Research & Reports
Facilitating clear, unbiased research around the most important trends in health care, HCCI enables all stakeholders in health care to drive improvements in quality and value with our robust analytics.
Latest Original Research
Explore HCCI’s library of publications analyzing topics related to health care costs and utilization.
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Prices in Hospital Outpatient Departments are Consistently Higher than Physician Offices among Site-Neutral Services
As federal and state policymakers pursue policies to lower health care costs, “site neutral payment” has emerged as a potential tool with bipartisan support to bring down spending. Adopting “site neutral payments”…
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Issue Brief: System-affiliated hospitals associated with higher prices
Forty-five percent of per-person health spending among people with employer-sponsored insurance was spent on inpatient or outpatient services. The Health Care Cost Institute (HCCI) conducted an analysis of hospital inpatient and outpatient…
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Rates of Blood Cancer Diagnosis Among Private and Public Insurers
Blood cancers represent a range of diseases that can affect blood cells, bone marrow, lymph nodes, and other parts of the lymphatic system. Health care claims data can provide insights into how…
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Outpatient Hospital Prices are Higher Among System-Affiliated, For-Profit, and Urban Hospitals
Spending on hospital (inpatient and outpatient) services accounts for more than half of per-person health care spending in the employer-sponsored insured (ESI) population. In 2022, hospital outpatient facility spending per person accounted…
ANNUAL TRENDS REPORT
Health Care Cost & Utilization
HCCI’s annual report on trends in spending, use, and prices among people with employer-sponsored insurance.
- HCCUR highlights year-over-year and five-year cumulative trends in health care spending, segmented by health care service categories.
- Access downloadable data and examine HCCI’s research methodology to further examine the trends in the report.
- Read our flagship report referenced by economists, journalists, thought leaders, and policymakers, since 2012.

Interactive Report
Health Care Vitals
An interactive dashboard lets users view national and state multi-payer health service data.
- The data powering Health Care Vitals represents over 190 million people with public and private health insurance—nearly two out of every three people in the US with health insurance.
- Track patterns and view monthly use rates of select health care services with the Vitals dashboard.
- Filter and stratify the data by service category, payer type, and key demographics based on four complex and comprehensive underlying data sources.
Interactive Report
Healthy Marketplace Index
An exploration of health care spending across the US by geographic region.
- The Healthy Marketplace Index (HMI) tracks spending across 180+ cities to determine what factors drive spending across and within metro areas.
- HMI illustrates geographic variation in overall per-person spending, price, and use and includes measures of local factors, such as hospital market concentration.




