Inpatient Charge Data FY 2011
The data provided here include hospital-specific charges for the more than 3,000 U.S. hospitals that receive Medicare Inpatient Prospective Payment System (IPPS) payments for the top 100 most frequently billed discharges, paid under Medicare based on a rate per discharge using the Medicare Severity Diagnosis Related Group (MS-DRG) for Fiscal Year (FY) 2011. These DRGs represent more than 7 million discharges or 60 percent of total Medicare IPPS discharges.
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.
For these DRGs, average charges, average total payments, and average Medicare payments are calculated at the individual hospital level. Users will be able to make comparisons between the amount charged by individual hospitals within local markets, and nationwide, for services that might be furnished in connection with a particular inpatient stay.
6/2/14 UPDATE: Original FY2011 data file has been updated to include a new column, "Average Medicare Payment." Also National and State Summaries have been updated and are now based on 100% of discharges. Previously, these summaries were based on the publically available data which contained redactions at the provider/DRG level.
Data are available in three formats:
- An online interactive dataset (allows users to sort and filter data directly without downloading).
- Microsoft Excel download (.xlsx)
- Comma separated values download (.csv)
Interactive Dataset: Inpatient Charge Data, FY2011, Interactive Dataset
Downloadable Excel: Inpatient Charge Data, FY2011, Microsoft Excel version (ZIP)
Downloadable CSV: Inpatient Charge Data, FY2011, Comma Separated Values version (ZIP)
MS-DRG Summary Tables:
Interactive Dataset: National Summary of Inpatient Charge Data, FY2011, Interactive Dataset
Interactive Dataset: State Summary of Inpatient Charge Data, FY2011, Interactive Dataset
Downloadable Excel: National and State Summaries of Inpatient Charge Data, FY2011, Microsoft Excel version (ZIP)
Downloadable CSV: National and State Summaries of Inpatient Charge Data, FY2011, CSV version (ZIP)
Inquiries regarding this data can be sent to MedicareProviderData@cms.hhs.gov.
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