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Hospitals in Kentucky with the highest value-based purchasing score

56 Kentucky hospitals ranked by value-based purchasing score in the 2026 Medicare (CMS) data. Leading: Spring View Hospital, Three Rivers Medical Center, Owensboro Health Muhlenberg Community Hospital. Filter by type, ownership and size, choose the measures you care about, and sort by any column.

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56 hospitals ranked in Kentucky by value-based purchasing score; 47 more match but have no reported value.

Compare top 4 Download CSV
Hospital rankings, page 1 of 2. Columns can be sorted.
#HospitalValue-based purchasing scorehigher is betterNet Medicare quality adjustmenthigher is betterReadmissions penaltyhigher is betterHospital-acquired condition scorelower is betterValue-based purchasing adjustmenthigher is betterCompare
National average31−0.48%−0.34%0.00+0.13%
1Spring View HospitalLebanon, KY · Acute care69, 100th percentile+2.75%, 100th percentile0.00%, 89th percentile−0.79, 91st percentile+2.75%, 100th percentileCompare Spring View Hospital
2Three Rivers Medical CenterLouisa, KY · Acute care65, 99th percentile+2.42%, 99th percentile−0.06%, 67th percentile−0.69, 87th percentile+2.48%, 99th percentileCompare Three Rivers Medical Center
3Owensboro Health Muhlenberg Community HospitalGreenville, KY · Acute care53, 95th percentile+1.41%, 97th percentile−0.22%, 46th percentile+0.11, 40th percentile+1.63%, 95th percentileCompare Owensboro Health Muhlenberg Community Hospital
4Tug Valley ARH Regional Medical CenterSouth Williamson, KY · Acute care52, 95th percentile−0.29%, 55th percentile−1.88%, 1st percentile−0.31, 68th percentile+1.59%, 95th percentileCompare Tug Valley ARH Regional Medical Center
5Whitesburg ARH HospitalWhitesburg, KY · Acute care51, 94th percentile+1.28%, 95th percentile−0.22%, 46th percentile−0.57, 83rd percentile+1.50%, 94th percentileCompare Whitesburg ARH Hospital
6CHI Saint Joseph Flaget Memorial HospitalBardstown, KY · Acute care51, 94th percentile+0.31%, 82nd percentile−0.17%, 52nd percentile+0.54, 18th percentile+1.48%, 94th percentileCompare CHI Saint Joseph Flaget Memorial Hospital
7Saint Joseph Mount SterlingMount Sterling, KY · Acute care47, 91st percentile+0.18%, 78th percentile−0.08%, 64th percentile+1.02, 6th percentile+1.26%, 91st percentileCompare Saint Joseph Mount Sterling
8Saint Joseph LondonLondon, KY · Acute care46, 89th percentile+0.62%, 87th percentile−0.53%, 23rd percentile−0.39, 73rd percentile+1.15%, 89th percentileCompare Saint Joseph London
9Georgetown Community HospitalGeorgetown, KY · Acute care44, 87th percentile+0.61%, 87th percentile−0.42%, 30th percentile+0.17, 37th percentile+1.03%, 87th percentileCompare Georgetown Community Hospital
10St Elizabeth Ft ThomasFort Thomas, KY · Acute care44, 87th percentile+0.23%, 80th percentile−0.79%, 13th percentile−0.07, 52nd percentile+1.02%, 87th percentileCompare St Elizabeth Ft Thomas
11Paintsville ARH HospitalPaintsville, KY · Acute care42, 83rd percentile−0.59%, 43rd percentile−1.45%, 3rd percentile−0.81, 92nd percentile+0.86%, 83rd percentileCompare Paintsville ARH Hospital
12Monroe County Medical CenterTompkinsville, KY · Acute care40, 81st percentile−2.47%, 3rd percentile−2.26%, 1st percentile+1.67, 2nd percentile+0.79%, 81st percentileCompare Monroe County Medical Center
13St Claire Regional Medical CenterMorehead, KY · Acute care39, 78th percentile−0.26%, 56th percentile−0.95%, 9th percentile+0.04, 45th percentile+0.69%, 78th percentileCompare St Claire Regional Medical Center
14Baptist Health RichmondRichmond, KY · Acute care38, 76th percentile+0.51%, 86th percentile−0.12%, 58th percentile−0.87, 94th percentile+0.63%, 76th percentileCompare Baptist Health Richmond
15Clark Regional Medical CenterWinchester, KY · Acute care38, 76th percentile+0.27%, 81st percentile−0.36%, 34th percentile−1.01, 96th percentile+0.63%, 76th percentileCompare Clark Regional Medical Center
16Harrison Memorial HospitalCynthiana, KY · Acute care38, 75th percentile+0.30%, 81st percentile−0.32%, 38th percentile−0.11, 54th percentile+0.62%, 75th percentileCompare Harrison Memorial Hospital
17T J Samson Community HospitalGlasgow, KY · Acute care36, 72nd percentile+0.10%, 76th percentile−0.39%, 32nd percentile−1.09, 97th percentile+0.49%, 72nd percentileCompare T J Samson Community Hospital
18Baptist Health LagrangeLa Grange, KY · Acute care36, 71st percentile+0.29%, 81st percentile−0.16%, 53rd percentile−0.07, 52nd percentile+0.45%, 71st percentileCompare Baptist Health Lagrange
19Saint Joseph EastLexington, KY · Acute care35, 69th percentile−1.60%, 14th percentile−2.00%, 1st percentile−0.85, 93rd percentile+0.40%, 69th percentileCompare Saint Joseph East
20St Elizabeth EdgewoodEdgewood, KY · Acute care34, 68th percentile−0.35%, 53rd percentile−0.72%, 15th percentile+0.18, 37th percentile+0.37%, 68th percentileCompare St Elizabeth Edgewood
21Frankfort Regional Medical CenterFrankfort, KY · Acute care34, 68th percentile+0.11%, 77th percentile−0.26%, 43rd percentile−0.77, 90th percentile+0.37%, 68th percentileCompare Frankfort Regional Medical Center
22The Medical Center At RussellvilleRussellville, KY · Acute care33, 63rd percentile+0.08%, 76th percentile−0.20%, 49th percentile+0.19, 36th percentile+0.28%, 63rd percentileCompare The Medical Center At Russellville
23Meadowview Regional Medical CenterMaysville, KY · Acute care33, 62nd percentile+0.24%, 80th percentile−0.01%, 77th percentile−0.21, 62nd percentile+0.25%, 62nd percentileCompare Meadowview Regional Medical Center
24Rockcastle County Hospital, Inc.Mount Vernon, KY · Acute care32, 61st percentile−0.81%, 36th percentile−0.03%, 73rd percentile+1.13, 4th percentile+0.22%, 60th percentileCompare Rockcastle County Hospital, Inc.
25UofL Health - Shelbyville HospitalShelbyville, KY · Acute care31, 57th percentile+0.13%, 77th percentile−0.03%, 73rd percentile−0.28, 67th percentile+0.15%, 57th percentileCompare UofL Health - Shelbyville Hospital
26Baptist Health CorbinCorbin, KY · Acute care31, 56th percentile+0.14%, 78th percentile0.00%, 89th percentile+0.23, 33rd percentile+0.14%, 56th percentileCompare Baptist Health Corbin
27AdventHealthmanchesterManchester, KY · Acute care31, 55th percentile−1.18%, 23rd percentile−0.30%, 39th percentile+0.45, 22nd percentile+0.12%, 55th percentileCompare AdventHealthmanchester
28Murray-Calloway County HospitalMurray, KY · Acute care28, 47th percentile−1.60%, 14th percentile−0.56%, 21st percentile+0.40, 24th percentile−0.04%, 46th percentileCompare Murray-Calloway County Hospital
29University Of Kentucky HospitalLexington, KY · Acute care28, 44th percentile−1.08%, 25th percentile0.00%, 89th percentile+0.40, 24th percentile−0.08%, 44th percentileCompare University Of Kentucky Hospital
30Owensboro Health Twin Lakes Medical CenterLeitchfield, KY · Acute care28, 43rd percentile−0.45%, 49th percentile−0.35%, 35th percentile+0.27, 31st percentile−0.10%, 43rd percentileCompare Owensboro Health Twin Lakes Medical Center
31Hazard ARH Regional Medical CenterHazard, KY · Acute care27, 43rd percentile−1.86%, 9th percentile−0.75%, 14th percentile+0.51, 19th percentile−0.11%, 42nd percentileCompare Hazard ARH Regional Medical Center
32Mercy Health - Lourdes HospitalPaducah, KY · Acute care27, 42nd percentile−1.53%, 15th percentile−1.41%, 3rd percentile+0.20, 35th percentile−0.12%, 42nd percentileCompare Mercy Health - Lourdes Hospital
33Harlan ARH HospitalHarlan, KY · Acute care27, 42nd percentile−2.14%, 6th percentile−1.01%, 8th percentile+0.56, 18th percentile−0.13%, 41st percentileCompare Harlan ARH Hospital
34Deaconess Henderson HospitalHenderson, KY · Acute care26, 38th percentile−0.58%, 44th percentile−0.38%, 33rd percentile−0.09, 53rd percentile−0.20%, 38th percentileCompare Deaconess Henderson Hospital
35Saint Joseph HospitalLexington, KY · Acute care26, 36th percentile−0.81%, 35th percentile−0.58%, 20th percentile−0.27, 66th percentile−0.23%, 36th percentileCompare Saint Joseph Hospital
36Baptist Health LouisvilleLouisville, KY · Acute care25, 35th percentile−0.47%, 48th percentile−0.22%, 46th percentile+0.11, 40th percentile−0.25%, 35th percentileCompare Baptist Health Louisville
37Baptist Health HardinElizabethtown, KY · Acute care25, 35th percentile−2.18%, 6th percentile−0.92%, 10th percentile+0.40, 24th percentile−0.26%, 35th percentileCompare Baptist Health Hardin
38Baptist Health LexingtonLexington, KY · Acute care25, 33rd percentile−0.74%, 38th percentile−0.43%, 29th percentile+0.22, 34th percentile−0.31%, 33rd percentileCompare Baptist Health Lexington
39Pikeville Medical CenterPikeville, KY · Acute care23, 29th percentile−2.26%, 5th percentile−0.87%, 11th percentile+1.05, 5th percentile−0.39%, 28th percentileCompare Pikeville Medical Center
40Lake Cumberland Regional HospitalSomerset, KY · Acute care23, 27th percentile−1.00%, 28th percentile−0.58%, 20th percentile−0.27, 66th percentile−0.42%, 27th percentileCompare Lake Cumberland Regional Hospital
41King's Daughters' Medical CenterAshland, KY · Acute care23, 27th percentile−1.97%, 8th percentile−0.54%, 22nd percentile+0.53, 19th percentile−0.43%, 27th percentileCompare King's Daughters' Medical Center
42Baptist Health PaducahPaducah, KY · Acute care22, 25th percentile−1.70%, 12th percentile−0.25%, 44th percentile+0.58, 17th percentile−0.45%, 25th percentileCompare Baptist Health Paducah
43Baptist Health Deaconess MadisonvilleMadisonville, KY · Acute care22, 24th percentile−0.50%, 47th percentile−0.03%, 73rd percentile−0.34, 70th percentile−0.47%, 24th percentileCompare Baptist Health Deaconess Madisonville
44St Elizabeth FlorenceFlorence, KY · Acute care22, 23rd percentile−0.82%, 35th percentile−0.33%, 37th percentile−0.10, 54th percentile−0.49%, 23rd percentileCompare St Elizabeth Florence
45Middlesboro ARH HospitalMiddlesboro, KY · Acute care22, 23rd percentile−1.05%, 27th percentile−0.54%, 22nd percentile+0.11, 40th percentile−0.51%, 22nd percentileCompare Middlesboro ARH Hospital
46Ephraim McDowell Regional Medical CenterDanville, KY · Acute care20, 15th percentile−1.03%, 27th percentile−0.39%, 32nd percentile+0.34, 28th percentile−0.64%, 15th percentileCompare Ephraim McDowell Regional Medical Center
47Tristar Greenview Regional HospitalBowling Green, KY · Acute care19, 12th percentile−1.68%, 12th percentile−0.96%, 9th percentile+0.17, 37th percentile−0.72%, 12th percentileCompare Tristar Greenview Regional Hospital
48UofL Health - Jewish Hospital And Mary & Elizabeth HospitalLouisville, KY · Acute care18, 10th percentile−2.30%, 5th percentile−0.52%, 23rd percentile+0.69, 13th percentile−0.78%, 10th percentileCompare UofL Health - Jewish Hospital And Mary & Elizabeth Hospital
49Taylor Regional HospitalCampbellsville, KY · Acute care17, 9th percentile−1.81%, 10th percentile0.00%, 89th percentile+1.26, 3rd percentile−0.81%, 9th percentileCompare Taylor Regional Hospital
50Jackson Purchase Medical CenterMayfield, KY · Acute care17, 8th percentile−2.13%, 6th percentile−0.29%, 40th percentile+1.07, 5th percentile−0.84%, 8th percentileCompare Jackson Purchase Medical Center

About these rankings

Rankings use the 2026 release of CMS Care Compare data. Hospitals share a rank (“T”) when their values are equal, and only hospitals with a reported value for the sorted measure are ranked. Shading compares each value with every hospital in the country, so it doesn’t change with your filters. Small differences are often not statistically meaningful; use the methodology and glossary for context.

Value-based purchasing score
Hospital Value-Based Purchasing Total Performance Score (0-100), from outcomes, safety, patient experience and efficiency. It sets a Medicare bonus or penalty..
Net Medicare quality adjustment
Approximate combined change to the hospital's Medicare inpatient payments from the three pay-for-performance programs, added together: the readmissions penalty, the value-based purchasing bonus or penalty, and the 1% cut for hospital-acquired conditions. Inpatient prospective payment system hospitals only; Maryland hospitals are exempt..
Readmissions penalty
Change to Medicare payments under the Hospital Readmissions Reduction Program, which cuts payments (by up to 3%) to hospitals with more readmissions than expected. 0% means no penalty..
Hospital-acquired condition score
Total score in the Hospital-Acquired Condition Reduction Program, from patient safety events and infections (weighted z-scores; 0 is about average, higher is worse). Medicare cuts payments 1% for the worst-scoring quarter of hospitals..
Value-based purchasing adjustment
Change to Medicare payments under Hospital Value-Based Purchasing: a bonus (positive) or penalty (negative, up to 2%) based on the Total Performance Score..