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Outpatient Charge Data CY 2013

Guidance for estimated hospital-specific charges for 30 Ambulatory Payment Classification (APC) Groups paid under the Medicare Outpatient Prospective Payment System (OPPS) for Calendar Year (CY) 2013. The Medicare payment amount includes the APC payment amount, the beneficiary Part B coinsurance amount and the beneficiary deductible amount..

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: February 11, 2020

6/12/15 Update: The CY 2013 outpatient Medicare Provider Utilization and Payment Data has been updated to correct data originally posted on June 1, 2015.  Users who downloaded the original version should replace their CY2013 data with this new version.

The data provided here include estimated hospital-specific charges for 30 Ambulatory Payment Classification (APC) Groups paid under the Medicare Outpatient Prospective Payment System (OPPS) for Calendar Year (CY) 2013.  The Medicare payment amount includes the APC payment amount, the beneficiary Part B coinsurance amount and the beneficiary deductible amount.

For these APCs, the estimated average charges and the average Medicare payments are provided at the individual hospital level. The actual charges at an individual hospital for an individual service within these APC groups may differ.

Data are available in three formats:

  • An online interactive dataset (allows users to sort and filter data directly without downloading).
  • Microsoft Excel download (.xlsx)
  • Comma separated values download (.csv)

Detailed Data:

Interactive Dataset: Outpatient Charge Data, CY2013, Interactive Dataset

Downloadable Excel: Outpatient Charge Data, CY2013, Microsoft Excel version (ZIP)
Downloadable CSV: Outpatient Charge Data, CY2013, CSV version (ZIP)
 

APC Summary Tables:

Interactive Dataset: National Summary of Outpatient Charge Data, CY2013, Interactive Dataset

Interactive Dataset: State Summary of Outpatient Charge Data, CY2013, Interactive Dataset

Downloadable Excel: National and State Summaries of Outpatient Charge Data, CY2013, Microsoft Excel version (ZIP)
Downloadable CSV: National and State Summaries of Outpatient Charge Data, CY2013, CSV version (ZIP)

Inquiries regarding this data can be sent to MedicareProviderData@cms.hhs.gov.

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HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.