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BAPTIST HOSPITAL — Quality & Patient Safety

PENSACOLA, FL · Acute Care Hospitals · Emergency services available

Source: CMS Hospital Compare, HCAHPS Survey

By BillRazor Research · Last updated June 1, 2026 · View pricing data

CMS Overall Hospital Quality

4

Out of 5 stars · CMS Hospital Compare rating

N/A

Patients recommend

633

Survey responses

Patient Satisfaction

3.0/5

Overall HCAHPS score

Avg Readmission Ratio

1.00

Above national average

Quality Measures

51

CMS-tracked metrics

Quality Score

80

Composite index

Patient Satisfaction — HCAHPS Survey Scores

Score out of 5.0 based on patient survey responses. Source: CMS HCAHPS.

Excess Readmission Ratios by Condition

Ratio vs national average (1.0 = average). Below 1.0 is better, above 1.0 indicates higher-than-expected readmissions.

Below average (better) Above average

Healthcare-Associated Infections (HAI)

Performance vs national benchmarks on hospital-acquired infection measures.

12

Better than average

Lower infection rates

18

Same as average

Near national rate

0

Worse than average

Higher infection rates

MeasureScorevs National
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.19No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.13No Different than National Benchmark
Central Line Associated Bloodstream Infection: Number of Device Days9482.00No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases9.81No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases5.00No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards)0.51No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.04Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.44Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days11948.00Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases18.49Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3.00Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.16Better than the National Benchmark
SSI - Colon Surgery: Lower Confidence Limit0.61No Different than National Benchmark
SSI - Colon Surgery: Upper Confidence Limit2.49No Different than National Benchmark
SSI - Colon Surgery: Number of Procedures223.00No Different than National Benchmark
SSI - Colon Surgery: Predicted Cases6.09No Different than National Benchmark
SSI - Colon Surgery: Observed Cases8.00No Different than National Benchmark
SSI - Colon Surgery1.31No Different than National Benchmark
SSI - Abdominal Hysterectomy: Number of Procedures60.00Not Available
SSI - Abdominal Hysterectomy: Predicted Cases0.45Not Available
SSI - Abdominal Hysterectomy: Observed Cases2.00Not Available
MRSA Bacteremia: Lower Confidence Limit0.27No Different than National Benchmark
MRSA Bacteremia: Upper Confidence Limit1.62No Different than National Benchmark
MRSA Bacteremia: Patient Days88359.00No Different than National Benchmark
MRSA Bacteremia: Predicted Cases6.85No Different than National Benchmark
MRSA Bacteremia: Observed Cases5.00No Different than National Benchmark
MRSA Bacteremia0.73No Different than National Benchmark
Clostridium Difficile (C.Diff): Lower Confidence Limit0.28Better than the National Benchmark
Clostridium Difficile (C.Diff): Upper Confidence Limit0.71Better than the National Benchmark
Clostridium Difficile (C.Diff): Patient Days86486.00Better than the National Benchmark
Clostridium Difficile (C.Diff): Predicted Cases39.24Better than the National Benchmark
Clostridium Difficile (C.Diff): Observed Cases18.00Better than the National Benchmark
Clostridium Difficile (C.Diff)0.46Better than the National Benchmark

What quality scores mean for patients at BAPTIST HOSPITAL

BAPTIST HOSPITAL holds a CMS overall rating of 4 out of 5 stars, based on publicly reported quality measures. This places it at #21 out of 163 hospitals in FL. Quality ratings aggregate dozens of individual measures — from nurse communication and cleanliness to surgical complication rates and timely care — into a single composite. While no single number captures the full patient experience, the star rating provides a useful starting point for understanding whether a hospital consistently meets or falls short of national performance standards.

Readmission data offers a particularly important signal. BAPTIST HOSPITAL's average excess readmission ratio is 1.00x the national average, meaning patients here return to the hospital at a higher-than-expected rate after discharge. This hospital reports readmission data across 6 conditions, and performance varies by diagnosis. High readmission rates can indicate issues with discharge planning, follow-up care coordination, or the initial quality of treatment — all factors that may also correlate with the complexity and accuracy of the resulting hospital bill.

Research consistently shows a correlation between hospital operational quality and billing accuracy. Hospitals that perform well on patient safety, infection control, and care coordination tend to have more robust administrative processes, including medical coding and billing. Conversely, facilities with lower quality scores — particularly those with higher-than-average infection rates (0 measures worse than average at BAPTIST HOSPITAL) or elevated readmission ratios — often exhibit higher rates of billing discrepancies. If you have received a bill from a hospital with mixed quality indicators, a line-by-line review against regional benchmarks can identify charges that may not align with the care actually delivered.

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Data from CMS Hospital Compare, HCAHPS Patient Survey, Hospital-Acquired Infection (HAI) reports, and Hospital Readmissions Reduction Program (HRRP). All data is publicly available.

Star ratings and quality measures are published by the Centers for Medicare & Medicaid Services (CMS). This page is for informational purposes only and does not constitute medical advice.

Frequently Asked Questions About BAPTIST HOSPITAL Quality

What is BAPTIST HOSPITAL's CMS star rating?

BAPTIST HOSPITAL has an overall CMS star rating of 4 out of 5, based on the Hospital Compare quality rating system. This rating incorporates patient experience, safety, readmission rates, mortality outcomes, and timely & effective care. Star ratings are updated annually by the Centers for Medicare & Medicaid Services.

How do patients rate BAPTIST HOSPITAL?

Patient satisfaction data for BAPTIST HOSPITAL is based on the HCAHPS patient survey, which measures experience across dimensions including nurse and doctor communication, staff responsiveness, and cleanliness. Detailed scores are available on this page.

Does BAPTIST HOSPITAL have higher-than-average readmission rates?

BAPTIST HOSPITAL's average excess readmission ratio is 1.00. A ratio above 1.0 means readmission rates are higher than the national average for the measured conditions. This hospital's readmission rate is above the national average. Source: CMS Hospital Readmissions Reduction Program.

How does BAPTIST HOSPITAL compare to other FL hospitals?

BAPTIST HOSPITAL's quality metrics, including star rating, patient satisfaction, readmission rates, and infection data, can be compared against other FL hospitals on this page. The state peers section shows the top-rated hospitals in FL for context.

Data sourced from CMS Hospital Compare and HCAHPS Patient Survey. All information is for educational purposes only.