Medicare Hospital Spending by Claim
The data displayed here describes average spending levels during hospitals' Medicare Spending Per Beneficiary (MSPB) episodes by Medicare claim type. The data presented provide price-standardized, non-risk-adjusted values for hospital spending by claim type because risk adjustment is done at the episode level rather than at the service category/claim level. An MSPB episode includes all Medicare Part A and Part B claims paid during the period from 3 days prior to an inpatient hospital admission through 30 days after discharge.
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Complete Metadata
| @type | Dataset |
|---|---|
| accessLevel | public |
| accessRights | public |
| bureauCode |
[ "009:38" ] |
| contactPoint |
{ "fn": "Hospital Compare", "hasURL": "https://cmsqualitysupport.servicenowservices.com/qnet_qa", "hasEmail": "mailto:cmsqualitysupport@servicenowservices.com" } |
| description | The data displayed here describes average spending levels during hospitals' Medicare Spending Per Beneficiary (MSPB) episodes by Medicare claim type. The data presented provide price-standardized, non-risk-adjusted values for hospital spending by claim type because risk adjustment is done at the episode level rather than at the service category/claim level. An MSPB episode includes all Medicare Part A and Part B claims paid during the period from 3 days prior to an inpatient hospital admission through 30 days after discharge. |
| distribution |
[ { "@type": "Distribution", "mediaType": "text/csv", "describedBy": { "@type": "Distribution", "title": "data.cms.gov", "accessURL": "https://data.cms.gov/provider-data/sites/default/files/data_dictionaries/hospital/HOSPITAL_Data_Dictionary.pdf", "mediaType": "application/pdf" }, "downloadURL": "https://data.cms.gov/provider-data/sites/default/files/resources/1f8cde9e222d5d49f88a894bcf7a8981_1770163638/Medicare_Hospital_Spending_by_Claim.csv" } ] |
| identifier | nrth-mfg3 |
| inventoried | 2026-09-27 |
| issued | 2020-12-10 |
| keyword |
[ "Medicare Spending per Beneficiary" ] |
| landingPage | {'@type': 'Document', 'title': 'Medicare Hospital Spending by Claim', 'accessURL': 'https://data.cms.gov/provider-data/dataset/nrth-mfg3'} |
| modified | 2026-01-26 |
| programCode |
[ "009:000" ] |
| publisher |
{ "name": "Office of Communications (OC)", "@type": "Organization", "subOrganizationOf": [ { "name": "Centers for Medicare & Medicaid Services (CMS)", "@type": "Organization" } ] } |
| released | 2026-08-13 |
| theme |
[ "Hospitals" ] |
| title | Medicare Hospital Spending by Claim |
