Medicare Hospital Spending by Claim

The data displayed here describes average spending levels during hospitals' Medicare Spending Per Beneficiary (MSPB) episodes by Medicare claim type.

Part of the CMS Data Feeds Dataset › Medicare

Dataplex delivers this CMS feed as the analysis-ready table DWV.MEDICARE_HOSPITAL_SPENDING_BY_CLAIM on Snowflake and Databricks: three snapshot releases spanning 2024–2026, aligned to a single schema, refreshed automatically whenever CMS publishes a new file. Every row carries lineage back to the exact CMS source file that produced it.

Key facts

Snowflake	DWV.MEDICARE_HOSPITAL_SPENDING_BY_CLAIM
Databricks	cms_dwv.medicare_hospital_spending_by_claim
Cadence	Annual
Update pattern	Full-refresh; each file replaces the prior snapshot
CMS published	2026-01-26
Loaded	2026-02-28
Columns	13 data + 6 lineage
File versions	3
License	CMS public data (U.S. Government work)
Platforms	Snowflake Marketplace · Databricks Delta Sharing

Included in the CMS Data Feeds Dataset, start a free trial on Snowflake Marketplace.

Current: CMS last published this feed on 2026-01-26. Coverage runs through 2026-01-26. Next CMS release expected ~Jan 2027.

Full-refresh feed: each file version is a complete snapshot and newer files supersede older ones. Filter to the latest file (see the sample query) to avoid double-counting across versions.

Sample queries

Snowflake

-- Latest snapshot only (avoids double-counting across file versions)
SELECT *
FROM DWV.MEDICARE_HOSPITAL_SPENDING_BY_CLAIM
WHERE FILE_ID IN (
  SELECT ID FROM DWV.FEEDS_FILES WHERE IS_LATEST = 1
)
LIMIT 100;

Databricks

-- Latest snapshot only (avoids double-counting across file versions)
SELECT *
FROM cms_dwv.medicare_hospital_spending_by_claim
WHERE file_id IN (
  SELECT id FROM cms_dwv.feeds_files WHERE is_latest = 1
)
LIMIT 100;

About this feed

The data displayed here describes average spending levels during hospitals' Medicare Spending Per Beneficiary (MSPB) episodes by Medicare claim type. The data presented provide price-standardized, non-risk-adjusted values for hospital spending by claim type because risk adjustment is done at the episode level rather than at the service category/claim level. An MSPB episode includes all Medicare Part A and Part B claims paid during the period from 3 days prior to an inpatient hospital admission through 30 days after discharge.

Source: CMS feed metadata

Keywords: Medicare, Medicare Hospital Spending by Claim Theme: Medicare

Coverage timeline

2024 🟩 · 2025 🟩 · 2026 🟩

3 of 3 years with snapshot releases, no gaps.

Release history

Reporting period	Data as of	Loaded	Latest file
Snapshot as of 2026-01-26	2026-01-26	2026-02-28	✓
Snapshot as of 2025-01-08	2025-01-08	2025-02-27
Snapshot as of 2024-01-08	2024-01-08	2024-12-14

Data dictionary

📋 13 data columns + 6 lineage columns

Column-level definitions are maintained by CMS in the official Medicare Hospital Spending by Claim data dictionary.

Data columns

Column	Type
FACILITY_NAME	TEXT
FACILITY_ID	NUMBER
STATE	TEXT
PERIOD	TEXT
CLAIM_TYPE	TEXT
AVG_SPNDG_PER_EP_HOSPITAL	NUMBER
AVG_SPNDG_PER_EP_STATE	NUMBER
AVG_SPNDG_PER_EP_NATIONAL	NUMBER
PERCENT_OF_SPNDG_HOSPITAL	TEXT
PERCENT_OF_SPNDG_STATE	TEXT
PERCENT_OF_SPNDG_NATIONAL	TEXT
START_DATE	DATE
END_DATE	DATE

Lineage columns (present on every feed table)

Column	Type	Description
ROW_ID	TEXT	Unique row ID for this table (PK)
FILE_ID	TEXT	Source file; joins to FEEDS_FILES.ID (FK)
FILE_FEED_ID	TEXT	Parent feed; joins to FEEDS.ID (FK)
FILE_NAME	TEXT	Source file name as published by CMS
ROWNUM	NUMBER	Row number within the source file
CREATED_AT	TIMESTAMP_NTZ	Timestamp when the record was loaded

Row-level lineage

Every row in this table traces to the exact CMS source file that produced it. The FILE_ID column joins to the FEEDS_FILES catalog table, and FILE_FEED_ID joins to the FEEDS master table:

Trace any row back to its source file and reporting period:

Snowflake

SELECT d.FACILITY_NAME, d.FACILITY_ID, d.STATE,
       ff.TEMPORAL_START, ff.TEMPORAL_END, ff.CMS_FEED_MODIFIED
FROM DWV.MEDICARE_HOSPITAL_SPENDING_BY_CLAIM d
JOIN DWV.FEEDS_FILES ff ON d.FILE_ID = ff.ID;

Databricks

SELECT d.facility_name, d.facility_id, d.state,
       ff.temporal_start, ff.temporal_end, ff.cms_feed_modified
FROM cms_dwv.medicare_hospital_spending_by_claim d
JOIN cms_dwv.feeds_files ff ON d.file_id = ff.id;

Source & provenance

Published by the Centers for Medicare & Medicaid Services.

• Official CMS documentation

Frequently asked questions

How often is Medicare Hospital Spending by Claim updated?

Annually. CMS last published this feed on 2026-01-26, and Dataplex loaded it to the warehouse on 2026-02-28. New releases are added automatically when CMS publishes them.

What years does Medicare Hospital Spending by Claim cover?

2024 through 2026.

How many records are in Medicare Hospital Spending by Claim?

Count the current snapshot yourself once the share is mounted:

Snowflake

SELECT COUNT(*)
FROM DWV.MEDICARE_HOSPITAL_SPENDING_BY_CLAIM d
JOIN DWV.FEEDS_FILES ff ON d.FILE_ID = ff.ID
WHERE ff.IS_LATEST = 1;

Databricks

SELECT COUNT(*)
FROM cms_dwv.medicare_hospital_spending_by_claim d
JOIN cms_dwv.feeds_files ff ON d.file_id = ff.id
WHERE ff.is_latest = 1;

How do I get Medicare Hospital Spending by Claim data?

It's included in the CMS Data Feeds Dataset on the Snowflake Marketplace (free trial available) and via Databricks Delta Sharing. Once mounted, query DWV.MEDICARE_HOSPITAL_SPENDING_BY_CLAIM directly; no pipeline setup required.

Related feeds

CMS Program Statistics - Medicare SNF Utilization by Facility Type and BedsizeAmbulatory Surgical Center Quality Measures - FacilityAccountable Care Organization ParticipantsInnovation Center Model ParticipantsMedicare Inpatient Hospitals - by Geography and Service

Get this feed

1. Start a free trial on Snowflake Marketplace or purchase via Databricks

2. Mount the share; the database and DWV schema appear in your account immediately

3. Run the sample query above; no ETL, no pipeline maintenance

Questions about this feed? Contact us at [e-mail].

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