# Medicare Outpatient Hospitals by Geography (avg payments per APC/HCPCS)

`medicare_silver.fact_outpatient_payment_by_geo` · Hospital price transparency · status live · 758,776 rows

CMS public-use file "Medicare Outpatient Hospitals - by Geography and Service" — annual, claims-derived: beneficiary/service counts + avg submitted charge / Medicare allowed / Medicare payment / outlier per APC (Ambulatory Payment Classification) or HCPCS at national + per-state. The OUTPATIENT facility payment benchmark — pairs with the chargemaster to anchor outpatient repricing. Claims-derived averages, NOT the contractual OPPS rate tables.

**Grain.** One row per (geography [National|State], APC or HCPCS) per data year.

| column | type | meaning |
|---|---|---|
| data_year | int |  |
| geo_level | string |  |
| geo_cd | string |  |
| geo_desc | string |  |
| srvc_lvl | string |  |
| apc_cd | string |  |
| apc_desc | string |  |
| hcpcs_cd | string |  |
| hcpcs_desc | string |  |
| bene_cnt | bigint |  |
| capc_srvcs | double |  |
| avg_tot_sbmtd_chrgs | double |  |
| avg_mdcr_alowd_amt | double |  |
| avg_mdcr_pymt_amt | double |  |
| outlier_srvcs | double |  |
| avg_mdcr_outlier_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_outpatient_payment_by_geo WHERE ... LIMIT 100`; read `describe_data_source("medicare_silver.fact_outpatient_payment_by_geo")` first.