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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.

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254 hospitals ranked in Texas by hospital-acquired condition score; 213 more match but have no reported value.

Compare top 4 Download CSV
Hospital rankings, page 1 of 6. Columns can be sorted.
#HospitalHospital-acquired condition scorelower is betterNet Medicare quality adjustmenthigher is betterReadmissions penaltyhigher is betterValue-based purchasing scorehigher is betterValue-based purchasing adjustmenthigher is betterCompare
National average0.00−0.48%−0.34%31+0.13%
1Texas Orthopedic HospitalHouston, TX · Acute care−1.47, 100th percentile0.00%, 70th percentile0.00%, 89th percentile——Compare Texas Orthopedic Hospital
2UT Health East Texas Carthage HospitalCarthage, TX · Acute care−1.46, 99th percentile−0.26%, 56th percentile−0.26%, 43rd percentile——Compare UT Health East Texas Carthage Hospital
3Baylor Scott And White Orthopedic And Spine HospiArlington, TX · Acute care−1.34, 98th percentile0.00%, 70th percentile0.00%, 89th percentile——Compare Baylor Scott And White Orthopedic And Spine Hospi
4North Central Surgical Center LLPDallas, TX · Acute care−1.24, 98th percentile0.00%, 70th percentile0.00%, 89th percentile——Compare North Central Surgical Center LLP
5Texas Health Harris Methodist Hospital AllianceFort Worth, TX · Acute care−1.19, 98th percentile+0.16%, 78th percentile−0.03%, 73rd percentile32, 59th percentile+0.19%, 59th percentileCompare Texas Health Harris Methodist Hospital Alliance
6Fort Duncan Medical CenterEagle Pass, TX · Acute care−1.19, 98th percentile+0.01%, 74th percentile−0.08%, 64th percentile30, 53rd percentile+0.09%, 53rd percentileCompare Fort Duncan Medical Center
7Texas Health Presbyterian Hospital RockwallRockwall, TX · Acute care−1.14, 98th percentile+1.24%, 95th percentile−0.08%, 64th percentile48, 92nd percentile+1.32%, 92nd percentileCompare Texas Health Presbyterian Hospital Rockwall
8South Texas Spine And Surgical HospitalSan Antonio, TX · Acute care−1.14, 98th percentile0.00%, 70th percentile0.00%, 89th percentile——Compare South Texas Spine And Surgical Hospital
9Quail Creek Surgical HospitalAmarillo, TX · Acute care−1.13, 97th percentile−1.92%, 9th percentile−1.92%, 1st percentile——Compare Quail Creek Surgical Hospital
10Seton Medical Center Harker HeightsHarker Heights, TX · Acute care−1.11, 97th percentile+0.30%, 81st percentile−0.82%, 12th percentile45, 89th percentile+1.12%, 89th percentileCompare Seton Medical Center Harker Heights
11Medical City DentonDenton, TX · Acute care−1.08, 97th percentile−0.47%, 48th percentile−0.80%, 12th percentile34, 66th percentile+0.33%, 66th percentileCompare Medical City Denton
12The Heart Hospital Baylor DentonDenton, TX · Acute care−1.01, 96th percentile+1.30%, 96th percentile−0.37%, 33rd percentile53, 96th percentile+1.67%, 96th percentileCompare The Heart Hospital Baylor Denton
13Columbus Community HospitalColumbus, TX · Acute care−1.00, 96th percentile−0.99%, 30th percentile−0.16%, 53rd percentile17, 8th percentile−0.83%, 8th percentileCompare Columbus Community Hospital
14Connally Memorial Medical CenterFloresville, TX · Acute care−1.00, 96th percentile0.00%, 70th percentile0.00%, 89th percentile——Compare Connally Memorial Medical Center
15Baylor Scott & White Texas Spine & Joint HospitalTyler, TX · Acute care−0.96, 96th percentile0.00%, 70th percentile0.00%, 89th percentile——Compare Baylor Scott & White Texas Spine & Joint Hospital
16Wadley Regional Medical CenterTexarkana, TX · Acute care−0.95, 96th percentile−0.39%, 51st percentile−0.39%, 32nd percentile——Compare Wadley Regional Medical Center
17Foundation Surgical Hospital Of San AntonioSan Antonio, TX · Acute care−0.95, 96th percentile−0.43%, 49th percentile−0.43%, 29th percentile——Compare Foundation Surgical Hospital Of San Antonio
18The Hospitals Of Providence - Memorial CampusEl Paso, TX · Acute care−0.95, 95th percentile−0.62%, 42nd percentile−0.10%, 61st percentile21, 22nd percentile−0.52%, 21st percentileCompare The Hospitals Of Providence - Memorial Campus
19Baylor Surgical Hospital At Las ColinasIrving, TX · Acute care−0.94, 95th percentile−2.27%, 5th percentile−2.27%, 1st percentile——Compare Baylor Surgical Hospital At Las Colinas
20Ascension Seton NorthwestAustin, TX · Acute care−0.94, 95th percentile−0.35%, 53rd percentile−0.35%, 35th percentile——Compare Ascension Seton Northwest
21Texas Health Presbyterian Hospital AllenAllen, TX · Acute care−0.91, 95th percentile0.00%, 66th percentile−0.03%, 73rd percentile29, 50th percentile+0.03%, 50th percentileCompare Texas Health Presbyterian Hospital Allen
22Matagorda Regional Medical CenterBay City, TX · Acute care−0.91, 95th percentile+0.45%, 85th percentile0.00%, 89th percentile36, 70th percentile+0.45%, 70th percentileCompare Matagorda Regional Medical Center
23Hendrick Medical Center BrownwoodBrownwood, TX · Acute care−0.90, 94th percentile−2.98%, 1st percentile−1.49%, 3rd percentile7, 0th percentile−1.49%, 0th percentileCompare Hendrick Medical Center Brownwood
24Houston Methodist The Woodlands HospitalThe Woodlands, TX · Acute care−0.90, 94th percentile+0.94%, 93rd percentile−0.21%, 48th percentile46, 89th percentile+1.15%, 89th percentileCompare Houston Methodist The Woodlands Hospital
25University Of Texas Health Science Center At TylerTyler, TX · Acute care−0.89, 94th percentile+0.31%, 82nd percentile0.00%, 89th percentile33, 65th percentile+0.31%, 65th percentileCompare University Of Texas Health Science Center At Tyler
26Texas Health Presbyterian Hospital DentonDenton, TX · Acute care−0.88, 94th percentile+0.80%, 90th percentile−0.30%, 39th percentile45, 88th percentile+1.10%, 88th percentileCompare Texas Health Presbyterian Hospital Denton
27HCA Houston Healthcare TomballTomball, TX · Acute care−0.87, 94th percentile−1.21%, 22nd percentile−1.09%, 6th percentile27, 42nd percentile−0.12%, 42nd percentileCompare HCA Houston Healthcare Tomball
28CHI St Lukes Health Memorial LivingstonLivingston, TX · Acute care−0.85, 93rd percentile−0.29%, 55th percentile−0.29%, 40th percentile——Compare CHI St Lukes Health Memorial Livingston
29Christus Spohn Hospital AliceAlice, TX · Acute care−0.85, 93rd percentile−0.11%, 62nd percentile0.00%, 89th percentile27, 43rd percentile−0.11%, 42nd percentileCompare Christus Spohn Hospital Alice
30Baylor Scott And White Surgical Hospital FortworthFort Worth, TX · Acute care−0.85, 93rd percentile0.00%, 70th percentile0.00%, 89th percentile——Compare Baylor Scott And White Surgical Hospital Fortworth
31Palestine Regional Medical CenterPalestine, TX · Acute care−0.83, 92nd percentile−0.28%, 55th percentile−0.41%, 30th percentile31, 55th percentile+0.13%, 55th percentileCompare Palestine Regional Medical Center
32Legent Orthopedic + SpineSan Antonio, TX · Acute care−0.82, 92nd percentile0.00%, 70th percentile0.00%, 89th percentile——Compare Legent Orthopedic + Spine
33USMD Hospital At Arlington L PArlington, TX · Acute care−0.80, 91st percentile+1.22%, 95th percentile0.00%, 89th percentile47, 90th percentile+1.22%, 90th percentileCompare USMD Hospital At Arlington L P
34Baylor Scott & White Medical Center PflugervillePflugerville, TX · Acute care−0.80, 91st percentile+1.30%, 96th percentile−0.18%, 51st percentile51, 94th percentile+1.48%, 94th percentileCompare Baylor Scott & White Medical Center Pflugerville
35Cuero Regional HospitalCuero, TX · Acute care−0.80, 91st percentile0.00%, 70th percentile0.00%, 89th percentile——Compare Cuero Regional Hospital
36Ascension Seton Cedar ParkCedar Park, TX · Acute care−0.79, 91st percentile−1.23%, 21st percentile−1.38%, 3rd percentile31, 57th percentile+0.15%, 57th percentileCompare Ascension Seton Cedar Park
37Methodist Hospital AtascosaJourdanton, TX · Acute care−0.79, 91st percentile+0.03%, 74th percentile−0.11%, 60th percentile31, 56th percentile+0.14%, 56th percentileCompare Methodist Hospital Atascosa
38CHI St Luke's Health BrazosportLake Jackson, TX · Acute care−0.79, 91st percentile+0.16%, 78th percentile−0.72%, 15th percentile42, 83rd percentile+0.88%, 83rd percentileCompare CHI St Luke's Health Brazosport
39Memorial Hermann Surgical Hospital KingwoodKingwood, TX · Acute care−0.78, 91st percentile0.00%, 70th percentile0.00%, 89th percentile——Compare Memorial Hermann Surgical Hospital Kingwood
40Baylor Scott And White Surgical Hospital At ShermaSherman, TX · Acute care−0.78, 90th percentile−3.00%, 1st percentile−3.00%, 0th percentile——Compare Baylor Scott And White Surgical Hospital At Sherma
41Texas Health Harris Methodist Hurst-Euless-BedfordBedford, TX · Acute care−0.78, 90th percentile−1.51%, 15th percentile−1.27%, 5th percentile26, 36th percentile−0.24%, 36th percentileCompare Texas Health Harris Methodist Hurst-Euless-Bedford
42Citizens Medical CenterVictoria, TX · Acute care−0.77, 90th percentile−0.92%, 32nd percentile−1.05%, 7th percentile31, 56th percentile+0.13%, 55th percentileCompare Citizens Medical Center
43HCA Houston Healthcare PearlandPearland, TX · Acute care−0.77, 90th percentile+0.24%, 80th percentile−0.28%, 41st percentile37, 73rd percentile+0.52%, 73rd percentileCompare HCA Houston Healthcare Pearland
44Christus Spohn Hospital BeevilleBeeville, TX · Acute care−0.77, 90th percentile−0.93%, 32nd percentile−0.43%, 29th percentile22, 23rd percentile−0.50%, 23rd percentileCompare Christus Spohn Hospital Beeville
45Texas Health Presbyterian Hospital KaufmanKaufman, TX · Acute care−0.76, 90th percentile+1.22%, 95th percentile−0.07%, 66th percentile48, 91st percentile+1.29%, 91st percentileCompare Texas Health Presbyterian Hospital Kaufman
46Lake Granbury Medical CenterGranbury, TX · Acute care−0.76, 89th percentile−0.75%, 38th percentile−0.22%, 46th percentile21, 21st percentile−0.53%, 21st percentileCompare Lake Granbury Medical Center
47Houston Methodist Clear Lake HospitalNassau Bay, TX · Acute care−0.75, 89th percentile+1.15%, 94th percentile−0.43%, 29th percentile52, 95th percentile+1.58%, 95th percentileCompare Houston Methodist Clear Lake Hospital
48Scenic Mountain Medical CenterBig Spring, TX · Acute care−0.74, 89th percentile−0.45%, 48th percentile−0.45%, 27th percentile——Compare Scenic Mountain Medical Center
49Doctors Hosptal At RenaissanceEdinburg, TX · Acute care−0.73, 88th percentile−0.42%, 50th percentile−0.18%, 51st percentile26, 36th percentile−0.24%, 36th percentileCompare Doctors Hosptal At Renaissance
50HCA Houston Healthcare SoutheastPasadena, TX · Acute care−0.72, 88th percentile−0.96%, 31st percentile−0.18%, 51st percentile18, 10th percentile−0.78%, 10th percentileCompare 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..