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Outpatient Charge Data CY 2015

The Outpatient Utilization and Payment Public Use File (Outpatient PUF) presents information on common outpatient services provided to Medicare fee-for-service beneficiaries. The Outpatient PUF presents information on utilization, payment, and estimated hospital-specific charges for 28 Ambulatory Payment Classification (APC) Groups paid under the Medicare Outpatient Prospective Payment System (OPPS) for Calendar Year (CY) 2015.  The Medicare payment amount includes the APC payment amount, the beneficiary Part B coinsurance amount and the beneficiary deductible amount.

For these APCs, the estimated average charges and the average Medicare payments are provided at the individual hospital level. The actual charges at an individual hospital for an individual service within these APC groups may differ.

08/30/2017 UPDATE:

The Outpatient Charge Data and the supplemental summary tables (“National and State Summaries of Outpatient Charge Data”) for CY 2015 have been updated to include 28 APC Groups. Previous year’s data (CY 2011 through CY 2014), which were limited to different numbers of APC groups, have not been updated.

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)

Detailed Data:

Interactive Dataset: Outpatient Charge Data, CY2015, Interactive Dataset

Downloadable Excel: Outpatient Charge Data, CY2015, Microsoft Excel version
Downloadable CSV: Outpatient Charge Data, CY2015, CSV version
 

APC Summary Tables:

Interactive Dataset: National Summary of Outpatient Charge Data, CY2015, Interactive Dataset

Interactive Dataset: State Summary of Outpatient Charge Data, CY2015, Interactive Dataset

Downloadable Excel: National and State Summaries of Outpatient Charge Data, CY2015, Microsoft Excel version
Downloadable CSV: National and State Summaries of Outpatient Charge Data, CY2015, CSV version

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

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