Medicare Inpatient Hospitals - by Provider and Service
Inpatient discharges, payments and hospital charges for Original Medicare Part A patients, by hospital and diagnosis related group (DRG).
Freshness
- Last posted
- Period covered
- Jan 1, 2024 to Dec 31, 2024
- Update frequency
- Annually
Dates as CMS lists them in its catalog.
Before you use it
- Covers Original Medicare Part A only, at hospitals paid under IPPS. Medicare Advantage stays are not included.
- Charges are what the hospital bills. The payment columns show what was actually paid.
Columns 15
| Column | What it means | Type |
|---|---|---|
Rndrng_Prvdr_CCNRndrng_Prvdr_CCN | string | |
Rendering Provider NameRndrng_Prvdr_Org_Name | The name of the provider. | string |
Rendering Provider CityRndrng_Prvdr_City | The city in which the provider is physically located. | string |
Rendering Provider Street AddressRndrng_Prvdr_St | The street address in which the provider is physically located. | string |
Rendering Provider State FIPS CodeRndrng_Prvdr_State_FIPS | The state FIPS code for the state in which the provider is physically located. | string |
Rendering Provider Zip CodeRndrng_Prvdr_Zip5 | The zip code in which the provider is physically located. | string |
Rendering Provider State AbbreviationRndrng_Prvdr_State_Abrvtn | The state abbreviation for the state in which the provider is physically located. | string |
Rendering Provider Rural-Urban Commuting CodeRndrng_Prvdr_RUCA | The Rural-Urban Commuting Area (RUCA) code for the zip code in which the provider is physically located. RUCA codes classify zip codes as rural/urban areas based on measures of population density, level of urbanization, and daily commuting patterns. These codes are developed by United States Department of Agriculture, Economic Research Service. | string |
Rendering Provider Rural-Urban Commuting Area DescriptionRndrng_Prvdr_RUCA_Desc | The description of the RUCA code. RUCA codes classify zip codes as rural/urban areas based on measures of population density, level of urbanization, and daily commuting patterns. These codes are developed by United States Department of Agriculture, Economic Research Service. | string |
Diagnosis Related Group (DRG) DefinitionDRG_Cd | Classification system that groups similar clinical conditions (diagnoses) and the procedures furnished by the hospital during the stay. | string |
Diagnosis Related Group (DRG) DescriptionDRG_Desc | Description of the classification system (DRG) that groups similar clinical conditions (diagnoses) and the procedures furnished by the hospital during the stay. | string |
Total DischargesTot_Dschrgs | The number of discharges billed by all providers for inpatient hospital services. | number |
Average Covered ChargesAvg_Submtd_Cvrd_Chrg | The average charge of all providers' services covered by Medicare for discharges in the DRG. These will vary from hospital to hospital because of differences in hospital charge structures. | number |
Average Total PaymentsAvg_Tot_Pymt_Amt | The average total payments to all providers for the DRG including the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits. | number |
Average Medicare PaymentsAvg_Mdcr_Pymt_Amt | The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. | number |
No column matches that filter.
At a glance
- Catalog
- data.cms.gov
- Publisher
- Office of Enterprise Data and Analytics (OEDA)
- Rows
- 145,879
- Columns
- 15
- State column
Rndrng_Prvdr_St
API
Free, no key needed. This request returns the first 10 rows as JSON:
https://data.cms.gov/data-api/v1/dataset/690ddc6c-2767-4618-b277-420ffb2bf27c/data?size=10
To keep only one state, filter on the Rndrng_Prvdr_St column.
Versions 12
The newest version is the one linked above. Older releases stay on the official site.
- 2024-01-01posted Apr 23, 2026
- 2023-12-31posted May 22, 2025
- 2022-12-01posted Jun 4, 2024
- 2021-12-31posted Sep 5, 2023
- 2020-12-31posted May 10, 2023
- 2019-12-31posted May 10, 2023
- 2018-12-31posted May 10, 2023
- 2017-12-31posted May 10, 2023
Show 4 older versions
- 2016-12-31posted May 10, 2023
- 2015-12-31posted May 10, 2023
- 2014-12-31posted May 10, 2023
- 2013-12-31posted May 10, 2023
CMS's description
The Medicare Inpatient Hospitals by Provider and Service dataset provides information on inpatient discharges for Original Medicare Part A beneficiaries by IPPS hospitals. It includes information on the use, payment, and hospital charges for more than 3,000 U.S. hospitals that received IPPS payments. The data are organized by hospital and Medicare Severity Diagnosis Related Group (DRG). Hospitals determine what they will charge for items and services provided to patients, and these charges are the amount the hospital bills for an item or service. The Total Payment Amount includes the DRG amount, claim per diem amount, beneficiary primary payer claim payment amount, beneficiary Part A (Hospital Insurance) coinsurance amount, beneficiary deductible amount, beneficiary blood deductible amount and diagnosis related group outlier amount.
Methodology and other documents from CMS:
The summary at the top was written by hand from this description. Record id cms:690ddc6c-2767-4618-b277-420ffb2bf27c. This record as JSON.