Medicare Advantage, Part D, Medicaid

Medicare IPPS Wage Index (geographic wage adjustment)

medicare_silver.fact_ipps_wage_index·live·reference·Medicare Inpatient Prospective Payment System (IPPS)

Rows

84,746

Columns

History

N/A

Card

nocolumns only

Typed tools

What it is

1The CMS IPPS Wage Index with Cap (FY2026), per hospital CCN — the geographic labor-cost adjustment factor used to localize the inpatient operating payment to a hospital's labor market.
2Bundled as a reference CSV and consumed directly by the RBP pricing engine (wage_index_for(ccn)); it is the wage-localization leg the dim_msdrg entry flags as "not loaded" for absolute IPPS dollars — this is where it lives.

Grain

Key	Grain
N/A	1One row per (fiscal_year, hospital CCN) -- IPPS wage index (with cap) for inpatient localization. 2DEEP FY2006-2026.

Columns (28)

Column	Type	Meaning
`fiscal_year`	int
`ccn`	string
`wage_index`	decimal(38,12)
`geographic_cbsa`	string
`county_fips`	string
`wage_index_prior_to_cap`	decimal(38,12)
`source_member`	string
`source_sheet`	string
`source_row_number`	int
`source_note`	string
`rate_context`	string
`source_column_index`	int
`source_column_label`	string
`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

describe_data_source(source_fqn="medicare_silver.fact_ipps_wage_index")     # the card, live
query_substrate(sql="SELECT * FROM medicare_silver.fact_ipps_wage_index WHERE <filter> LIMIT 100")

Item	Value
Typed tools that read it	none; raw SQL
Identity key	`ccn`
Join	`how_to_join(source_fqn="medicare_silver.fact_ipps_wage_index")`
Raw door	Athena (read-only via query_substrate): medicare_silver.fact_ipps_wage_index (per fiscal_year, ccn). Also Python: vlada.rbp.wageindex.wage_index_for(ccn).
Note	Loaded by vlada/rbp/wageindex.py from vlada/rbp/ref/ipps_wage_index_2026.csv; source-truth dry-runs prove FY2006 and FY2008-FY2026 official CMS Table 2 artifacts, and build-ipps-wage-index writes the additive fact_ipps_wage_index_source_truth table with explicit asserted_at. Runner same-SHA skips verify intended rows before skipping. Serving remains Python-bundle scoped until accepted.

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