# Medicare Inpatient Hospitals by Geography (avg payments per MS-DRG)

`medicare_silver.fact_inpatient_payment_by_geo` · Hospital price transparency · status live · 331,464 rows

CMS public-use file "Medicare Inpatient Hospitals - by Geography and Service" — annual, claims-derived: discharges + avg submitted covered charge / total payment / Medicare payment per MS-DRG at national + per-state. The DRG-level Medicare INPATIENT payment benchmark — pairs with the hospital chargemaster (HPT) and the IPPS relative weights (dim_msdrg) to anchor inpatient repricing. Claims-derived averages, NOT the contractual IPPS rate tables.

**Grain.** One row per (geography [National|State], MS-DRG) per data year.

| column | type | meaning |
|---|---|---|
| data_year | int |  |
| geo_level | string |  |
| geo_cd | string |  |
| geo_desc | string |  |
| drg_cd | string |  |
| drg_desc | string |  |
| tot_dschrgs | bigint |  |
| avg_submtd_cvrd_chrg | double |  |
| avg_tot_pymt_amt | double |  |
| avg_mdcr_pymt_amt | double |  |
| observed_period | date |  |
| asserted_at | date |  |
| effective_period_start | date |  |
| effective_period_end | date |  |
| cms_vintage_sequence | int |  |
| parse_revision | int |  |
| parser_artifact_hash | string |  |
| source_url | string |  |
| sha256_content_hash | string |  |
| source_id | string |  |
| is_current | boolean |  |
| bronze_object_key | string |  |
| s3_version_id | string |  |
| vintage_tag | string |  |
| drug_source_version_id | string |  |

Query it: `query_substrate` with `SELECT ... FROM medicare_silver.fact_inpatient_payment_by_geo WHERE ... LIMIT 100`; read `describe_data_source("medicare_silver.fact_inpatient_payment_by_geo")` first.