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hospital-penalty-stack-sample

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ccn
int64
50k
510k
facility_name
stringlengths
15
45
state
stringlengths
2
2
hrrp_penalty_pct
float64
0
1.49
vbp_adjustment_pct
float64
-1.48
0.92
hac_penalized
bool
2 classes
drg_base_payment
float64
88.4M
364M
hrrp_penalty_usd_est
float64
0
2.48M
vbp_net_usd_est
float64
-1,876,842
3.35M
hac_penalty_usd_est
float64
0
3.23M
total_penalty_usd_est
float64
2.38M
6.02M
220,077
BAYSTATE MEDICAL CENTER
MA
1.15
-1.121
true
167,496,563
1,926,210
-1,876,842
2,217,458
6,020,510
180,088
NORTON HOSPITALS, INC
KY
0.73
-0.931
true
153,493,952
1,120,506
-1,428,776
1,822,370
4,371,652
50,599
UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER
CA
0.01
-0.448
true
185,331,158
18,533
-830,259
3,012,860
3,861,652
330,013
ALBANY MEDICAL CENTER HOSPITAL
NY
0.36
-1.483
true
118,380,679
426,170
-1,755,186
1,560,149
3,741,505
330,059
MONTEFIORE MEDICAL CENTER
NY
0.72
0.069
true
162,280,519
1,168,420
112,544
2,542,061
3,710,481
330,194
MAIMONIDES MEDICAL CENTER
NY
1.49
-0.08
true
117,110,056
1,744,940
-93,807
1,821,665
3,660,412
220,100
SOUTH SHORE HOSPITAL
MA
1.19
-0.304
true
139,071,840
1,654,955
-423,170
1,409,424
3,487,549
260,032
BARNES JEWISH HOSPITAL
MO
0.14
-0.241
true
179,298,798
251,018
-432,202
2,769,672
3,452,892
50,060
COMMUNITY REGIONAL MEDICAL CENTER
CA
0.71
-0.856
true
121,163,707
860,262
-1,037,293
1,522,315
3,419,870
360,180
CLEVELAND CLINIC
OH
0.02
0.782
true
212,212,084
42,442
1,659,770
3,225,366
3,267,808
220,086
BETH ISRAEL DEACONESS MEDICAL CENTER
MA
0.28
0.253
true
177,775,887
497,772
450,295
2,748,362
3,246,134
510,022
CHARLESTON AREA MEDICAL CENTER
WV
1.41
-0.96
true
88,366,388
1,245,966
-847,943
1,096,391
3,190,300
390,044
READING HOSPITAL
PA
1.42
-0.684
true
89,541,987
1,271,496
-612,165
1,126,539
3,010,200
140,067
SAINT FRANCIS MEDICAL CENTER
IL
0.84
-0.523
true
109,811,842
922,419
-574,001
1,370,308
2,866,728
420,004
MUSC MEDICAL CENTER
SC
0.35
-0.396
true
129,766,972
454,184
-514,205
1,861,019
2,829,408
440,048
BAPTIST MEMORIAL HOSPITAL
TN
0.51
-0.425
true
135,517,416
691,139
-575,941
1,546,628
2,813,708
100,157
LAKELAND REGIONAL MEDICAL CENTER
FL
0.94
-0.891
true
95,627,493
898,898
-851,656
1,055,000
2,805,554
390,164
UPMC PRESBYTERIAN SHADYSIDE
PA
0.81
0.087
true
117,365,430
950,660
101,634
1,733,789
2,684,449
310,012
VALLEY HOSPITAL
NJ
0.82
-0.316
true
119,285,948
978,145
-376,679
1,266,497
2,621,321
390,174
THOMAS JEFFERSON UNIVERSITY HOSPITAL
PA
0.3
-0.195
true
124,843,987
374,532
-243,528
1,952,273
2,570,333
50,038
SANTA CLARA VALLEY MEDICAL CENTER
CA
0.15
-0.914
true
96,051,953
144,078
-877,522
1,499,429
2,521,029
310,014
COOPER UNIVERSITY HOSPITAL
NJ
0.45
-0.523
true
109,865,395
494,394
-574,281
1,449,693
2,518,368
110,029
NORTHEAST GEORGIA MEDICAL CENTER, INC
GA
0
-0.954
true
112,970,236
0
-1,077,542
1,398,897
2,476,439
100,007
ADVENTHEALTH ORLANDO
FL
0.68
0.92
false
364,113,083
2,475,969
3,350,148
0
2,475,969
390,133
LEHIGH VALLEY HOSPITAL
PA
1.14
0.386
false
209,069,924
2,383,397
805,969
0
2,383,397

Medicare Hospital Penalty Stack: free sample (Tensorust LLC)

Three Medicare quality penalties stacked into one dollar figure per hospital: about $736M a year across 2,993 hospitals.

Headline: Medicare cuts hospital inpatient pay through three separate quality programs (readmissions, value-based purchasing and hospital-acquired conditions), and CMS publishes each as a factor in a different table, never as one dollar figure.

This repository is a free teaser, not the dataset. It holds 25 example rows and a summary table with no names in it. The full file has 5,419 rows and is sold by Tensorust LLC: https://tensorust.com/datasets/hospital-penalty-stack/.

Files here

file what it is
sample.csv 25 rows of the full file (the same sample shown on tensorust.com)
summary_by_state.csv row counts and totals by state across the full file, no entity names (groups with fewer than 3 rows are folded into "Other")

Summary by state (largest groups)

State rows Est. total penalties (USD)
TX 467 42,875,150
CA 377 87,186,793
FL 221 57,675,284
OH 193 30,824,934
IL 193 28,775,726
NY 192 51,802,048
PA 186 40,867,247
LA 161 11,980,469
GA 149 24,691,449
MI 149 17,709,070
IN 148 15,517,647
WI 140 5,574,696
TOTAL 5,419 736,408,415

Full table: summary_by_state.csv.

What the full file has

  • 5,419 rows
  • Key fields: ccn, facility_name, city_town, state, county_parish, hospital_type, hospital_ownership, hospital_overall_rating, in_ipps_programs, hrrp_paf_fy2027
  • Parquet and CSV, a README with sources, method and limits, and the build script
  • Free 25-row sample (no personal contact data)

Coverage: All 5,419 hospitals in CMS Hospital General Information; program fields filled for the 2,993 IPPS hospitals in at least one program file (critical access, Maryland and other exempt hospitals carry no penalty). FY2027 HRRP and proxy VBP factors (federal fiscal year Oct 1 2026 to Sep 30 2027); HAC list FY2026; cost reports 2024; built Nov 6 2026.

Columns in the full file

column meaning
ccn CMS certification number
facility_name Hospital name (Hospital General Information)
city_town City
state State
county_parish County
hospital_type CMS hospital type
hospital_ownership CMS ownership type
hospital_overall_rating CMS overall star rating
in_ipps_programs Appears in at least one program file (IPPS hospitals; CAHs, Maryland and others are exempt)
hrrp_paf_fy2027 FY2027 HRRP payment adjustment factor (Table 15)
hrrp_penalty_pct HRRP cut in percent
hrrp_measures_over_1 FY2026 HRRP measures with excess readmission ratio above 1
hrrp_max_err Highest excess readmission ratio
vbp_factor_fy2027_proxy FY2027 proxy VBP adjustment factor (Table 16A)
vbp_adjustment_pct VBP adjustment in percent (negative = cut)
hac_total_score_fy2026 FY2026 HAC Reduction Program total score
hac_reduction_fy2026 FY2026 HAC 1% reduction (Yes/No)
hac_penalized True when the HAC cut applies
drg_base_payment Medicare DRG payments excluding outliers (HCRIS Worksheet E Part A)
ipps_payment_base_for_hac DRG + outlier + DSH + IME payments, the HAC base
base_source Cost report year used for the payment base
hrrp_penalty_usd_est Estimated yearly HRRP cut, USD
vbp_net_usd_est Estimated yearly VBP adjustment, USD (positive = bonus)
hac_penalty_usd_est Estimated yearly HAC cut, USD
total_penalty_usd_est Sum of the cuts (negative VBP only), USD
net_quality_adjustment_usd_est Net of all three including VBP bonuses, USD
programs_penalizing Number of the three programs cutting payment (0 to 3)
net_patient_revenue_cr2024 Net patient revenue, 2024 cost report
net_income_cr2024 Net income, 2024 cost report
fy_end_cr2024 Fiscal year end of the 2024 cost report
ontology_org_id Tensorust Ontology organization id

Get the full file

tier price includes
Hospital or system report $950 Your hospital or up to 10 hospitals in one system: the three penalties in dollars, the measures driving each, and peer hospitals in your state for comparison.
National penalty file $4,500 All 5,419 hospitals with factors, payment bases and estimated dollars for each program, plus one refresh when the final FY2027 VBP factors and FY2027 HAC list post.
Vendor territory license $12,000 a year The national file refreshed with each CMS release (IPPS proposed and final rules, HAC and HRRP updates), ranked by dollars at stake, for one vendor or consulting firm's sales team.

Email mattbusel@tensorust.com with the tier and a billing contact, and we will send a proper invoice (ACH or card). The file is delivered once the invoice is paid. Details and the live sample: https://tensorust.com/datasets/hospital-penalty-stack/. All datasets: https://tensorust.com/datasets/

Method and limits

Parse FY2027 IPPS Final Rule Table 15 (HRRP) and Table 16A (proxy VBP). Join the FY2026 HAC reduction list and HRRP measure ratios on CCN. Take Medicare DRG payments from the 2024 HCRIS report, else 2023. Dollarize: HRRP = base x (1 - factor); VBP = base x (factor - 1); HAC = 1% x (DRG + outlier + DSH + IME). Sum the cuts into total_penalty_usd_est (negative VBP only) and the net of all three including VBP bonuses.

Not CMS-computed dollar amounts: dollars are Tensorust estimates from cost-report payment bases. The VBP factors are CMS proxy factors; final FY2027 factors replace them. The HAC list is FY2026; FY2027 HAC results publish later. Not clinical quality advice.

Sources

License

The sample and summary here are free to view, analyze and cite with attribution to "Tensorust LLC, https://tensorust.com/datasets/hospital-penalty-stack/". The full dataset is licensed separately per tier. No resale or redistribution of Tensorust data without a written license.

Tensorust LLC, Tuckahoe NY. mattbusel@tensorust.com | https://tensorust.com
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