Medicare Inpatient Hospital Charges and Payments by Provider

Over 3,000 U.S. hospitals that received IPPS payments report inpatient discharge data for Original Medicare Part A beneficiaries. The dataset details hospital charges, payments, and use, organized by hospital and Medicare Severity Diagnosis Related Group (DRG). Total Payment Amounts include DRG amounts, per diem payments, beneficiary coinsurance, deductibles, and outlier payments.

Use Cases

• Analyzing hospital charge variation for specific DRGs across different providers.
• Comparing Medicare payments to hospital-reported charges for inpatient services.
• Benchmarking hospital performance and utilization metrics within the IPPS system.
• Investigating components of total payment, such as beneficiary coinsurance and outlier amounts.

Strengths

• Covers a specific and large set of over 3,000 U.S. hospitals.
• Provides detailed breakdowns of payment components, including DRG amounts, per diem, and beneficiary payments.
• Published by the authoritative Centers for Medicare & Medicaid Services.

Limitations

• Column names and exact row counts are not provided in any source description.
• Update dates conflict between platforms (2026-03-23 on DataCite vs. 2025-12-11 on Data.gov).
• License information is inconsistent ('other-license-specified' vs. 'None').

Provenance

Source

Centers for Medicare & Medicaid Services, U.S. Department of Health & Human Services

Collection Method

Likely compiled from hospital claims and reimbursement data submitted to CMS.

Freshness

2026-03-23

Geography

United States