Hospital price transparency

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

medicare_silver.fact_outpatient_payment_by_geo·live·silver·Medicare Fee-for-Service Utilization & Payments

Rows

758,776

Columns

History

N/A

Card

nocolumns only

Typed tools

What it is

1CMS 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.
2The OUTPATIENT facility payment benchmark — pairs with the chargemaster to anchor outpatient repricing.
3Claims-derived averages, NOT the contractual OPPS rate tables.

Grain

Key	Grain
N/A	1One row per (geography [National\|State], APC or HCPCS) per data year.

Columns (31)

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

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

Item	Value
Typed tools that read it	none; raw SQL
Identity key	`apc_cd`
Join	`how_to_join(source_fqn="medicare_silver.fact_outpatient_payment_by_geo")`
Raw door	Athena (read-only via query_substrate): medicare_silver.fact_outpatient_payment_by_geo
Note	Iceberg table medicare_silver.fact_outpatient_payment_by_geo, partitioned by data_year (replace, idempotent by SHA-256). Data year parsed from filename (DY24 -> 2024). Ingested by the same build-medicare-hospital-geo runner.

This page as markdown: /docs-md/data/medicare_silver_fact_outpatient_payment_by_geo.md · every page in one file: /llms-full.txt