CJR-X Quality Score Explorer | AAHKS × Techy Surgeon

Your program, in numbers

LEJR episodes per year

Average episode target price

Roughly, annual Medicare THA/TKA volume across your hospital. The target price is set per episode by CMS; ~$26,000 is a working national planning figure, not rule text. Both feed the dollar readout below.

Pick a starting point

Then fine-tune any measure. Points update as you tap.

Inpatient episodes

THA/TKA ComplicationsRisk-standardized complication rate · 50% weight · max 10.00

HCAHPSInpatient patient experience · 40% weight · max 8.00

THA/TKA PRO-PMPatient-reported outcomes · 10% weight · max 2.00

Outpatient (HOPD) episodes

7-Day Hospital Visits after HOPD SurgeryOP-36 · 50% weight · max 10.00

OAS CAHPSOutpatient patient experience · 40% weight · max 8.00

THA/TKA PRO-PMScored on the outpatient side · 10% weight · max 2.00

Episode mix

70% inpatient · 30% outpatient

Why this matters in dollars. The discount comes off your reconciliation target price on every episode, so the bar below prices your quality score against the volume and target you entered at the top. Quality is the only lever in the model that moves it.

The scales, verbatim

Points by national percentile, §512.635(c). Below the minimum case count (25 cases) or survey count (100 surveys), CMS assigns the 50th-percentile points.

Percentile	Complications / OP-36	HCAHPS / OAS CAHPS	PRO-PM
≥90th	10.00	8.00	2.00
80–89th	9.25	7.40	1.85
70–79th	8.50	6.80	1.70
60–69th	7.75	6.20	1.55
50–59th	7.00	5.60	1.40
40–49th	6.25	5.00	1.25
30–39th	5.50	4.40*	1.10
<30th	0.00	0.00	0.00

* The printed rule shows 5.40 at this rung, which would score the 30th–39th percentile above the 40th–49th. Read in context, 4.40 preserves the scale's order and matches the correction identified in review of the final rule. Confirm against any CMS technical correction before relying on this rung.

Sources. Measures (THA/TKA complications RSCR, CMIT #350 · OP-36, CMIT #344 · HCAHPS, CMIT #338 · OAS CAHPS · THA/TKA PRO-PM, CMIT #1618), weights, scales and minimum counts: 42 CFR §512.635, CMS-1849-F, 91 FR (Aug 4, 2026). Discount ladder and the CQS ≤6.0 eligibility floor: §512.640(b)(8), §512.645(h). Dollar illustration uses program estimates, not rule text. Education, not billing or legal advice.