# Hospital cost report — whole-hospital cost-to-charge (HCRIS 2552-10)

`medicare_silver.hospital_cost_report_overall` · Medicare Advantage, Part D, Medicaid · status live · 81,368 rows

The whole-hospital ACTUAL-COST lens: overall_ccr (cost-to-charge ratio = total_cost / total_charge from Worksheet C). Applied to a billed charge it estimates the real cost of care. This is the COST leg reference-based-pricing vendors (Imagine360/ELAP) price against; joined to our MRF negotiated rate + Medicare it completes the cost / rate / Medicare / fair-RBP-price picture that no one else holds. Use the DEPT table for service-specific cost, this for the hospital-wide ratio.

**Grain.** One row per (ccn, fiscal-year-end). CMS Medicare Hospital Cost Report (HCRIS, form 2552-10) Worksheet C. 81,368 report-years, 6,949 hospitals, FY2010-2024.

| column | type | meaning |
|---|---|---|
| ccn | string |  |
| fy_begin | string |  |
| fy_end | string |  |
| fy_year | string |  |
| rpt_status | string |  |
| rpt_rec_num | string |  |
| total_cost | string |  |
| total_charge | string |  |
| overall_ccr | string |  |
| charge_as_cost | string |  |
| plausible | string |  |
| source_file | string |  |

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