US Hospital MSPB 2013

Centers for Medicare & Medicaid Services (CMS), Medicare Spend Per Beneficiary (MSPB) for hospitals participating in the Prospective Payment System (PPS).

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About MSPB

This data set describes what US hospitals are charging for treating Medicare patients. MSPB aims to evaluate hospitals’ efficiency, as reflected by Medicare payments made during an MSPB episode, relative to the efficiency of the median hospital. The performance period is January 1, 2013 through December 31, 2013

An MSPB episode includes all Medicare Part A and Part B claims paid during the period from 3 days prior to a hospital admission through 30 days after discharge.


A hospital’s MSPB Measure is calculated as the hospital’s average MSPB Amount divided by the median MSPB Amount across all hospitals, where a hospital’s MSPB Amount is the hospital’s average price-standardized, risk-adjusted spending for an MSPB episode.

Payment amounts are price-standardized to remove the effect of geographic payment differences and addon payments for indirect medical education (IME) and disproportionate share hospitals (DSH). In addition, the MSPB Measure is risk adjusted to account for beneficiary age and severity of illness.


The methods used to create this visualization are described in the project file. It includes descriptions of data sources, steps and scripts for data preparation. Source code is available on the GitHub repository.