Hospital costs for diagnostic groups
Statistics by Base MS-DRG
Information in this report is taken from the Medicare Provider Analysis and Review (MedPAR) file and from the Healthcare Cost Report Information System (HCRIS) dataset. The MedPAR file includes billing data for 100% of all Medicare fee-for-service claims (IPPS claims) for discharges during the twelve months ending September 30. The HCRIS dataset contains the most recent version (i.e. as submitted, settled, reopened) of each hospital cost report filed with CMS (formerly HCFA) since federal FY 1996.
The MedPAR file is updated annually by CMS based on the federal fiscal year. Data used in this report are consistent with CMS cell size suppression policies. Only Base MS-DRGs with more than ten cases are reported. The federal fiscal year reported is indicated in the header of the report.
The HCRIS dataset is for the cost reporting period corresponding to the billing data being reported.
The Medicare Severity - Diagnosis Related Groups (MS-DRGs) provide up to three levels of severity for a particular condition. A "Base" MS-DRG combines all levels of severity into a single category. The MS-DRG numbers listed are the individual MS-DRGs that have been combined into a Base MS-DRG for reporting. Individual MS-DRGs within a Base MS-DRG are differentiated according to the presence of a complication (CC) or a major complication (MCC). The descriptors of these CC/MCCs are removed when describing the Base MS-DRG. Click on a Base MS-DRG to see the details for its component MS-DRGs.
Side-by-side statistics are reported in order to enable comparisons and benchmarking. The Hospital Statistics are for the hospital currently being reported. The Comparative Statistics are selected from a pull-down list at the top of the report (i.e. National Averages or Active List). National Averages are average statistics for all short term acute care hospitals nationwide. Active List are average statistics for all hospitals in the current Active List chosen. Each set of statistics includes: