, Brownsville, TX: cut 0.45%VHS Harlingen Hospital Company LLC, Harlingen, TX: cut 0.86%Valley Regional Medical Center, Brownsville, TX: cut 0.36%Starr County Memorial Hospital, Rio Grande City, TX: cut 0.04%Harlingen Medical Center, Harlingen, TX: cut 0.52%Doctors Hosptal at Renaissance, Edinburg, TX: no cutKnapp Medical Center, Weslaco, TX: no cutCornerstone Regional Hospital, Edinburg, TX: no cutRio Grande Regional Hospital, McAllen, TX: cut 0.10%South Texas Health System, Edinburg, TX: cut 0.31%Mission Regional Medical Center, Mission, TX: cut 0.28%

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)
South Texas Health SystemEdinburg0.31%$32.5M
Mission Regional Medical CenterMission0.28%$9.8M
Rio Grande Regional HospitalMcAllen0.10%$12.3M
Cornerstone Regional HospitalEdinburg0.00%$352K
Doctors Hosptal at RenaissanceEdinburg0.00%$23.4M
Knapp Medical CenterWeslaco0.00%$8.0M

Size of the cuts

Figure 2. 3 of the 6 hospitals here take no cut, against 20% of all hospitals; the average cut is 0.12%.
0%10%20%30%40%50% No cut: 3 here (50%); 20% of all hospitals0.0% to 0.1%: 0 here (0%); 18% of all hospitals0.1% to 0.2%: 1 here (17%); 11% of all hospitals0.2% to 0.3%: 1 here (17%); 10% of all hospitals0.3% to 0.4%: 1 here (17%); 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%: 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 0.12%none 0%10%20%30%40%50% No cut: 3 here (50%); 20% of all hospitals0.0% to 0.1%: 0 here (0%); 18% of all hospitals0.1% to 0.2%: 1 here (17%); 11% of all hospitals0.2% to 0.3%: 1 here (17%); 10% of all hospitals0.3% to 0.4%: 1 here (17%); 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%: 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 0.12%none

Bars: McAllen-Edinburg-Mission, 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—350%20%
0.0%0.1%00%18%
0.1%0.2%117%11%
0.2%0.3%117%10%
0.3%0.4%117%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%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. Most of the 6 hospitals here are in group 5.
Group 1: no hospital hereGroup 1none0Group 2: 1 hospital, average cut 0.00%Group 2avg cut 0.00%1Group 3: no hospital hereGroup 3none0Group 4: no hospital hereGroup 4none0Group 5: 5 hospitals, average cut 0.14%Group 5avg cut 0.14%5 Group 1: no hospital hereGroup 1none0Group 2: 1 hospital, average cut 0.00%Group 2avg cut 0.00%1Group 3: no hospital hereGroup 3none0Group 4: no hospital hereGroup 4none0Group 5: 5 hospitals, average cut 0.14%Group 5avg cut 0.14%5

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 210.00%
Group 30none
Group 40none
Group 550.14%

Which conditions drive the penalties here

Figure 4. Pneumonia is the largest part of the estimated dollars here, 67%.
  • All hospitals

Penalized on this condition

Heart attack: 1 of 4 measured hospitals penalized, 25%; all hospitals 50%Heart attack1 of 425%COPD: 1 of 5 measured hospitals penalized, 20%; all hospitals 50%COPD1 of 520%Heart failure: 2 of 5 measured hospitals penalized, 40%; all hospitals 50%Heart failure2 of 540%Pneumonia: 2 of 5 measured hospitals penalized, 40%; all hospitals 50%Pneumonia2 of 540%Bypass surgery: 1 of 3 measured hospitals penalized, 33%; all hospitals 49%Bypass (CABG)1 of 333%Hip/knee replacement: 0 of 4 measured hospitals penalized, 0%; all hospitals 50%Hip/knee0 of 40% Heart attack: 1 of 4 measured hospitals penalized, 25%; all hospitals 50%Heart attack1 of 4 measured25%COPD: 1 of 5 measured hospitals penalized, 20%; all hospitals 50%COPD1 of 5 measured20%Heart failure: 2 of 5 measured hospitals penalized, 40%; all hospitals 50%Heart failure2 of 5 measured40%Pneumonia: 2 of 5 measured hospitals penalized, 40%; all hospitals 50%Pneumonia2 of 5 measured40%Bypass surgery: 1 of 3 measured hospitals penalized, 33%; all hospitals 49%Bypass surgery1 of 3 measured33%Hip/knee replacement: 0 of 4 measured hospitals penalized, 0%; all hospitals 50%Hip/knee replacement0 of 4 measured0%

Share of estimated dollars

Pneumonia: $95K of the modeled dollars, 67%Pneumonia≈ $95K67%Heart failure: $33K of the modeled dollars, 24%Heart failure≈ $33K24%Heart attack: $6K of the modeled dollars, 5%Heart attack≈ $6K5%Bypass surgery: $6K of the modeled dollars, 4%Bypass (CABG)≈ $6K4%COPD: $0 of the modeled dollars, 0%COPD≈ $00%Hip/knee replacement: $0 of the modeled dollars, 0%Hip/knee≈ $00% Pneumonia: $95K of the modeled dollars, 67%Pneumonia≈ $95K67%Heart failure: $33K of the modeled dollars, 24%Heart failure≈ $33K24%Heart attack: $6K of the modeled dollars, 5%Heart attack≈ $6K5%Bypass surgery: $6K of the modeled dollars, 4%Bypass surgery≈ $6K4%COPD: $0 of the modeled dollars, 0%COPD≈ $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 attack4125%50%$6K5%
COPD5120%50%$00%
Heart failure5240%50%$33K24%
Pneumonia5240%50%$95K67%
Bypass surgery3133%49%$6K4%
Hip/knee replacement400%50%$00%

Average cut over time

Figure 5. In FY2027, the average cut in McAllen-Edinburg-Mission, TX was 0.12%, 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: 0.22% here; 0.28% across all hospitals in the programFY2014: 0.30% here; 0.26% across all hospitals in the programFY2015: 0.27% here; 0.50% across all hospitals in the programFY2016: 0.15% here; 0.49% across all hospitals in the programFY2017: 0.19% here; 0.60% across all hospitals in the programFY2018: 0.32% here; 0.61% across all hospitals in the programFY2019: 0.33% here; 0.59% across all hospitals in the programFY2020: 0.34% here; 0.60% across all hospitals in the programFY2021: 0.49% here; 0.58% across all hospitals in the programFY2022: 0.36% here; 0.54% across all hospitals in the programFY2023: 0.17% here; 0.33% across all hospitals in the programFY2024: 0.21% here; 0.34% across all hospitals in the programFY2025: 0.32% here; 0.33% across all hospitals in the programFY2026: 0.19% here; 0.35% across all hospitals in the programFY2027: 0.12% here; 0.35% across all hospitals in the program0.12% ’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: 0.22% here; 0.28% across all hospitals in the programFY2014: 0.30% here; 0.26% across all hospitals in the programFY2015: 0.27% here; 0.50% across all hospitals in the programFY2016: 0.15% here; 0.49% across all hospitals in the programFY2017: 0.19% here; 0.60% across all hospitals in the programFY2018: 0.32% here; 0.61% across all hospitals in the programFY2019: 0.33% here; 0.59% across all hospitals in the programFY2020: 0.34% here; 0.60% across all hospitals in the programFY2021: 0.49% here; 0.58% across all hospitals in the programFY2022: 0.36% here; 0.54% across all hospitals in the programFY2023: 0.17% here; 0.33% across all hospitals in the programFY2024: 0.21% here; 0.34% across all hospitals in the programFY2025: 0.32% here; 0.33% across all hospitals in the programFY2026: 0.19% here; 0.35% across all hospitals in the programFY2027: 0.12% here; 0.35% across all hospitals in the program0.12% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in McAllen-Edinburg-Mission, 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
FY20130.22%0.28%
FY20140.30%0.26%
FY20150.27%0.50%
FY20160.15%0.49%
FY20170.19%0.60%
FY20180.32%0.61%
FY20190.33%0.59%
FY20200.34%0.60%
FY20210.49%0.58%
FY20220.36%0.54%
FY20230.17%0.33%
FY20240.21%0.34%
FY20250.32%0.33%
FY20260.19%0.35%
FY20270.12%0.35%

Hospitals in McAllen-Edinburg-Mission, TX

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

Hospitals in McAllen-Edinburg-Mission, TX, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
South Texas Health SystemEdinburg, TX · CCN 4501190.31%$101K5Heart attack: measured, adds nothing; COPD: measured, adds nothing; Heart failure: adds to the cut; Pneumonia: adds to the cut; Bypass surgery: measured, adds nothing; Hip/knee replacement: too few cases to be measuredCounted toward the cut: Heart failure and Pneumonia870
Mission Regional Medical CenterMission, TX · CCN 4501760.28%$27K5Heart attack: measured, adds nothing; 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: measured, adds nothingCounted toward the cut: Heart failure and Pneumonia297
Rio Grande Regional HospitalMcAllen, TX · CCN 4507110.10%$12K5Heart 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 surgery320
Knapp Medical CenterWeslaco, TX · CCN 4501280.00%$05Heart attack: too few cases to be measured; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: measured, adds nothingNo condition counted233
Cornerstone Regional HospitalEdinburg, TX · CCN 4508250.00%$02Heart 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 counted14
Doctors Hosptal at RenaissanceEdinburg, TX · CCN 4508690.00%$05Heart attack: measured, adds nothing; COPD: adds to the cut; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: measured, adds nothing; Hip/knee replacement: measured, adds nothingCounted toward the cut: COPD583

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