Hospital rankings
Hospitals in Texas with the lowest hospital-acquired condition score
254 Texas hospitals ranked by hospital-acquired condition score in the 2026 Medicare (CMS) data. Leading: Texas Orthopedic Hospital, UT Health East Texas Carthage Hospital, Baylor Scott And White Orthopedic And Spine Hospi. Filter by type, ownership and size, choose the measures you care about, and sort by any column.
| # | Hospital | Hospital-acquired condition scorelower is better | Net Medicare quality adjustmenthigher is better | Readmissions penaltyhigher is better | Value-based purchasing scorehigher is better | Value-based purchasing adjustmenthigher is better | Compare |
|---|---|---|---|---|---|---|---|
| National average | 0.00 | −0.48% | −0.34% | 31 | +0.13% | ||
| 1 | Texas Orthopedic Hospital | −1.47, 100th percentile | 0.00%, 70th percentile | 0.00%, 89th percentile | — | — | Compare Texas Orthopedic Hospital |
| 2 | UT Health East Texas Carthage Hospital | −1.46, 99th percentile | −0.26%, 56th percentile | −0.26%, 43rd percentile | — | — | Compare UT Health East Texas Carthage Hospital |
| 3 | Baylor Scott And White Orthopedic And Spine Hospi | −1.34, 98th percentile | 0.00%, 70th percentile | 0.00%, 89th percentile | — | — | Compare Baylor Scott And White Orthopedic And Spine Hospi |
| 4 | North Central Surgical Center LLP | −1.24, 98th percentile | 0.00%, 70th percentile | 0.00%, 89th percentile | — | — | Compare North Central Surgical Center LLP |
| 5 | Texas Health Harris Methodist Hospital Alliance | −1.19, 98th percentile | +0.16%, 78th percentile | −0.03%, 73rd percentile | 32, 59th percentile | +0.19%, 59th percentile | Compare Texas Health Harris Methodist Hospital Alliance |
| 6 | Fort Duncan Medical Center | −1.19, 98th percentile | +0.01%, 74th percentile | −0.08%, 64th percentile | 30, 53rd percentile | +0.09%, 53rd percentile | Compare Fort Duncan Medical Center |
| 7 | Texas Health Presbyterian Hospital Rockwall | −1.14, 98th percentile | +1.24%, 95th percentile | −0.08%, 64th percentile | 48, 92nd percentile | +1.32%, 92nd percentile | Compare Texas Health Presbyterian Hospital Rockwall |
| 8 | South Texas Spine And Surgical Hospital | −1.14, 98th percentile | 0.00%, 70th percentile | 0.00%, 89th percentile | — | — | Compare South Texas Spine And Surgical Hospital |
| 9 | Quail Creek Surgical Hospital | −1.13, 97th percentile | −1.92%, 9th percentile | −1.92%, 1st percentile | — | — | Compare Quail Creek Surgical Hospital |
| 10 | Seton Medical Center Harker Heights | −1.11, 97th percentile | +0.30%, 81st percentile | −0.82%, 12th percentile | 45, 89th percentile | +1.12%, 89th percentile | Compare Seton Medical Center Harker Heights |
| 11 | Medical City Denton | −1.08, 97th percentile | −0.47%, 48th percentile | −0.80%, 12th percentile | 34, 66th percentile | +0.33%, 66th percentile | Compare Medical City Denton |
| 12 | The Heart Hospital Baylor Denton | −1.01, 96th percentile | +1.30%, 96th percentile | −0.37%, 33rd percentile | 53, 96th percentile | +1.67%, 96th percentile | Compare The Heart Hospital Baylor Denton |
| 13 | Columbus Community Hospital | −1.00, 96th percentile | −0.99%, 30th percentile | −0.16%, 53rd percentile | 17, 8th percentile | −0.83%, 8th percentile | Compare Columbus Community Hospital |
| 14 | Connally Memorial Medical Center | −1.00, 96th percentile | 0.00%, 70th percentile | 0.00%, 89th percentile | — | — | Compare Connally Memorial Medical Center |
| 15 | Baylor Scott & White Texas Spine & Joint Hospital | −0.96, 96th percentile | 0.00%, 70th percentile | 0.00%, 89th percentile | — | — | Compare Baylor Scott & White Texas Spine & Joint Hospital |
| 16 | Wadley Regional Medical Center | −0.95, 96th percentile | −0.39%, 51st percentile | −0.39%, 32nd percentile | — | — | Compare Wadley Regional Medical Center |
| 17 | Foundation Surgical Hospital Of San Antonio | −0.95, 96th percentile | −0.43%, 49th percentile | −0.43%, 29th percentile | — | — | Compare Foundation Surgical Hospital Of San Antonio |
| 18 | The Hospitals Of Providence - Memorial Campus | −0.95, 95th percentile | −0.62%, 42nd percentile | −0.10%, 61st percentile | 21, 22nd percentile | −0.52%, 21st percentile | Compare The Hospitals Of Providence - Memorial Campus |
| 19 | Baylor Surgical Hospital At Las Colinas | −0.94, 95th percentile | −2.27%, 5th percentile | −2.27%, 1st percentile | — | — | Compare Baylor Surgical Hospital At Las Colinas |
| 20 | Ascension Seton Northwest | −0.94, 95th percentile | −0.35%, 53rd percentile | −0.35%, 35th percentile | — | — | Compare Ascension Seton Northwest |
| 21 | Texas Health Presbyterian Hospital Allen | −0.91, 95th percentile | 0.00%, 66th percentile | −0.03%, 73rd percentile | 29, 50th percentile | +0.03%, 50th percentile | Compare Texas Health Presbyterian Hospital Allen |
| 22 | Matagorda Regional Medical Center | −0.91, 95th percentile | +0.45%, 85th percentile | 0.00%, 89th percentile | 36, 70th percentile | +0.45%, 70th percentile | Compare Matagorda Regional Medical Center |
| 23 | Hendrick Medical Center Brownwood | −0.90, 94th percentile | −2.98%, 1st percentile | −1.49%, 3rd percentile | 7, 0th percentile | −1.49%, 0th percentile | Compare Hendrick Medical Center Brownwood |
| 24 | Houston Methodist The Woodlands Hospital | −0.90, 94th percentile | +0.94%, 93rd percentile | −0.21%, 48th percentile | 46, 89th percentile | +1.15%, 89th percentile | Compare Houston Methodist The Woodlands Hospital |
| 25 | University Of Texas Health Science Center At Tyler | −0.89, 94th percentile | +0.31%, 82nd percentile | 0.00%, 89th percentile | 33, 65th percentile | +0.31%, 65th percentile | Compare University Of Texas Health Science Center At Tyler |
| 26 | Texas Health Presbyterian Hospital Denton | −0.88, 94th percentile | +0.80%, 90th percentile | −0.30%, 39th percentile | 45, 88th percentile | +1.10%, 88th percentile | Compare Texas Health Presbyterian Hospital Denton |
| 27 | HCA Houston Healthcare Tomball | −0.87, 94th percentile | −1.21%, 22nd percentile | −1.09%, 6th percentile | 27, 42nd percentile | −0.12%, 42nd percentile | Compare HCA Houston Healthcare Tomball |
| 28 | CHI St Lukes Health Memorial Livingston | −0.85, 93rd percentile | −0.29%, 55th percentile | −0.29%, 40th percentile | — | — | Compare CHI St Lukes Health Memorial Livingston |
| 29 | Christus Spohn Hospital Alice | −0.85, 93rd percentile | −0.11%, 62nd percentile | 0.00%, 89th percentile | 27, 43rd percentile | −0.11%, 42nd percentile | Compare Christus Spohn Hospital Alice |
| 30 | Baylor Scott And White Surgical Hospital Fortworth | −0.85, 93rd percentile | 0.00%, 70th percentile | 0.00%, 89th percentile | — | — | Compare Baylor Scott And White Surgical Hospital Fortworth |
| 31 | Palestine Regional Medical Center | −0.83, 92nd percentile | −0.28%, 55th percentile | −0.41%, 30th percentile | 31, 55th percentile | +0.13%, 55th percentile | Compare Palestine Regional Medical Center |
| 32 | Legent Orthopedic + Spine | −0.82, 92nd percentile | 0.00%, 70th percentile | 0.00%, 89th percentile | — | — | Compare Legent Orthopedic + Spine |
| 33 | USMD Hospital At Arlington L P | −0.80, 91st percentile | +1.22%, 95th percentile | 0.00%, 89th percentile | 47, 90th percentile | +1.22%, 90th percentile | Compare USMD Hospital At Arlington L P |
| 34 | Baylor Scott & White Medical Center Pflugerville | −0.80, 91st percentile | +1.30%, 96th percentile | −0.18%, 51st percentile | 51, 94th percentile | +1.48%, 94th percentile | Compare Baylor Scott & White Medical Center Pflugerville |
| 35 | Cuero Regional Hospital | −0.80, 91st percentile | 0.00%, 70th percentile | 0.00%, 89th percentile | — | — | Compare Cuero Regional Hospital |
| 36 | Ascension Seton Cedar Park | −0.79, 91st percentile | −1.23%, 21st percentile | −1.38%, 3rd percentile | 31, 57th percentile | +0.15%, 57th percentile | Compare Ascension Seton Cedar Park |
| 37 | Methodist Hospital Atascosa | −0.79, 91st percentile | +0.03%, 74th percentile | −0.11%, 60th percentile | 31, 56th percentile | +0.14%, 56th percentile | Compare Methodist Hospital Atascosa |
| 38 | CHI St Luke's Health Brazosport | −0.79, 91st percentile | +0.16%, 78th percentile | −0.72%, 15th percentile | 42, 83rd percentile | +0.88%, 83rd percentile | Compare CHI St Luke's Health Brazosport |
| 39 | Memorial Hermann Surgical Hospital Kingwood | −0.78, 91st percentile | 0.00%, 70th percentile | 0.00%, 89th percentile | — | — | Compare Memorial Hermann Surgical Hospital Kingwood |
| 40 | Baylor Scott And White Surgical Hospital At Sherma | −0.78, 90th percentile | −3.00%, 1st percentile | −3.00%, 0th percentile | — | — | Compare Baylor Scott And White Surgical Hospital At Sherma |
| 41 | Texas Health Harris Methodist Hurst-Euless-Bedford | −0.78, 90th percentile | −1.51%, 15th percentile | −1.27%, 5th percentile | 26, 36th percentile | −0.24%, 36th percentile | Compare Texas Health Harris Methodist Hurst-Euless-Bedford |
| 42 | Citizens Medical Center | −0.77, 90th percentile | −0.92%, 32nd percentile | −1.05%, 7th percentile | 31, 56th percentile | +0.13%, 55th percentile | Compare Citizens Medical Center |
| 43 | HCA Houston Healthcare Pearland | −0.77, 90th percentile | +0.24%, 80th percentile | −0.28%, 41st percentile | 37, 73rd percentile | +0.52%, 73rd percentile | Compare HCA Houston Healthcare Pearland |
| 44 | Christus Spohn Hospital Beeville | −0.77, 90th percentile | −0.93%, 32nd percentile | −0.43%, 29th percentile | 22, 23rd percentile | −0.50%, 23rd percentile | Compare Christus Spohn Hospital Beeville |
| 45 | Texas Health Presbyterian Hospital Kaufman | −0.76, 90th percentile | +1.22%, 95th percentile | −0.07%, 66th percentile | 48, 91st percentile | +1.29%, 91st percentile | Compare Texas Health Presbyterian Hospital Kaufman |
| 46 | Lake Granbury Medical Center | −0.76, 89th percentile | −0.75%, 38th percentile | −0.22%, 46th percentile | 21, 21st percentile | −0.53%, 21st percentile | Compare Lake Granbury Medical Center |
| 47 | Houston Methodist Clear Lake Hospital | −0.75, 89th percentile | +1.15%, 94th percentile | −0.43%, 29th percentile | 52, 95th percentile | +1.58%, 95th percentile | Compare Houston Methodist Clear Lake Hospital |
| 48 | Scenic Mountain Medical Center | −0.74, 89th percentile | −0.45%, 48th percentile | −0.45%, 27th percentile | — | — | Compare Scenic Mountain Medical Center |
| 49 | Doctors Hosptal At Renaissance | −0.73, 88th percentile | −0.42%, 50th percentile | −0.18%, 51st percentile | 26, 36th percentile | −0.24%, 36th percentile | Compare Doctors Hosptal At Renaissance |
| 50 | HCA Houston Healthcare Southeast | −0.72, 88th percentile | −0.96%, 31st percentile | −0.18%, 51st percentile | 18, 10th percentile | −0.78%, 10th percentile | Compare HCA Houston Healthcare Southeast |
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.
- 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..
- 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..
- 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..
- 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..