HCUP Nationwide Ambulatory Surgery Sample (NASS) Database – Restricted Access

The largest all-payer ambulatory surgery database in the United States, the Healthcare Cost and Utilization Project (HCUP) Nationwide Ambulatory Surgery Sample (NASS) produces national estimates of major ambulatory surgery encounters in hospital-owned facilities. Major ambulatory surgeries are defined as selected major therapeutic procedures that require the use of an operating room, penetrate or break the skin, and involve regional anesthesia, general anesthesia, or sedation to control pain (i.e., surgeries flagged as "narrow" in the HCUP Surgery Flag Software). Unweighted, the NASS contains approximately 9.0 million ambulatory surgery encounters each year and approximately 11.8 million ambulatory surgery procedures. Weighted, it estimates approximately 11.9 million ambulatory surgery encounters and 15.7 million ambulatory surgery procedures.

Sampled from the HCUP State Ambulatory Surgery and Services Databases (SASD) and State Emergency Department Databases (SEDD) in order to capture both planned and emergent major ambulatory surgeries, the NASS can be used to examine selected ambulatory surgery utilization patterns. Developed through a Federal-State-Industry partnership sponsored by the Agency for Healthcare Research and Quality, HCUP data inform decision making at the national, State, and community levels.

The NASS contains clinical and resource-use information that is included in a typical hospital-owned facility record, including patient characteristics, clinical diagnostic and surgical procedure codes, disposition of patients, total charges, facility characteristics, and expected source of payment, regardless of payer, including patients covered by Medicaid, private insurance, and the uninsured. The NASS excludes data elements that could directly or indirectly identify individuals, hospitals, or states. The NASS is limited to encounters with at least one in-scope major ambulatory surgery on the record, performed at hospital-owned facilities. Procedures intended primarily for diagnostic purposes are not considered in-scope.

Restricted access data files are available with a data use agreement and brief online security training.

Data and Resources

Field Value
accessLevel restricted public
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catalog_@id https://healthdata.gov/data.json
catalog_conformsTo https://project-open-data.cio.gov/v1.1/schema
catalog_describedBy https://project-open-data.cio.gov/v1.1/schema/catalog.json
describedBy https://www.hcup-us.ahrq.gov/db/nation/nass/nassdbdocumentation.jsp
identifier https://healthdata.gov/api/views/x5sw-xtqj
issued 2022-06-07
landingPage https://www.hcup-us.ahrq.gov
license https://www.distributor.hcup-us.ahrq.gov/Home.aspx
modified 2022-06-07
programCode {009:074}
publisher Agency for Healthcare Research and Quality, Department of Health & Human Services
resource-type Dataset
source_datajson_identifier true
source_hash fa86e927c2ad1517d62e353993866551cbb1409c
source_schema_version 1.1
Groups
  • AmeriGEOSS
  • National Provider
  • North America
Tags
  • agency-for-healthcare-research-and-quality-department-of-health-human-services
  • ambulatory-surgery
  • amerigeo
  • amerigeoss
  • ckan
  • geo
  • geoss
  • hcup
  • national
  • north-america
  • united-states
isopen False
license_id other-license-specified
license_title other-license-specified
maintainer HCUP Technical Support
maintainer_email hcup@ahrq.gov
metadata_created 2025-11-22T12:55:39.283474
metadata_modified 2025-11-22T12:55:39.283479
notes The largest all-payer ambulatory surgery database in the United States, the Healthcare Cost and Utilization Project (HCUP) Nationwide Ambulatory Surgery Sample (NASS) produces national estimates of major ambulatory surgery encounters in hospital-owned facilities. Major ambulatory surgeries are defined as selected major therapeutic procedures that require the use of an operating room, penetrate or break the skin, and involve regional anesthesia, general anesthesia, or sedation to control pain (i.e., surgeries flagged as "narrow" in the HCUP Surgery Flag Software). Unweighted, the NASS contains approximately 9.0 million ambulatory surgery encounters each year and approximately 11.8 million ambulatory surgery procedures. Weighted, it estimates approximately 11.9 million ambulatory surgery encounters and 15.7 million ambulatory surgery procedures. Sampled from the HCUP State Ambulatory Surgery and Services Databases (SASD) and State Emergency Department Databases (SEDD) in order to capture both planned and emergent major ambulatory surgeries, the NASS can be used to examine selected ambulatory surgery utilization patterns. Developed through a Federal-State-Industry partnership sponsored by the Agency for Healthcare Research and Quality, HCUP data inform decision making at the national, State, and community levels. The NASS contains clinical and resource-use information that is included in a typical hospital-owned facility record, including patient characteristics, clinical diagnostic and surgical procedure codes, disposition of patients, total charges, facility characteristics, and expected source of payment, regardless of payer, including patients covered by Medicaid, private insurance, and the uninsured. The NASS excludes data elements that could directly or indirectly identify individuals, hospitals, or states. The NASS is limited to encounters with at least one in-scope major ambulatory surgery on the record, performed at hospital-owned facilities. Procedures intended primarily for diagnostic purposes are not considered in-scope. Restricted access data files are available with a data use agreement and brief online security training.
num_resources 1
num_tags 11
title HCUP Nationwide Ambulatory Surgery Sample (NASS) Database – Restricted Access