United Healthcare Transparency in Coverage Dataset

Unlock the power of healthcare pricing transparency with our comprehensive United Healthcare Transparency in Coverage dataset. This invaluable resource provides unparalleled insights into healthcare costs, enabling data-driven decision-making for insurers, employers, researchers, and policymakers.

Key Features:

• Extensive Coverage: Access detailed pricing information for a wide range of medical procedures and services across the United States, covering approximately 76,000 employers.
• Granular Data: Analyze costs at the provider, plan, and employer levels, allowing for in-depth comparisons and trend analysis.
• Massive Scale: Over 400TB of data generated monthly, providing a wealth of information for comprehensive analysis.
• Historical Perspective: Track pricing changes over time to identify patterns and forecast future trends.
• Regular Updates: Stay current with the latest pricing information, ensuring your analyses are always based on the most recent data.

Detailed Data Points:

For each of the 76,000 employers, the dataset includes: 1. In-network negotiated rates for covered items and services 2. Historical out-of-network allowed amounts and billed charges 3. Cost-sharing information for specific items and services 4. Pricing data for medical procedures and services across providers, plans, and employers

Use Cases

For Insurers: - Benchmark your rates against competitors - Optimize network design and provider contracting - Develop more competitive and cost-effective insurance products

For Employers: - Make informed decisions about health plan offerings - Negotiate better rates with insurers and providers - Implement cost-saving strategies for employee healthcare

For Researchers: - Conduct in-depth studies on healthcare pricing variations - Analyze the impact of policy changes on healthcare costs - Investigate regional differences in healthcare pricing

For Policymakers: - Develop evidence-based healthcare policies - Monitor the effectiveness of price transparency initiatives - Identify areas for potential cost-saving interventions

Data Delivery

Our flexible data delivery options ensure you receive the information you need in the most convenient format:

• Custom Extracts: We can provide targeted datasets focusing on specific regions, procedures, or time periods.
• Regular Reports: Receive scheduled updates tailored to your specific requirements.

Why Choose Our Dataset?

1. Expertise: Our team has extensive experience in healthcare data retrieval and analysis, ensuring high-quality, reliable data.
2. Customization: We can tailor the dataset to meet your specific needs, whether you're interested in particular companies, regions, or procedures.
3. Scalability: Our infrastructure is designed to handle the massive scale of this dataset (400TB+ monthly), allowing us to provide comprehensive coverage without compromise.
4. Support: Our dedicated team is available to assist with data interpretation and technical support.

Harness the power of healthcare pricing transparency to drive your business forward. Contact us today to discuss how our United Healthcare Transparency in Coverage dataset can meet your specific needs and unlock valuable insights for your organization.

Graph and download economic data for Health Expenditures per Capita (HLTHSCPCHCSA) from 2000 to 2021 about healthcare, health, expenditures, per capita, and USA.

Description:

Explore the intricacies of medical costs and healthcare expenses with our meticulously curated Medical Cost Dataset. This dataset offers valuable insights into the factors influencing medical charges, enabling researchers, analysts, and healthcare professionals to gain a deeper understanding of the dynamics within the healthcare industry.

Columns: 1. ID: A unique identifier assigned to each individual record, facilitating efficient data management and analysis. 2. Age: The age of the patient, providing a crucial demographic factor that often correlates with medical expenses. 3. Sex: The gender of the patient, offering insights into potential cost variations based on biological differences. 4. BMI: The Body Mass Index (BMI) of the patient, indicating the relative weight status and its potential impact on healthcare costs. 5. Children: The number of children or dependents covered under the medical insurance, influencing family-related medical expenses. 6. Smoker: A binary indicator of whether the patient is a smoker or not, as smoking habits can significantly impact healthcare costs. 7. Region: The geographic region of the patient, helping to understand regional disparities in healthcare expenditure. 8. Charges: The medical charges incurred by the patient, serving as the target variable for analysis and predictions.

Whether you're aiming to uncover patterns in medical billing, predict future healthcare costs, or explore the relationships between different variables and charges, our Medical Cost Dataset provides a robust foundation for your research. Researchers can utilize this dataset to develop data-driven models that enhance the efficiency of healthcare resource allocation, insurers can refine pricing strategies, and policymakers can make informed decisions to improve the overall healthcare system.

Unlock the potential of healthcare data with our comprehensive Medical Cost Dataset. Gain insights, make informed decisions, and contribute to the advancement of healthcare economics and policy. Start your analysis today and pave the way for a healthier future.

The United States has the highest expenditure on health care per capita globally. However, the U.S. has an unique way of paying for their health care where a majority of the expenditure falls upon private insurances. In FY 2024, around one ***** of all health expenditure is paid by private insurance. Public insurance programs Medicare and Medicaid accounted for ** and ** percent, respectively, of health expenditure during that same year. U.S. health care system Globally health spending has been increasing among most countries. However, the U.S. has the highest public and private per capita health expenditure among all countries globally, followed by Switzerland. As of 2020, annual health care costs per capita in the United States totaled to over ** thousand U.S. dollars, a significant amount considering the average U.S. personal income is around ** thousand dollars. Out of pocket costs in the U.S. Aside from overall high health care costs for U.S. residents, the total out-of-pocket costs for health care have been on the rise. In recent years, the average per capita out-of-pocket health care payments have exceeded *** thousand dollars. Physician services, dental services and prescription drugs account for the largest proportion of out-of-pocket expenditures for U.S. residents.

Limit state-purchased health care cost growth to 2% less than the projected national health expenditures average every year through 2019.

This data package contains the information of Medicare and Medicaid healthcare spending and healthcare cost and percentages by state.

Graph and download economic data for Unit Labor Costs for Health Care and Social Assistance: Hospitals, Except Psychiatric and Substance Abuse Hospitals (NAICS 622A) in the United States (IPURN622AU100000000) from 1993 to 2022 about healthcare, hospitality, unit labor cost, hospitals, social assistance, health, NAICS, IP, and USA.

Brazil: Healthcare price index, world average = 100: The latest value from 2021 is 68.63 index points, a decline from 108.45 index points in 2017. In comparison, the world average is 67.78 index points, based on data from 165 countries. Historically, the average for Brazil from 2017 to 2021 is 88.54 index points. The minimum value, 68.63 index points, was reached in 2021 while the maximum of 108.45 index points was recorded in 2017.

The rationale for developing the EU HCCD for use in Health Technology Assessment (HTA) across countries is to provide a common dataset of international costs, which can feed into health economic evaluations carried out by transferring economic evaluation analysis and models across countries. Defining a core dataset of costs for use in HTA across countries enables analyses that try to understand the variation in costs within and across countries (taking into account the differences between the healthcare systems and other factors). Additionally, it makes it easier to carry out multi-country studies and to adapt economic evaluation studies from country to country by saving human resources time (and consequently costs) in the task of looking for healthcare costs.

The USA: Healthcare price index, world average = 100: The latest value from 2021 is 207.91 index points, an increase from 179.52 index points in 2017. In comparison, the world average is 67.78 index points, based on data from 165 countries. Historically, the average for the USA from 2017 to 2021 is 193.72 index points. The minimum value, 179.52 index points, was reached in 2017 while the maximum of 207.91 index points was recorded in 2021.

U.S. healthcare spending per capita for 2022 was $12,434, a 3.63% increase from 2021.

<ul style='margin-top:20px;'>

<li>U.S. healthcare spending per capita for 2021 was <strong>$11,999</strong>, a <strong>2.8% increase</strong> from 2020.</li>
<li>U.S. healthcare spending per capita for 2020 was <strong>$11,673</strong>, a <strong>10.68% increase</strong> from 2019.</li>
<li>U.S. healthcare spending per capita for 2019 was <strong>$10,546</strong>, a <strong>3.57% increase</strong> from 2018.</li>
</ul>Current expenditures on health per capita in current US dollars. Estimates of current health expenditures include healthcare goods and services consumed during each year.

The average for 2021 based on 50 countries was 44.74 index points. The highest value was in South Africa: 76.27 index points and the lowest value was in Sudan: 17.84 index points. The indicator is available from 2017 to 2021. Below is a chart for all countries where data are available.

United States Consumer Price Index (CPI): Urban: Medical Care data was reported at 574.739 1982-1984=100 in Mar 2025. This records an increase from the previous number of 573.320 1982-1984=100 for Feb 2025. United States Consumer Price Index (CPI): Urban: Medical Care data is updated monthly, averaging 105.100 1982-1984=100 from Mar 1935 (Median) to Mar 2025, with 987 observations. The data reached an all-time high of 574.739 1982-1984=100 in Mar 2025 and a record low of 10.200 1982-1984=100 in Dec 1936. United States Consumer Price Index (CPI): Urban: Medical Care data remains active status in CEIC and is reported by U.S. Bureau of Labor Statistics. The data is categorized under Global Database’s United States – Table US.I001: Consumer Price Index: Urban.

Hospital Price Transparency Platform Market Outlook

According to our latest research, the global hospital price transparency platform market size in 2024 stands at USD 1.24 billion, reflecting the rapid adoption of digital solutions for healthcare cost management and regulatory compliance. The market is projected to expand at a robust CAGR of 13.2% from 2025 to 2033, reaching an estimated value of USD 3.61 billion by the end of the forecast period. This significant growth is primarily driven by stringent government regulations mandating transparent healthcare pricing, increasing patient demand for price clarity, and the ongoing digital transformation across healthcare systems worldwide.

A major growth factor for the hospital price transparency platform market is the global push for regulatory compliance, particularly in the United States, where the Centers for Medicare & Medicaid Services (CMS) have implemented rules requiring hospitals to disclose standard charges and negotiated rates. This regulatory landscape compels healthcare providers to adopt sophisticated price transparency platforms, ensuring compliance while avoiding hefty penalties. Furthermore, these platforms facilitate the seamless management and dissemination of complex pricing data, reducing administrative burdens and enhancing operational efficiency. As a result, hospitals and healthcare organizations are increasingly investing in advanced software and services that streamline compliance and foster trust with patients.

Another key driver is the growing consumerization of healthcare, with patients seeking more control over their medical expenses. The rise of high-deductible health plans and increased out-of-pocket costs have made patients acutely aware of healthcare pricing. Hospital price transparency platforms empower patients by providing real-time access to pricing information, enabling informed decision-making and fostering competition among providers. This shift towards patient-centric care is further amplified by digital health trends, with mobile applications and web-based portals making price comparison and financial planning more accessible than ever before. Consequently, healthcare organizations are leveraging these platforms to enhance patient satisfaction and loyalty, gaining a competitive edge in a rapidly evolving market.

Technological advancements and the integration of artificial intelligence (AI) and machine learning (ML) are also propelling the hospital price transparency platform market forward. These technologies enable sophisticated data analytics, predictive modeling, and personalized pricing estimates, addressing the complexities of healthcare billing and reimbursement. AI-powered platforms can automate the extraction, validation, and presentation of pricing data from disparate systems, ensuring accuracy and compliance. Additionally, the adoption of cloud-based deployment models facilitates scalability, data security, and remote access, making these platforms more attractive to healthcare organizations of all sizes. The convergence of regulatory, consumer, and technological trends is thus creating a fertile environment for sustained market growth.

Regionally, North America dominates the hospital price transparency platform market, accounting for the largest share in 2024, followed by Europe and Asia Pacific. The United States is at the forefront due to strict regulatory mandates, high healthcare expenditure, and a mature digital health ecosystem. Europe is witnessing steady growth, driven by increasing healthcare digitization and policy initiatives promoting transparency and patient empowerment. Meanwhile, the Asia Pacific region is emerging as a high-growth market, fueled by expanding healthcare infrastructure, rising adoption of digital health solutions, and growing awareness about healthcare costs. Latin America and the Middle East & Africa are also experiencing gradual uptake, supported by government reforms and investments in health IT. The regional outlook highlights the global momentum towards transparent, efficient, and patient-centric healthcare delivery.

Healthcare Price Transparency Solutions Market Outlook

According to our latest research, the global healthcare price transparency solutions market size reached USD 1.92 billion in 2024, driven by expanding regulatory mandates and increasing consumer demand for cost clarity in healthcare services. The market is expected to grow at a CAGR of 16.5% during the forecast period, reaching an estimated USD 8.98 billion by 2033. This robust growth is propelled by a combination of legislative initiatives, technological advancements, and the ongoing shift toward value-based healthcare models, all of which are compelling healthcare organizations to adopt advanced price transparency solutions.

A key growth factor for the healthcare price transparency solutions market is the rising demand from patients and consumers for clear, upfront pricing information. With the proliferation of high-deductible health plans and increased out-of-pocket expenses, patients are now more inclined to compare costs and make informed decisions about where to seek care. This shift in patient behavior is prompting healthcare providers and payers to invest in robust transparency tools that can deliver accurate cost estimates, enhance patient engagement, and ultimately foster trust. Additionally, the growing prevalence of digital health platforms and mobile applications has made it easier for consumers to access and compare healthcare prices, further fueling the adoption of price transparency solutions.

Another significant driver for the market is the evolving regulatory landscape, particularly in developed regions such as North America and Europe. Governments are introducing stringent regulations that require hospitals, payers, and healthcare providers to disclose pricing information for various procedures and services. For instance, the Centers for Medicare & Medicaid Services (CMS) in the United States has mandated hospitals to publish machine-readable files containing a comprehensive list of standard charges for all items and services. Such regulations not only create a legal imperative for compliance but also incentivize innovation in software and service offerings that streamline the process of price disclosure, claims management, and patient billing.

Technological advancements are also playing a pivotal role in market expansion. The integration of artificial intelligence (AI), machine learning, and big data analytics into healthcare price transparency solutions has enabled more accurate cost estimations and improved claims management. These technologies help organizations analyze complex pricing structures, automate compliance with regulatory requirements, and deliver personalized cost insights to patients. Furthermore, the adoption of cloud-based solutions is making it easier for organizations of all sizes to implement and scale transparency initiatives, reducing barriers to entry and enhancing the overall effectiveness of these systems.

From a regional perspective, North America currently dominates the healthcare price transparency solutions market, accounting for the largest share due to its advanced healthcare infrastructure, supportive regulatory environment, and early adoption of digital health technologies. However, Asia Pacific is expected to exhibit the fastest growth rate over the forecast period, driven by rising healthcare expenditures, increasing digitalization, and growing awareness of the benefits of price transparency among patients and providers. Europe also remains a significant market, supported by ongoing healthcare reforms and the expansion of e-health initiatives. Latin America and the Middle East & Africa are gradually catching up, with governments and private players investing in digital health solutions to improve cost transparency and patient outcomes.

Component Analysis

The healthcare price transparency solutions market is segmented by component into software and services, each playing a critical role in the ecosystem. Software solutions form the backbone of price transparency ini

In 2024, the CPI for medical care services in U.S. cities increased 2.7 percent compared to the previous year. This statistic shows the annual growth rate of the consumer price index for medical care services in U.S. urban areas from 2001 to 2024.