P&P, Paid & Penalized

Public Medicare data, made visible.

Metro area

Raleigh-Cary, NC

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 0.20%. Estimated total: $347Kestimate.

Raleigh-Cary, NC · FY2027Compared with all hospitals nationally

1Hospitals

4

2Penalized

100%

of 4 measured · +17 pts vs nation

3Average cut

0.20%

−0.15 pts vs nation

4Cut 1% or more

0

0% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$347Kestimate

Hospitals on the map

Figure 1. 4 of the 4 hospitals here take a cut; the largest, 0.49%, is at Wakemed, Cary Hospital.
Duke University Hospital, Durham, NC: cut 0.02%ECU Health Medical Center, Greenville, NC: cut 0.67%Cape Fear Valley Medical Center, Fayetteville, NC: cut 0.71%UNC Hospitals, Chapel Hill, NC: cut 0.08%Firsthealth Moore Regional Hospital, Pinehurst, NC: cut 0.10%UNC Health Care Wayne, Goldsboro, NC: cut 0.26%UNC Lenoir Health Care, Kinston, NC: cut 0.66%Onslow Memorial Hospital, Jacksonville, NC: cut 0.52%Southeastern Regional Medical Center, Lumberton, NC: cut 0.28%Alamance Regional Medical Center, Burlington, NC: cut 0.08%UNC Health Nash, Rocky Mount, NC: cut 0.27%Duke Regional Hospital, Durham, NC: cut 0.20%Scotland Memorial Hospital, Laurinburg, NC: cut 0.26%Central Carolina Hospital, Sanford, NC: cut 0.07%Sampson Regional Medical Center, Clinton, NC: cut 1.05%North Carolina Specialty Hospital, Durham, NC: no cutUNC Rockingham, Eden, NC: cut 0.68%Betsy Johnson Regional Hospital, Dunn, NC: cut 0.19%Vidant Edgecombe Hospital, Tarboro, NC: cut 0.10%Vidant Duplin Hospital, Kenansville, NC: cut 1.03%Wilson Medical Center, Wilson, NC: cut 0.18%Granville Health Systems, Oxford, NC: cut 0.79%Maria Parham Medical Center, Henderson, NC: cut 0.06%ECU Health North Hospital, Roanoke Rapids, NC: cut 0.41%Person Memorial Hospital, Roxboro, NC: cut 0.55%Cape Fear Valley Hoke Hospital, Raeford, NC: cut 0.40%Wakemed, Raleigh Campus, Raleigh, NC: cut 0.04%Rex Hospital, Raleigh, NC: cut 0.10%Johnston Health, Smithfield, NC: cut 0.15%Wakemed, Cary Hospital, Cary, NC: cut 0.49% Duke University Hospital, Durham, NC: cut 0.02%ECU Health Medical Center, Greenville, NC: cut 0.67%Cape Fear Valley Medical Center, Fayetteville, NC: cut 0.71%UNC Hospitals, Chapel Hill, NC: cut 0.08%Firsthealth Moore Regional Hospital, Pinehurst, NC: cut 0.10%UNC Health Care Wayne, Goldsboro, NC: cut 0.26%UNC Lenoir Health Care, Kinston, NC: cut 0.66%Onslow Memorial Hospital, Jacksonville, NC: cut 0.52%Southeastern Regional Medical Center, Lumberton, NC: cut 0.28%Alamance Regional Medical Center, Burlington, NC: cut 0.08%UNC Health Nash, Rocky Mount, NC: cut 0.27%Duke Regional Hospital, Durham, NC: cut 0.20%Scotland Memorial Hospital, Laurinburg, NC: cut 0.26%Central Carolina Hospital, Sanford, NC: cut 0.07%Sampson Regional Medical Center, Clinton, NC: cut 1.05%North Carolina Specialty Hospital, Durham, NC: no cutUNC Rockingham, Eden, NC: cut 0.68%Betsy Johnson Regional Hospital, Dunn, NC: cut 0.19%Vidant Edgecombe Hospital, Tarboro, NC: cut 0.10%Vidant Duplin Hospital, Kenansville, NC: cut 1.03%Wilson Medical Center, Wilson, NC: cut 0.18%Granville Health Systems, Oxford, NC: cut 0.79%Maria Parham Medical Center, Henderson, NC: cut 0.06%ECU Health North Hospital, Roanoke Rapids, NC: cut 0.41%Person Memorial Hospital, Roxboro, NC: cut 0.55%Cape Fear Valley Hoke Hospital, Raeford, NC: cut 0.40%Wakemed, Raleigh Campus, Raleigh, NC: cut 0.04%Rex Hospital, Raleigh, NC: cut 0.10%Johnston Health, Smithfield, NC: cut 0.15%Wakemed, Cary Hospital, Cary, NC: cut 0.49%

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)
Wakemed, Cary HospitalCary0.49%$35.9M
Johnston HealthSmithfield0.15%$23.6M
Rex HospitalRaleigh0.10%$98.1M
Wakemed, Raleigh CampusRaleigh0.04%$94.9M

Size of the cuts

Figure 2. All 4 hospitals here take a cut, 0.20% on average; across all hospitals 20% take none.
0%10%20%30%40%50% No cut: 0 here (0%); 20% of all hospitals0.0% to 0.1%: 1 here (25%); 18% of all hospitals0.1% to 0.2%: 2 here (50%); 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%: 1 here (25%); 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 0.20%none 0%10%20%30%40%50% No cut: 0 here (0%); 20% of all hospitals0.0% to 0.1%: 1 here (25%); 18% of all hospitals0.1% to 0.2%: 2 here (50%); 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%: 1 here (25%); 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 0.20%none

Bars: Raleigh-Cary, NC. 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%125%18%
0.1%0.2%250%11%
0.2%0.3%00%10%
0.3%0.4%00%8%
0.4%0.5%125%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. The largest group here is group 1, with 2 of the 4 hospitals.
Group 1: 2 hospitals, average cut 0.29%Group 1avg cut 0.29%2Group 2: no hospital hereGroup 2none0Group 3: 1 hospital, average cut 0.04%Group 3avg cut 0.04%1Group 4: 1 hospital, average cut 0.15%Group 4avg cut 0.15%1Group 5: no hospital hereGroup 5none0 Group 1: 2 hospitals, average cut 0.29%Group 1avg cut 0.29%2Group 2: no hospital hereGroup 2none0Group 3: 1 hospital, average cut 0.04%Group 3avg cut 0.04%1Group 4: 1 hospital, average cut 0.15%Group 4avg cut 0.15%1Group 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 120.29%
Group 20none
Group 310.04%
Group 410.15%
Group 50none

Which conditions drive the penalties here

Figure 4. Heart failure is the largest part of the estimated dollars here, 49%.
  • All hospitals

Penalized on this condition

Heart attack: 0 of 4 measured hospitals penalized, 0%; all hospitals 50%Heart attack0 of 40%COPD: 2 of 4 measured hospitals penalized, 50%; all hospitals 50%COPD2 of 450%Heart failure: 2 of 4 measured hospitals penalized, 50%; all hospitals 50%Heart failure2 of 450%Pneumonia: 2 of 4 measured hospitals penalized, 50%; all hospitals 50%Pneumonia2 of 450%Bypass surgery: 0 of 2 measured hospitals penalized, 0%; all hospitals 49%Bypass (CABG)0 of 20%Hip/knee replacement: 2 of 4 measured hospitals penalized, 50%; all hospitals 50%Hip/knee2 of 450% Heart attack: 0 of 4 measured hospitals penalized, 0%; all hospitals 50%Heart attack0 of 4 measured0%COPD: 2 of 4 measured hospitals penalized, 50%; all hospitals 50%COPD2 of 4 measured50%Heart failure: 2 of 4 measured hospitals penalized, 50%; all hospitals 50%Heart failure2 of 4 measured50%Pneumonia: 2 of 4 measured hospitals penalized, 50%; all hospitals 50%Pneumonia2 of 4 measured50%Bypass surgery: 0 of 2 measured hospitals penalized, 0%; all hospitals 49%Bypass surgery0 of 2 measured0%Hip/knee replacement: 2 of 4 measured hospitals penalized, 50%; all hospitals 50%Hip/knee replacement2 of 4 measured50%

Share of estimated dollars

Heart failure: $170K of the modeled dollars, 49%Heart failure≈ $170K49%Hip/knee replacement: $103K of the modeled dollars, 30%Hip/knee≈ $103K30%COPD: $41K of the modeled dollars, 12%COPD≈ $41K12%Pneumonia: $33K of the modeled dollars, 10%Pneumonia≈ $33K10%Heart attack: $0 of the modeled dollars, 0%Heart attack≈ $00%Bypass surgery: $0 of the modeled dollars, 0%Bypass (CABG)≈ $00% Heart failure: $170K of the modeled dollars, 49%Heart failure≈ $170K49%Hip/knee replacement: $103K of the modeled dollars, 30%Hip/knee replacement≈ $103K30%COPD: $41K of the modeled dollars, 12%COPD≈ $41K12%Pneumonia: $33K of the modeled dollars, 10%Pneumonia≈ $33K10%Heart attack: $0 of the modeled dollars, 0%Heart attack≈ $00%Bypass surgery: $0 of the modeled dollars, 0%Bypass surgery≈ $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 attack400%50%$00%
COPD4250%50%$41K12%
Heart failure4250%50%$170K49%
Pneumonia4250%50%$33K10%
Bypass surgery200%49%$00%
Hip/knee replacement4250%50%$103K30%

Average cut over time

Figure 5. In FY2027, the average cut in Raleigh-Cary, NC was 0.20%, 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: 0.18% here; 0.28% across all hospitals in the programFY2014: 0.27% here; 0.26% across all hospitals in the programFY2015: 0.38% here; 0.50% across all hospitals in the programFY2016: 0.20% here; 0.49% across all hospitals in the programFY2017: 0.35% here; 0.60% across all hospitals in the programFY2018: 0.46% here; 0.61% across all hospitals in the programFY2019: 0.51% here; 0.59% across all hospitals in the programFY2020: 0.63% here; 0.60% across all hospitals in the programFY2021: 0.71% here; 0.58% across all hospitals in the programFY2022: 0.79% here; 0.54% across all hospitals in the programFY2023: 0.52% here; 0.33% across all hospitals in the programFY2024: 0.33% here; 0.34% across all hospitals in the programFY2025: 0.26% here; 0.33% across all hospitals in the programFY2026: 0.13% here; 0.35% across all hospitals in the programFY2027: 0.20% here; 0.35% across all hospitals in the program0.20% ’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: 0.18% here; 0.28% across all hospitals in the programFY2014: 0.27% here; 0.26% across all hospitals in the programFY2015: 0.38% here; 0.50% across all hospitals in the programFY2016: 0.20% here; 0.49% across all hospitals in the programFY2017: 0.35% here; 0.60% across all hospitals in the programFY2018: 0.46% here; 0.61% across all hospitals in the programFY2019: 0.51% here; 0.59% across all hospitals in the programFY2020: 0.63% here; 0.60% across all hospitals in the programFY2021: 0.71% here; 0.58% across all hospitals in the programFY2022: 0.79% here; 0.54% across all hospitals in the programFY2023: 0.52% here; 0.33% across all hospitals in the programFY2024: 0.33% here; 0.34% across all hospitals in the programFY2025: 0.26% here; 0.33% across all hospitals in the programFY2026: 0.13% here; 0.35% across all hospitals in the programFY2027: 0.20% here; 0.35% across all hospitals in the program0.20% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in Raleigh-Cary, NC 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
FY20130.18%0.28%
FY20140.27%0.26%
FY20150.38%0.50%
FY20160.20%0.49%
FY20170.35%0.60%
FY20180.46%0.61%
FY20190.51%0.59%
FY20200.63%0.60%
FY20210.71%0.58%
FY20220.79%0.54%
FY20230.52%0.33%
FY20240.33%0.34%
FY20250.26%0.33%
FY20260.13%0.35%
FY20270.20%0.35%

Hospitals in Raleigh-Cary, NC

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

Hospitals in Raleigh-Cary, NC, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
Wakemed, Cary HospitalCary, NC · CCN 3401730.49%$176K1Heart attack: measured, adds nothing; COPD: adds to the cut; Heart failure: adds to the cut; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: measured, adds nothingCounted toward the cut: COPD and Heart failure156
Johnston HealthSmithfield, NC · CCN 3400900.15%$35K4Heart attack: measured, adds nothing; COPD: adds to the cut; Heart failure: adds to the cut; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: measured, adds nothingCounted toward the cut: COPD and Heart failure175
Rex HospitalRaleigh, NC · CCN 3401140.10%$98K1Heart attack: measured, adds nothing; COPD: measured, adds nothing; 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: Pneumonia and Hip/knee replacement425
Wakemed, Raleigh CampusRaleigh, NC · CCN 3400690.04%$38K3Heart attack: measured, adds nothing; COPD: measured, adds nothing; 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: Pneumonia and Hip/knee replacement659

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