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Medicare FFS rates & utilizationSource-backed product
Medicare Hospital Outpatient (OPPS) Rates
Medicare's payment rates for hospital outpatient services, the official benchmark for what a hospital outpatient procedure should cost. The correct yardstick for facility outpatient charges, distinct from physician fees.
What Vlada adds: Preserves the publisher data, normalizes schema eras and identifiers, and connects the product to compatible healthcare entities with measured join coverage.
- rows
- 1.3M
- rows
- datasets
- 2
- datasets
- cadence
- Varies by publisher release / annual
- cadence
- coverage
- 2004-2026
- coverage
Publishers: Centers for Medicare & Medicaid Services
What's inside
Medicare OPPS (hospital outpatient)
Outpatient Prospective Payment System rates — the hospital OUTPATIENT FACILITY benchmark (payment_rate).
1.3M rows
Primary dataset
Outpatient Prospective Payment System rates — the hospital OUTPATIENT FACILITY benchmark (payment_rate). NOT PFS (benchmarking a facility charge against PFS is the #1 methodology error).
grain: One row per (hcpcs_code, calendar_year, quarter) — CMS OPPS APC payment_rate. CERTIFIED 2026-06-03.
18.6K rows