P&P, Paid & Penalized

Public Medicare data, made visible.

Metro area

Roanoke, 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 0.75%. Estimated total: $911Kestimate.

Roanoke, VA · FY2027Compared with all hospitals nationally

1Hospitals

3

2Penalized

100%

of 3 measured · +17 pts vs nation

3Average cut

0.75%

+0.40 pts vs nation

4Cut 1% or more

1

33% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$911Kestimate

Hospitals on the map

Figure 1. 3 of the 3 hospitals here take a cut; the largest, 1.09%, is at Carilion Franklin Memorial Hospital.
Centra Health - Lynchburg Gen Hospital, Lynchburg, VA: cut 0.31%Augusta Health, Fishersville, VA: no cutCarilion New River Valley Medical Center, Christiansburg, VA: cut 0.05%Sovah Health Danville, Danville, VA: cut 0.07%Lewisgale Hospital Montgomery, Blacksburg, VA: cut 0.10%Sentara Halifax Regional Hospital, South Boston, VA: no cutCentra Bedford Memorial Hospital, Bedford, VA: no cutTwin County Regional Hospital, Galax, VA: no cutLewisgale Hospital Pulaski, Pulaski, VA: cut 1.43%Lewisgale Hospital Alleghany, Low Moor, VA: no cutCarilion Medical Center, Roanoke, VA: cut 0.28%Lewisgale Medical Center, Salem, VA: cut 0.88%Carilion Franklin Memorial Hospital, Rocky Mount, VA: cut 1.09% Centra Health - Lynchburg Gen Hospital, Lynchburg, VA: cut 0.31%Augusta Health, Fishersville, VA: no cutCarilion New River Valley Medical Center, Christiansburg, VA: cut 0.05%Sovah Health Danville, Danville, VA: cut 0.07%Lewisgale Hospital Montgomery, Blacksburg, VA: cut 0.10%Sentara Halifax Regional Hospital, South Boston, VA: no cutCentra Bedford Memorial Hospital, Bedford, VA: no cutTwin County Regional Hospital, Galax, VA: no cutLewisgale Hospital Pulaski, Pulaski, VA: cut 1.43%Lewisgale Hospital Alleghany, Low Moor, VA: no cutCarilion Medical Center, Roanoke, VA: cut 0.28%Lewisgale Medical Center, Salem, VA: cut 0.88%Carilion Franklin Memorial Hospital, Rocky Mount, VA: cut 1.09%

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)
Carilion Franklin Memorial HospitalRocky Mount1.09%$4.9M
Lewisgale Medical CenterSalem0.88%$57.3M
Carilion Medical CenterRoanoke0.28%$126M

Size of the cuts

Figure 2. All 3 hospitals here take a cut, 0.75% 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%: 0 here (0%); 18% of all hospitals0.1% to 0.2%: 0 here (0%); 11% of all hospitals0.2% to 0.3%: 1 here (33%); 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%: 1 here (33%); 3% of all hospitals0.9% to 1.0%: 0 here (0%); 2% of all hospitals1.0% to 1.1%: 1 here (33%); 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 0.75%none 0%10%20%30% 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%: 1 here (33%); 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%: 1 here (33%); 3% of all hospitals0.9% to 1.0%: 0 here (0%); 2% of all hospitals1.0% to 1.1%: 1 here (33%); 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 0.75%none

Bars: Roanoke, 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%00%18%
0.1%0.2%00%11%
0.2%0.3%133%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%133%3%
0.9%1.0%00%2%
1.0%1.1%133%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 3 hospitals here are in group 2.
Group 1: no hospital hereGroup 1none0Group 2: 2 hospitals, average cut 0.58%Group 2avg cut 0.58%2Group 3: 1 hospital, average cut 1.09%Group 3avg cut 1.09%1Group 4: no hospital hereGroup 4none0Group 5: no hospital hereGroup 5none0 Group 1: no hospital hereGroup 1none0Group 2: 2 hospitals, average cut 0.58%Group 2avg cut 0.58%2Group 3: 1 hospital, average cut 1.09%Group 3avg cut 1.09%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 220.58%
Group 311.09%
Group 40none
Group 50none

Which conditions drive the penalties here

Figure 4. Pneumonia is the largest part of the estimated dollars here, 22%.
  • All hospitals

Penalized on this condition

Heart attack: 2 of 2 measured hospitals penalized, 100%; all hospitals 50%Heart attack2 of 2100%COPD: 2 of 3 measured hospitals penalized, 67%; all hospitals 50%COPD2 of 367%Heart failure: 3 of 3 measured hospitals penalized, 100%; all hospitals 50%Heart failure3 of 3100%Pneumonia: 3 of 3 measured hospitals penalized, 100%; all hospitals 50%Pneumonia3 of 3100%Bypass surgery: 1 of 2 measured hospitals penalized, 50%; all hospitals 49%Bypass (CABG)1 of 250%Hip/knee replacement: 2 of 2 measured hospitals penalized, 100%; all hospitals 50%Hip/knee2 of 2100% Heart attack: 2 of 2 measured hospitals penalized, 100%; all hospitals 50%Heart attack2 of 2 measured100%COPD: 2 of 3 measured hospitals penalized, 67%; all hospitals 50%COPD2 of 3 measured67%Heart failure: 3 of 3 measured hospitals penalized, 100%; all hospitals 50%Heart failure3 of 3 measured100%Pneumonia: 3 of 3 measured hospitals penalized, 100%; all hospitals 50%Pneumonia3 of 3 measured100%Bypass surgery: 1 of 2 measured hospitals penalized, 50%; all hospitals 49%Bypass surgery1 of 2 measured50%Hip/knee replacement: 2 of 2 measured hospitals penalized, 100%; all hospitals 50%Hip/knee replacement2 of 2 measured100%

Share of estimated dollars

Pneumonia: $200K of the modeled dollars, 22%Pneumonia≈ $200K22%Heart failure: $180K of the modeled dollars, 20%Heart failure≈ $180K20%Heart attack: $176K of the modeled dollars, 19%Heart attack≈ $176K19%Bypass surgery: $151K of the modeled dollars, 17%Bypass (CABG)≈ $151K17%Hip/knee replacement: $142K of the modeled dollars, 16%Hip/knee≈ $142K16%COPD: $62K of the modeled dollars, 7%COPD≈ $62K7% Pneumonia: $200K of the modeled dollars, 22%Pneumonia≈ $200K22%Heart failure: $180K of the modeled dollars, 20%Heart failure≈ $180K20%Heart attack: $176K of the modeled dollars, 19%Heart attack≈ $176K19%Bypass surgery: $151K of the modeled dollars, 17%Bypass surgery≈ $151K17%Hip/knee replacement: $142K of the modeled dollars, 16%Hip/knee replacement≈ $142K16%COPD: $62K of the modeled dollars, 7%COPD≈ $62K7%

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 attack22100%50%$176K19%
COPD3267%50%$62K7%
Heart failure33100%50%$180K20%
Pneumonia33100%50%$200K22%
Bypass surgery2150%49%$151K17%
Hip/knee replacement22100%50%$142K16%

Average cut over time

Figure 5. In FY2027, the average cut in Roanoke, VA was 0.75%, 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: 0.24% here; 0.28% across all hospitals in the programFY2014: 0.30% here; 0.26% across all hospitals in the programFY2015: 0.71% here; 0.50% across all hospitals in the programFY2016: 0.68% here; 0.49% across all hospitals in the programFY2017: 0.36% here; 0.60% across all hospitals in the programFY2018: 0.23% here; 0.61% across all hospitals in the programFY2019: 0.44% here; 0.59% across all hospitals in the programFY2020: 0.35% here; 0.60% across all hospitals in the programFY2021: 0.29% here; 0.58% across all hospitals in the programFY2022: 0.50% here; 0.54% across all hospitals in the programFY2023: 0.31% here; 0.33% across all hospitals in the programFY2024: 0.35% here; 0.34% across all hospitals in the programFY2025: 0.49% here; 0.33% across all hospitals in the programFY2026: 0.36% here; 0.35% across all hospitals in the programFY2027: 0.75% here; 0.35% across all hospitals in the program0.75% ’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: 0.24% here; 0.28% across all hospitals in the programFY2014: 0.30% here; 0.26% across all hospitals in the programFY2015: 0.71% here; 0.50% across all hospitals in the programFY2016: 0.68% here; 0.49% across all hospitals in the programFY2017: 0.36% here; 0.60% across all hospitals in the programFY2018: 0.23% here; 0.61% across all hospitals in the programFY2019: 0.44% here; 0.59% across all hospitals in the programFY2020: 0.35% here; 0.60% across all hospitals in the programFY2021: 0.29% here; 0.58% across all hospitals in the programFY2022: 0.50% here; 0.54% across all hospitals in the programFY2023: 0.31% here; 0.33% across all hospitals in the programFY2024: 0.35% here; 0.34% across all hospitals in the programFY2025: 0.49% here; 0.33% across all hospitals in the programFY2026: 0.36% here; 0.35% across all hospitals in the programFY2027: 0.75% here; 0.35% across all hospitals in the program0.75% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in Roanoke, 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
FY20130.24%0.28%
FY20140.30%0.26%
FY20150.71%0.50%
FY20160.68%0.49%
FY20170.36%0.60%
FY20180.23%0.61%
FY20190.44%0.59%
FY20200.35%0.60%
FY20210.29%0.58%
FY20220.50%0.54%
FY20230.31%0.33%
FY20240.35%0.34%
FY20250.49%0.33%
FY20260.36%0.35%
FY20270.75%0.35%

Hospitals in Roanoke, VA

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

Hospitals in Roanoke, VA, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
Carilion Franklin Memorial HospitalRocky Mount, VA · CCN 4900891.09%$53K3Heart attack: too few cases to be measured; 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: too few cases to be measuredCounted toward the cut: COPD, Heart failure, and Pneumonia37
Lewisgale Medical CenterSalem, VA · CCN 4900480.88%$504K2Heart 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: adds to the cutCounted toward the cut: Heart attack, Heart failure, Pneumonia, Bypass surgery, and Hip/knee replacement506
Carilion Medical CenterRoanoke, VA · CCN 4900240.28%$354K2Heart attack: adds to the cut; COPD: adds to the cut; Heart failure: adds to the cut; Pneumonia: adds to the cut; Bypass surgery: measured, adds nothing; Hip/knee replacement: adds to the cutCounted toward the cut: Heart attack, COPD, Heart failure, Pneumonia, and Hip/knee replacement752

Download these hospitals as a CSV