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brightspotinsights.com UCP Market Analysis Prototype · Final rule
FY2027 IPPS Final Rule · Medicare DSH Supplemental Data

How Uncompensated Care Payments are changing in FY2027

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CMS sets each hospital's annual Uncompensated Care Payment in the IPPS rule. This page shows the FY2027 amount next to FY2026 for every hospital that receives one, grouped by CBSA market. Click a state on the map, or search for a market by name.

FY2026 national pool
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across hospitals
FY2027 national pool
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across hospitals
Change
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Markets tracked
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metro and statewide rural
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Largest FY2027 payment by state

Each state is shaded by its single largest FY2027 hospital payment. Click a state to list its markets, then pick a market to open the chart.
LowestHighest

States are ranked by the largest single hospital payment inside them, green for the lowest through red for the highest. Hover over a state to see which hospital that is. Maryland pays hospitals under its all-payer waiver, so it has no IPPS uncompensated care payments.

Top 25 hospitals

FY2027 annual payment

Click a hospital to open its market, or click a state on the map.

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Hospital payments by market

Hospitals are ordered by FY2027 payment. The dark segment is the amount carried over from FY2026, the bright segment is the FY2027 increase, and the hatched segment is the amount lost from FY2026. The toggle switches between the hospital's annual dollars and CMS's per-discharge amount.

404 markets have uncompensated care dollars in FY2027. Type a city or state, or click a state on the map above.

No market selected yet. Pick one from the map or the search box.

Prototype. UCP Market Analysis is a working prototype and has not been through the release checks the published tools get. Figures are CMS's published annual Uncompensated Care Payment amounts from the Medicare DSH Supplemental Data Files attached to the FY2026 and FY2027 IPPS rules. Hospitals with no payment in either year are not shown. Market groupings follow CMS's CBSA assignments; statewide rural areas are grouped as one market per state.

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Bright Spot Insights · UCP Market Analysis · FY2027 final rule data