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Medicare Provider Utilization and Payment Data: Inpatient

The Inpatient Utilization and Payment Public Use File (Inpatient PUF) provides information on inpatient discharges for Medicare fee-for-service beneficiaries. The Inpatient PUF includes information on utilization, payment (total payment and Medicare payment), and hospital-specific charges for the more than 3,000 U.S. hospitals that receive Medicare Inpatient Prospective Payment System (IPPS) payments. The PUF is organized by hospital and Medicare Severity Diagnosis Related Group (MS-DRG) and covers Fiscal Year (FY) 2011 through FY 2016.

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 MS-DRG amount, bill total per diem, beneficiary primary payer claim payment amount, beneficiary Part A coinsurance amount, beneficiary deductible amount, beneficiary blood deducible amount and DRG outlier amount.

Inpatient PUF users will be able to make comparisons between individual hospital-level charges and payments within local markets, and nationwide, for services that might be furnished in connection with a particular inpatient stay. The Inpatient PUF can be downloaded at the following links:

Inpatient Charge Data FY 2016
Inpatient Charge Data FY 2015
Inpatient Charge Data FY 2014
Inpatient Charge Data FY 2013
Inpatient Charge Data FY 2012

Inpatient Charge Data FY 2011

Inquiries regarding this data can be sent to MedicareProviderData@cms.hhs.gov.

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