Medical Benchmark Data

Medical Cost Benchmarks encompasses disease-specific, national and regional cost datasets including medication, procedure and diagnostic costs. Information can be filtered by demographic, physician specialty or indication.

Example 1. highlights 39.3% of a Houston based PCP referrals were out of network

  • Detailed patient demographics (e.g., geographic region, age, gender)
  • Disease severity, including complications and co-morbidities)
  • Utilization of ancillary services (e.g., diagnostic and laboratory services, surgical procedures)
  • Patterns of pharmacotherapy (e.g., the brands or classes of prescription drugs used)
  • Facility utilization (e.g., inpatient admissions, LOS, ER utilization)
  • Payers including Commercial, Managed Medicaid and Medicare Advantage
  • Practice patterns of the physician specialties that actually treat the specific disease being analyzed
  • Episode costs and resource utilization across the continuum of patient care services (inpatient, outpatient, emergency room/urgent care, pharmacy)

Cost Drivers by Diagnosis

Cost Drivers by Admission Type