Inpatient Charge Data FY 2016
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) 2016. MS-DRGs included in the PUF represent more than 7 million discharges or 75 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.
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, FY2016, Interactive Dataset
Downloadable Excel: Inpatient Charge Data, FY2016, Microsoft Excel version (ZIP)
Downloadable CSV: Inpatient Charge Data, FY2016, Comma Separated Values version (ZIP)
MS-DRG Summary Tables:
Interactive Dataset: National Summary of Inpatient Charge Data, FY2016, Interactive Dataset
Interactive Dataset: State Summary of Inpatient Charge Data, FY2016, Interactive Dataset
Downloadable Excel: National and State Summaries of Inpatient Charge Data, FY2016, Microsoft Excel version (ZIP)
Downloadable CSV: National and State Summaries of Inpatient Charge Data, FY2016, Comma Separated Values version (ZIP)
Inquiries regarding this data can be sent to MedicareProviderData@cms.hhs.gov.
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