Data / Hospitals
US hospitals: star ratings, owners and Medicare penalties for 5,419 hospitals
Medicare lists 5,419 US hospitals, 4,495 of them with emergency services, and 706 owners and systems run three or more of them. The average overall rating is 3.2 of 5 and 198 hospitals hold one star. In fiscal year 2026, 717 of them faced a 1% Medicare payment reduction under the Hospital-Acquired Condition Reduction Program, and 2,345 had an excess readmission ratio above 1.0 on at least one condition tracked by the Hospital Readmissions Reduction Program.
SpecStream is the live web data engine for teams and agents. It reads the CMS hospital files and the Medicare ownership file, and this page is that reading, joined on the CMS Certification Number. Ask for the hospitals you track by state, owner, system or rating, and each new penalty or rating change arrives in your sheet, CRM, Slack or agent as CMS publishes it.
- Hospitals
- 5,419
- Average overall rating
- 3.2 of 5
- One star hospitals
- 198
- Five star hospitals
- 384
- With emergency services
- 4,495
- HAC payment reductions, fiscal year 2026
- 717 of 3,035 in the program
- With excess readmissions
- 2,345
- Owner pages
- 706
- Data as of
- July 22, 2026
States
| State | Hospitals | Average stars | One star | HAC payment cuts | With excess readmissions |
|---|---|---|---|---|---|
| Alaska | 25 | 2.9 | 1 | 4 | 6 |
| Alabama | 99 | 2.7 | 4 | 28 | 57 |
| Arkansas | 90 | 2.9 | 3 | 14 | 35 |
| American Samoa | 1 | Not listed | 0 | 0 | 0 |
| Arizona | 108 | 3.1 | 1 | 12 | 51 |
| California | 377 | 3.1 | 29 | 76 | 224 |
| Colorado | 96 | 4 | 1 | 7 | 25 |
| Connecticut | 36 | 3.4 | 0 | 3 | 23 |
| District of Columbia | 10 | 2.9 | 1 | 1 | 5 |
| Delaware | 13 | 3.1 | 0 | 0 | 4 |
| Florida | 221 | 3.1 | 16 | 18 | 152 |
| Georgia | 149 | 2.9 | 8 | 27 | 74 |
| Guam | 2 | 2 | 0 | 0 | 0 |
| Hawaii | 23 | 3.2 | 0 | 7 | 10 |
| Iowa | 118 | 3.2 | 2 | 16 | 20 |
| Idaho | 48 | 3.5 | 0 | 2 | 6 |
| Illinois | 193 | 3 | 15 | 31 | 101 |
| Indiana | 148 | 3.4 | 2 | 10 | 65 |
| Kansas | 139 | 3.2 | 2 | 10 | 26 |
| Kentucky | 103 | 2.8 | 8 | 21 | 53 |
| Louisiana | 161 | 2.8 | 3 | 25 | 54 |
| Massachusetts | 84 | 3.2 | 2 | 20 | 47 |
| Maryland | 56 | 3.3 | 2 | 0 | 37 |
| Maine | 36 | 3.2 | 1 | 4 | 7 |
| Michigan | 149 | 3.1 | 9 | 30 | 71 |
| Minnesota | 136 | 3.8 | 1 | 10 | 30 |
| Missouri | 120 | 3.1 | 3 | 9 | 54 |
| Northern Mariana Islands | 1 | Not listed | 0 | 0 | 0 |
| Mississippi | 109 | 2.3 | 12 | 18 | 45 |
| Montana | 63 | 3.2 | 1 | 4 | 7 |
| North Carolina | 120 | 3.3 | 4 | 20 | 64 |
| North Dakota | 47 | 3.2 | 1 | 1 | 6 |
| Nebraska | 93 | 3.5 | 0 | 6 | 15 |
| New Hampshire | 27 | 3.2 | 1 | 5 | 12 |
| New Jersey | 78 | 3.1 | 5 | 5 | 57 |
| New Mexico | 45 | 2.5 | 3 | 11 | 16 |
| Nevada | 46 | 3 | 0 | 4 | 18 |
| New York | 192 | 2.8 | 21 | 45 | 106 |
| Ohio | 193 | 3.6 | 0 | 31 | 95 |
| Oklahoma | 136 | 3.3 | 2 | 15 | 46 |
| Oregon | 62 | 3.2 | 2 | 13 | 17 |
| Pennsylvania | 186 | 3.5 | 4 | 36 | 110 |
| Puerto Rico | 59 | 1.7 | 4 | 0 | 0 |
| Rhode Island | 13 | 3.5 | 0 | 2 | 6 |
| South Carolina | 66 | 3.4 | 0 | 12 | 44 |
| South Dakota | 61 | 3.9 | 0 | 3 | 12 |
| Tennessee | 121 | 3.1 | 6 | 15 | 59 |
| Texas | 467 | 3.4 | 7 | 32 | 192 |
| Utah | 52 | 4.2 | 0 | 1 | 16 |
| Virginia | 96 | 3.7 | 0 | 5 | 58 |
| U.S. Virgin Islands | 2 | 1.5 | 1 | 0 | 0 |
| Vermont | 17 | 3.2 | 1 | 4 | 5 |
| Washington | 100 | 3.2 | 1 | 12 | 32 |
| Wisconsin | 140 | 3.8 | 2 | 16 | 43 |
| West Virginia | 55 | 2.8 | 6 | 12 | 20 |
| Wyoming | 31 | 3.4 | 0 | 4 | 7 |
Owners and managers with the most hospitals
Grouped on CMS's own owner ID. Each page lists the owner's facilities.
Hospitals with a payment reduction and the most excess readmissions
Ranked by HAC payment reduction, then conditions with excess readmissions, then lowest star rating.
| Hospital | City | State | Type | Stars | Emergency | HAC payment cut | Excess readmission conditions | Source |
|---|---|---|---|---|---|---|---|---|
| Cookeville Regional Medical Center | Cookeville | TN | Acute Care Hospitals | 2 | Yes | Yes | 6 | medicare.gov |
| Norton Hospitals, Inc | Louisville | KY | Acute Care Hospitals | 2 | Yes | Yes | 6 | medicare.gov |
| Tufts Medical Center | Boston | MA | Acute Care Hospitals | 2 | Yes | Yes | 6 | medicare.gov |
| Oroville Hospital | Oroville | CA | Acute Care Hospitals | 1 | Yes | Yes | 5 | medicare.gov |
| Pikeville Medical Center | Pikeville | KY | Acute Care Hospitals | 1 | Yes | Yes | 5 | medicare.gov |
| Richmond University Medical Center | Staten Island | NY | Acute Care Hospitals | 1 | Yes | Yes | 5 | medicare.gov |
| Saint Joseph Medical Center | Joliet | IL | Acute Care Hospitals | 1 | Yes | Yes | 5 | medicare.gov |
| St Mary's Hospital | Athens | GA | Acute Care Hospitals | 1 | Yes | Yes | 5 | medicare.gov |
| St Rose Hospital | Hayward | CA | Acute Care Hospitals | 1 | No | Yes | 5 | medicare.gov |
| Atrium Health Floyd Medical Center | Rome | GA | Acute Care Hospitals | 2 | No | Yes | 5 | medicare.gov |
| Baptist Medical Center South | Montgomery | AL | Acute Care Hospitals | 2 | Yes | Yes | 5 | medicare.gov |
| Baystate Medical Center | Springfield | MA | Acute Care Hospitals | 2 | Yes | Yes | 5 | medicare.gov |
| Beaumont Hospital, Dearborn | Dearborn | MI | Acute Care Hospitals | 2 | Yes | Yes | 5 | medicare.gov |
| Carteret General Hospital | Morehead City | NC | Acute Care Hospitals | 2 | Yes | Yes | 5 | medicare.gov |
| Fairfield Medical Center | Lancaster | OH | Acute Care Hospitals | 2 | Yes | Yes | 5 | medicare.gov |
| Forrest General Hospital | Hattiesburg | MS | Acute Care Hospitals | 2 | Yes | Yes | 5 | medicare.gov |
| Glenwood Regional Medical Center | West Monroe | LA | Acute Care Hospitals | 2 | Yes | Yes | 5 | medicare.gov |
| HCA Houston Healthcare Conroe | Conroe | TX | Acute Care Hospitals | 2 | Yes | Yes | 5 | medicare.gov |
| Loyola University Medical Center | Maywood | IL | Acute Care Hospitals | 2 | Yes | Yes | 5 | medicare.gov |
| MUSC Medical Center | Charleston | SC | Acute Care Hospitals | 2 | Yes | Yes | 5 | medicare.gov |
| Maimonides Medical Center | Brooklyn | NY | Acute Care Hospitals | 2 | Yes | Yes | 5 | medicare.gov |
| Memorial Health | Lawton | OK | Acute Care Hospitals | 2 | Yes | Yes | 5 | medicare.gov |
| Montefiore St Luke's Cornwall | Newburgh | NY | Acute Care Hospitals | 2 | Yes | Yes | 5 | medicare.gov |
| Rochester General Hospital | Rochester | NY | Acute Care Hospitals | 2 | Yes | Yes | 5 | medicare.gov |
| Shelby Baptist Medical Center | Alabaster | AL | Acute Care Hospitals | 2 | Yes | Yes | 5 | medicare.gov |
Updated November 7, 2026. Read from CMS Provider Data Catalog and data.cms.gov, hospitals. Open data from the Centers for Medicare & Medicaid Services (US government work). Ratings and program results are as CMS lists them on the date shown and CMS refreshes them on its own schedule. The CMS files are joined on the CMS Certification Number. CMS gives each owner organization an ID, and an owner page groups hospitals on that ID. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.