P&P, Paid & Penalized

Public Medicare data, made visible.

State

Wyoming

6 of 8 hospitals take a cut in FY2027: 86% of the 7 measured on at least one condition. The average cut, counting all 8 hospitals, is 0.21%, the 37th-largest among the 49 states and DC in the program. Estimated total: $345Kestimate.

Wyoming · FY2027Compared with all hospitals nationally

1Hospitals

8

2Penalized

86%

of 7 measured · +3 pts vs nation

3Average cut

0.21%

−0.14 pts vs nation

4Cut 1% or more

0

0% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$345Kestimate

Hospitals on the map

Figure 1. 6 of the 8 hospitals here take a cut; the largest, 0.77%, is at St Johns Medical Center.
Sagewest Health Care, Riverton, WY: no cutSummit Medical Center, Casper, WY: no cutCampbell County Health, Gillette, WY: cut 0.03%Sheridan Memorial Hospital, Sheridan, WY: cut 0.10%Ivinson Memorial Hospital, Laramie, WY: cut 0.05%Banner Wyoming Medical Center, Casper, WY: cut 0.25%Cheyenne Regional Medical Center, Cheyenne, WY: cut 0.52%St Johns Medical Center, Jackson, WY: cut 0.77% Sagewest Health Care, Riverton, WY: no cutSummit Medical Center, Casper, WY: no cutCampbell County Health, Gillette, WY: cut 0.03%Sheridan Memorial Hospital, Sheridan, WY: cut 0.10%Ivinson Memorial Hospital, Laramie, WY: cut 0.05%Banner Wyoming Medical Center, Casper, WY: cut 0.25%Cheyenne Regional Medical Center, Cheyenne, WY: cut 0.52%St Johns Medical Center, Jackson, WY: cut 0.77%

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%

Dots are sized by Medicare volume and shaded by cut. Select one to open it.

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)
St Johns Medical CenterJackson0.77%$7.7M
Cheyenne Regional Medical CenterCheyenne0.52%$31.6M
Banner Wyoming Medical CenterCasper0.25%$42.9M
Sheridan Memorial HospitalSheridan0.10%$9.1M
Ivinson Memorial HospitalLaramie0.05%$5.1M
Campbell County HealthGillette0.03%$6.9M
Sagewest Health CareRiverton0.00%$4.6M
Summit Medical CenterCasper0.00%$1.4M

Size of the cuts

Figure 2. 2 of the 8 hospitals here take no cut, against 20% of all hospitals; the average cut is 0.21%.
0%5%10%15%20%25% No cut: 2 here (25%); 20% of all hospitals0.0% to 0.1%: 2 here (25%); 18% of all hospitals0.1% to 0.2%: 1 here (13%); 11% of all hospitals0.2% to 0.3%: 1 here (13%); 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%: 1 here (13%); 6% of all hospitals0.6% to 0.7%: 0 here (0%); 4% of all hospitals0.7% to 0.8%: 1 here (13%); 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 0.21%none 0%5%10%15%20%25% No cut: 2 here (25%); 20% of all hospitals0.0% to 0.1%: 2 here (25%); 18% of all hospitals0.1% to 0.2%: 1 here (13%); 11% of all hospitals0.2% to 0.3%: 1 here (13%); 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%: 1 here (13%); 6% of all hospitals0.6% to 0.7%: 0 here (0%); 4% of all hospitals0.7% to 0.8%: 1 here (13%); 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 0.21%none

Bars: Wyoming. 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—225%20%
0.0%0.1%225%18%
0.1%0.2%113%11%
0.2%0.3%113%10%
0.3%0.4%00%8%
0.4%0.5%00%6%
0.5%0.6%113%6%
0.6%0.7%00%4%
0.7%0.8%113%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 8 hospitals here are in group 1.
Group 1: 5 hospitals, average cut 0.19%Group 1avg cut 0.19%5Group 2: 2 hospitals, average cut 0.39%Group 2avg cut 0.39%2Group 3: 1 hospital, average cut 0.00%Group 3avg cut 0.00%1Group 4: no hospital hereGroup 4none0Group 5: no hospital hereGroup 5none0 Group 1: 5 hospitals, average cut 0.19%Group 1avg cut 0.19%5Group 2: 2 hospitals, average cut 0.39%Group 2avg cut 0.39%2Group 3: 1 hospital, average cut 0.00%Group 3avg cut 0.00%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 150.19%
Group 220.39%
Group 310.00%
Group 40none
Group 50none

Which conditions drive the penalties here

Figure 4. Bypass surgery is the largest part of the estimated dollars here, 37%.
  • All hospitals

Penalized on this condition

Heart attack: 2 of 3 measured hospitals penalized, 67%; all hospitals 50%Heart attack2 of 367%COPD: 2 of 7 measured hospitals penalized, 29%; all hospitals 50%COPD2 of 729%Heart failure: 1 of 7 measured hospitals penalized, 14%; all hospitals 50%Heart failure1 of 714%Pneumonia: 3 of 7 measured hospitals penalized, 43%; all hospitals 50%Pneumonia3 of 743%Bypass surgery: 2 of 2 measured hospitals penalized, 100%; all hospitals 49%Bypass (CABG)2 of 2100%Hip/knee replacement: 3 of 5 measured hospitals penalized, 60%; all hospitals 50%Hip/knee3 of 560% Heart attack: 2 of 3 measured hospitals penalized, 67%; all hospitals 50%Heart attack2 of 3 measured67%COPD: 2 of 7 measured hospitals penalized, 29%; all hospitals 50%COPD2 of 7 measured29%Heart failure: 1 of 7 measured hospitals penalized, 14%; all hospitals 50%Heart failure1 of 7 measured14%Pneumonia: 3 of 7 measured hospitals penalized, 43%; all hospitals 50%Pneumonia3 of 7 measured43%Bypass surgery: 2 of 2 measured hospitals penalized, 100%; all hospitals 49%Bypass surgery2 of 2 measured100%Hip/knee replacement: 3 of 5 measured hospitals penalized, 60%; all hospitals 50%Hip/knee replacement3 of 5 measured60%

Share of estimated dollars

Bypass surgery: $129K of the modeled dollars, 37%Bypass (CABG)≈ $129K37%Hip/knee replacement: $108K of the modeled dollars, 31%Hip/knee≈ $108K31%Pneumonia: $65K of the modeled dollars, 19%Pneumonia≈ $65K19%Heart attack: $39K of the modeled dollars, 11%Heart attack≈ $39K11%COPD: $3K of the modeled dollars, 1%COPD≈ $3K1%Heart failure: $1K of the modeled dollars, 0%Heart failure≈ $1K0% Bypass surgery: $129K of the modeled dollars, 37%Bypass surgery≈ $129K37%Hip/knee replacement: $108K of the modeled dollars, 31%Hip/knee replacement≈ $108K31%Pneumonia: $65K of the modeled dollars, 19%Pneumonia≈ $65K19%Heart attack: $39K of the modeled dollars, 11%Heart attack≈ $39K11%COPD: $3K of the modeled dollars, 1%COPD≈ $3K1%Heart failure: $1K of the modeled dollars, 0%Heart failure≈ $1K0%

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 attack3267%50%$39K11%
COPD7229%50%$3K1%
Heart failure7114%50%$1K0%
Pneumonia7343%50%$65K19%
Bypass surgery22100%49%$129K37%
Hip/knee replacement5360%50%$108K31%

Average cut over time

Figure 5. In FY2027, the average cut in Wyoming was 0.21%, 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: 0.06% here; 0.28% across all hospitals in the programFY2014: 0.05% here; 0.26% across all hospitals in the programFY2015: 0.41% here; 0.50% across all hospitals in the programFY2016: 0.38% here; 0.49% across all hospitals in the programFY2017: 0.29% here; 0.60% across all hospitals in the programFY2018: 0.57% here; 0.61% across all hospitals in the programFY2019: 0.88% here; 0.59% across all hospitals in the programFY2020: 0.83% here; 0.60% across all hospitals in the programFY2021: 0.53% here; 0.58% across all hospitals in the programFY2022: 0.48% here; 0.54% across all hospitals in the programFY2023: 0.34% here; 0.33% across all hospitals in the programFY2024: 0.30% here; 0.34% across all hospitals in the programFY2025: 0.22% here; 0.33% across all hospitals in the programFY2026: 0.15% here; 0.35% across all hospitals in the programFY2027: 0.21% here; 0.35% across all hospitals in the program0.21% ’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: 0.06% here; 0.28% across all hospitals in the programFY2014: 0.05% here; 0.26% across all hospitals in the programFY2015: 0.41% here; 0.50% across all hospitals in the programFY2016: 0.38% here; 0.49% across all hospitals in the programFY2017: 0.29% here; 0.60% across all hospitals in the programFY2018: 0.57% here; 0.61% across all hospitals in the programFY2019: 0.88% here; 0.59% across all hospitals in the programFY2020: 0.83% here; 0.60% across all hospitals in the programFY2021: 0.53% here; 0.58% across all hospitals in the programFY2022: 0.48% here; 0.54% across all hospitals in the programFY2023: 0.34% here; 0.33% across all hospitals in the programFY2024: 0.30% here; 0.34% across all hospitals in the programFY2025: 0.22% here; 0.33% across all hospitals in the programFY2026: 0.15% here; 0.35% across all hospitals in the programFY2027: 0.21% here; 0.35% across all hospitals in the program0.21% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in Wyoming 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
FY20130.06%0.28%
FY20140.05%0.26%
FY20150.41%0.50%
FY20160.38%0.49%
FY20170.29%0.60%
FY20180.57%0.61%
FY20190.88%0.59%
FY20200.83%0.60%
FY20210.53%0.58%
FY20220.48%0.54%
FY20230.34%0.33%
FY20240.30%0.34%
FY20250.22%0.33%
FY20260.15%0.35%
FY20270.21%0.35%

Metro areas

Largest first, by hospitals.

Metro areaHospitalsPenalizedAverage cutCut 1% or moreEstimated dollars
Outside metro areas580%0.19%0$73K
Casper, WY2100%0.13%0$107K
Cheyenne, WY1100%0.52%0$165K

Download the table as a CSV

Hospitals in Wyoming

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

Hospitals in Wyoming, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
St Johns Medical CenterJackson, WY · CCN 5300150.77%$59K1Heart 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: adds to the cutCounted toward the cut: Hip/knee replacement53
Cheyenne Regional Medical CenterCheyenne, WY · CCN 5300140.52%$165K2Heart 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: adds to the cutCounted toward the cut: Heart attack, COPD, Pneumonia, Bypass surgery, and Hip/knee replacement201
Banner Wyoming Medical CenterCasper, WY · CCN 5300120.25%$107K2Heart 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: adds to the cutCounted toward the cut: Heart attack, Bypass surgery, and Hip/knee replacement217
Sheridan Memorial HospitalSheridan, WY · CCN 5300060.10%$9K1Heart attack: measured, adds nothing; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: adds to the cut; Bypass surgery: too few cases to be measured; Hip/knee replacement: measured, adds nothingCounted toward the cut: Pneumonia88
Ivinson Memorial HospitalLaramie, WY · CCN 5300250.05%$3K1Heart attack: too few cases to be measured; 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 failure99
Campbell County HealthGillette, WY · CCN 5300020.03%$2K1Heart attack: too few cases to be measured; COPD: measured, adds nothing; Heart failure: measured, adds nothing; 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: Pneumonia119
Sagewest Health CareRiverton, WY · CCN 5300080.00%$03Heart 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: too few cases to be measuredNo condition counted146
Summit Medical CenterCasper, WY · CCN 5300340.00%$01Heart 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 counted16

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