Provider Data Catalog

Medicare Hospital Spending by Claim

The data displayed here describes average spending levels during hospitals' Medicare Spending Per Beneficiary (MSPB) episodes by Medicare claim type.

Freshness

Last posted
Period covered
Update frequency

Dates as CMS lists them in its catalog. CMS last changed the data itself on Jan 26, 2026.

Columns 13

The Provider Data Catalog lists only column headers in machine-readable form. Full definitions are in the data dictionary.

ColumnWhat it meansType
Facility Namefacility_nametext
Facility IDfacility_idtext
Statestatetext
Periodperiodtext
Claim Typeclaim_typetext
Avg Spndg Per EP Hospitalavg_spndg_per_ep_hospitaltext
Avg Spndg Per EP Stateavg_spndg_per_ep_statetext
Avg Spndg Per EP Nationalavg_spndg_per_ep_nationaltext
Percent of Spndg Hospitalpercent_of_spndg_hospitaltext
Percent of Spndg Statepercent_of_spndg_statetext
Percent of Spndg Nationalpercent_of_spndg_nationaltext
Start Datestart_datetext
End Dateend_datetext

At a glance

Catalog
Provider Data Catalog
Publisher
Centers for Medicare & Medicaid Services (CMS)
Rows
63,646
Columns
13
State column
state
Topics
Hospitals, Spending and use of services

API

Free, no key needed. This request returns the first 10 rows as JSON:

https://data.cms.gov/provider-data/api/1/datastore/query/nrth-mfg3/0?limit=10

To keep only one state, filter on the state column.

CMS's description

The data displayed here describes average spending levels during hospitals' Medicare Spending Per Beneficiary (MSPB) episodes by Medicare claim type. The data presented provide price-standardized, non-risk-adjusted values for hospital spending by claim type because risk adjustment is done at the episode level rather than at the service category/claim level. An MSPB episode includes all Medicare Part A and Part B claims paid during the period from 3 days prior to an inpatient hospital admission through 30 days after discharge.

The summary at the top is the first sentence of this description. Record id pdc:nrth-mfg3. This record as JSON.

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