{
 "id": "pdc:rrqw-56er",
 "slug": "medicare-spending-per-beneficiary-hospital",
 "source": "provider-data",
 "title": "Medicare Spending Per Beneficiary - Hospital",
 "summary": "Whether Medicare spends more, less or about the same per episode of care at each hospital compared with the national median hospital.",
 "description": "The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally. An MSPB episode includes Medicare Part A and Part B payments for services provided by hospitals and other healthcare providers the 3 days prior to, during, and 30 days following a patient's inpatient stay. This measure evaluates hospitals' costs compared to the costs of the national median (or midpoint) hospital. This measure takes into account important factors like patient age and health status (risk adjustment) and geographic payment differences (payment-standardization).",
 "aliases": [
  "hospital spending",
  "MSPB",
  "medicare spending per beneficiary",
  "hospital cost per episode"
 ],
 "keywords": [
  "Medicare Spending per Beneficiary"
 ],
 "themes": [
  "Hospitals"
 ],
 "topics": [
  "hospitals",
  "spending-utilization"
 ],
 "category": "Hospitals",
 "publisher": "Centers for Medicare & Medicaid Services (CMS)",
 "contact": null,
 "landing_url": "https://data.cms.gov/provider-data/dataset/rrqw-56er",
 "csv_url": "https://data.cms.gov/provider-data/sites/default/files/resources/69874ce604586980ac088283c1b35095_1785189964/Medicare_Hospital_Spending_Per_Patient-Hospital.csv",
 "api_url": "https://data.cms.gov/provider-data/api/1/datastore/query/rrqw-56er/0",
 "api_kind": "dkan-datastore",
 "preview_url": null,
 "dictionary_url": "https://data.cms.gov/provider-data/sites/default/files/data_dictionaries/hospital/HOSPITAL_Data_Dictionary.pdf",
 "dictionary_kind": "pdf",
 "methodology_urls": [],
 "state_column": "state",
 "row_count": 4626,
 "posted": "2026-08-13",
 "modified": "2026-07-22",
 "period_start": null,
 "period_end": null,
 "latest_period": null,
 "cadence": null,
 "next_update": null,
 "versions": [],
 "columns": [
  {
   "name": "facility_id",
   "label": "Facility ID",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "facility_name",
   "label": "Facility Name",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "address",
   "label": "Address",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "citytown",
   "label": "City/Town",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "state",
   "label": "State",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "zip_code",
   "label": "ZIP Code",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "countyparish",
   "label": "County/Parish",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "telephone_number",
   "label": "Telephone Number",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "measure_id",
   "label": "Measure ID",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "measure_name",
   "label": "Measure Name",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "score",
   "label": "Score",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "footnote",
   "label": "Footnote",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "start_date",
   "label": "Start Date",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "end_date",
   "label": "End Date",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  }
 ],
 "caveats": [
  "An episode covers Medicare Part A and Part B payments from 3 days before to 30 days after an inpatient stay, and is risk adjusted and payment standardized."
 ],
 "curated": true,
 "license": "https://www.usa.gov/publicdomain/label/1.0/",
 "detail_key": "rrqw-56er|2026-07-22|https://data.cms.gov/provider-data/sites/default/files/resources/69874ce604586980ac088283c1b35095_1785189964/Medicare_Hospital_Spending_Per_Patient-Hospital.csv",
 "checked": "2026-10-25",
 "source_name": "Provider Data Catalog"
}