U.S. Department of Health & Human Services

Medicare Inpatient Hospitals

Name: Medicare Inpatient Hospitals
Creator: U.S. Department of Health & Human Services

Records document inpatient discharges for Original Medicare Part A beneficiaries from Inpatient Prospective Payment System (IPPS) hospitals. Each record covers the use, payment amounts, and hospital charges for services provided by over 3,000 U.S. hospitals that received IPPS payments.

Example records

Namebrand	Cityaddress	Stateaddress	ZIP Codeaddress	Street Addressaddress	Rndrng Prvdr Ccnregistration	Rndrng Prvdr State FIPSgeographic	Rndrng Prvdr Rucageographic	Rndrng Prvdr Ruca Descriptiongeographic	Drg Cdclassification	Drg Descriptionclassification	Tot Dschrgsquantity
Baylor Scott & White Medical Center - Marble Falls	Marble Falls	TX	78654	810 W Highway 71	670108	48	7	Small town core: primary flow within an urban clus	871	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS W	17
Pearland Medical Center	Pearland	TX	77584	11100 Shadow Creek Parkway	670106	48	1	Metropolitan area core: primary flow within an urb	871	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS W	14
Pearland Medical Center	Pearland	TX	77584	11100 Shadow Creek Parkway	670106	48	1	Metropolitan area core: primary flow within an urb	690	KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC	11

Use cases

Hospital Billing Markup Screening for Insurer Network Negotiations

A health insurance network analyst compares the ratio of submitted charges to actual Medicare payments across hospitals in a target region to identify facilities with unusually high markup practices before entering contract negotiations.

NameRndrng Prvdr CcnDrg CdAvg Submtd Cvrd ChrgAvg Mdcr Pymt Amount

Procedure Volume Benchmarking for Medical Device Sales Territory Planning

A medical device company's sales operations team maps discharge volumes by DRG code across hospitals to prioritize which facilities to target for a device used in high-volume inpatient procedures, sizing the addressable market by geography.

NameStreet AddressStateDrg CdTot Dschrgs

KYB Verification of Hospital Entities for Healthcare Vendor Onboarding

A fintech platform onboarding hospitals as payment processing clients cross-references the CMS Certification Number and physical address against state licensure databases to confirm the facility is a legitimate, operating IPPS-certified institution before extending credit terms.

NameRndrng Prvdr CcnStreet AddressCityState