Medicare Inpatient Hospital Charges by Provider and DRG, 2019

The Medicare Inpatient Hospitals by Provider and Service dataset details inpatient discharges for Original Medicare Part A beneficiaries from over 3,000 U.S. IPPS hospitals. It includes information on use, payment, and hospital charges organized by hospital and Medicare Severity Diagnosis Related Group (DRG), representing more than seven million discharges or 75% of total Medicare IPPS discharges. Data from 2019 is used, with the Avg_Tot_Pymt_Amt and Avg_Submtd_Cvrd_Chrg columns dropped.

Use Cases

• Benchmark hospital charges for specific medical conditions based on Medicare Severity Diagnosis Related Group (DRG).
• Analyze payment variations across over 3,000 U.S. hospitals that received IPPS payments.
• Study the relationship between submitted charges and Medicare payments for inpatient services.
• Profile inpatient service utilization for Original Medicare Part A beneficiaries.

Strengths

• Covers more than seven million discharges, representing 75% of total Medicare IPPS discharges.
• Includes data from over 3,000 U.S. hospitals that received IPPS payments.
• Focuses on a specific year (2019), providing a consistent temporal snapshot.

Limitations

• Column-level documentation is absent; field semantics must be inferred after download.
• Row count is unknown, which may limit suitability assessment.
• Data may reflect temporal bias, being limited to a single year (2019).

Provenance

Source

Medicare (U.S. Centers for Medicare & Medicaid Services)

Collection Method

Administrative claims data from IPPS (Inpatient Prospective Payment System) hospitals.

Time Range

2019

Freshness

Data is from 2019; last update date is unknown.

Geography

United States