Hospital Outpatient Prospective Payment System (OPPS)

This file contains select claim level data and is derived from 2025 hospital outpatient PPS claims, updated through December 2025, that is, claims for services furnished on or after January 1, 2025 through December 31, 2025 that were received, processed, paid, and passed to the National Claims History file by December 31, 2025. This file includes data elements such as diagnosis codes, bill type, outlier payments, and service revenue payments. This file includes more than 100 million claims for services paid under the OPPS, including multiple and single claims.  The record length is 13,603, blocksize is 32,760.

The OPPS LDS file will be available twice a year, once for the NPRM in early summer, and again for the final rule within a month of publication of the OPPS final rule in the Federal Register. 

Cost: $3,000  

For file cost and availability, please see the LDS Worksheet. (ZIP)