Where the Medicare uncompensated care money moves in FY2027
Every IPPS hospital that receives a Medicare uncompensated care payment, FY2026 against FY2027, grouped into the markets where hospitals actually compete. Each state below is shaded by its single largest FY2027 hospital payment. Click a state to see its markets.
Loading the FY2026 to FY2027 uncompensated care data…
Your market, hospital by hospital
Search by market, city, state, hospital name or CCN. Every hospital gets one bar: the dark segment is money carried over from FY2026, the green segment is new FY2027 money, and the hatched red segment is money the hospital loses against FY2026.
The 25 largest FY2027 payments in the country
The national pool, and who moves it
Biggest state gainers
Biggest state losers
The numbers are free. The plan is the work.
A3HCS helps hospitals and the teams that sell to them turn payment shifts into strategy: service line moves, payer positioning and margin protection. If a number on this page changes your year, talk to us.
Talk to A3HCS DRG Impact NavigatorPayment figures come from the CMS Medicare DSH Supplemental Data Files published with the FY2026 and FY2027 IPPS final rules. A hospital's total here is its interim uncompensated care payment for the year, plus the supplemental payment CMS lists for Puerto Rico and Indian Health Service hospitals where one applies. This is not total DSH money and it is not total hospital revenue. The empirically justified DSH payment, outlier payments and every other payment stream sit outside this tool. Markets follow the CMS geographic labor market areas: one market per urban CBSA, and one statewide rural market per state. Maryland hospitals are paid under the state's all-payer model rather than IPPS, so they do not receive these payments and Maryland shows empty on the map. Figures are estimates built from public files, and interim amounts change when CMS updates Factor 3 or a hospital's claims data, so verify against primary sources before a number goes into a filing or a negotiation. Independent analysis by A3HCS. Not affiliated with, or endorsed by, CMS.