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Latest Reports

  • Issue Brief: ESI Payments to 340B Hospitals are Multiples Higher than Their Estimated Acquisition Costs

    Issue Brief: ESI Payments to 340B Hospitals are Multiples Higher than Their Estimated Acquisition Costs

  • Drug administration shifted toward outpatient departments, especially to 340B hospitals

    Drug administration shifted toward outpatient departments, especially to 340B hospitals

  • Preventive Health Services: What are they and how much do they cost?

    Preventive Health Services: What are they and how much do they cost?

  • 4% of Health Spending Goes to Primary Care

    4% of Health Spending Goes to Primary Care

  • Prices in Hospital Outpatient Departments are Consistently Higher than Physician Offices among Site-Neutral Services

    Prices in Hospital Outpatient Departments are Consistently Higher than Physician Offices among Site-Neutral Services

  • Issue Brief: System-affiliated hospitals associated with higher prices

    Issue Brief: System-affiliated hospitals associated with higher prices

  • Rates of Blood Cancer Diagnosis Among Private and Public Insurers

    Rates of Blood Cancer Diagnosis Among Private and Public Insurers

  • Outpatient Hospital Prices are Higher Among System-Affiliated, For-Profit, and Urban Hospitals

    Outpatient Hospital Prices are Higher Among System-Affiliated, For-Profit, and Urban Hospitals

  • How do Pre-Medicare Adults Aged 55-64 Interact with the Health Care System?

    How do Pre-Medicare Adults Aged 55-64 Interact with the Health Care System?

  • Shorter Stays, Lower C-Section Rates, and Fewer System-Affiliated Hospitals Contribute to Lower Childbirth Costs in Rural Areas

    Shorter Stays, Lower C-Section Rates, and Fewer System-Affiliated Hospitals Contribute to Lower Childbirth Costs in Rural Areas

Original Research

Our impactful, relevant, and unbiased research on the most important trends in health care spending.

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HCCI is a non-profit, independent research group with the most comprehensive data on commercially insured individuals.

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  • Issue Brief: ESI Payments to 340B Hospitals are Multiples Higher than Their Estimated Acquisition Costs
    Publications

    Issue Brief: ESI Payments to 340B Hospitals are Multiples Higher than Their Estimated Acquisition Costs

  • Drug administration shifted toward outpatient departments, especially to 340B hospitals
    Publications

    Drug administration shifted toward outpatient departments, especially to 340B hospitals

  • Preventive Health Services: What are they and how much do they cost?
    Publications

    Preventive Health Services: What are they and how much do they cost?

  • 4% of Health Spending Goes to Primary Care
    Publications

    4% of Health Spending Goes to Primary Care

  • Prices in Hospital Outpatient Departments are Consistently Higher than Physician Offices among Site-Neutral Services
    Publications

    Prices in Hospital Outpatient Departments are Consistently Higher than Physician Offices among Site-Neutral Services

  • Rates of Blood Cancer Diagnosis Among Private and Public Insurers
    Publications

    Rates of Blood Cancer Diagnosis Among Private and Public Insurers

  • Outpatient Hospital Prices are Higher Among System-Affiliated, For-Profit, and Urban Hospitals
    Publications, Reports

    Outpatient Hospital Prices are Higher Among System-Affiliated, For-Profit, and Urban Hospitals

Overview

An independent, non-profit research institute

MISSION
VISION
VALUES

Since 2011, The Health Care Cost Institute has been a trusted source for clear information that researchers, policymakers, and journalists can rely on to explain what shapes health care spending in the US.

HCCI is situated at the nexus of data, analytics, and action. We leverage unique, high-quality data assets and extraordinary expertise in research and policy to help create a more accessible, affordable, and equitable health care system.

The best way to develop a better system of care is to methodically examine important trends in health care. HCCI is committed to using health care claims data to benefit the people behind the figures.

We believe health care data should be accessible, that health care information should be transparent and easy to understand, and that robust analytics can empower all stakeholders to improve the quality and value of health care in the US.

Our data goes to work for the people behind the figures

Research

Access our robust library of HCCI-data-backed resources

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Health Care Spending Report

Our annual Health Care Cost and Utilization Report examines year-over-year and five-year cumulative trends in health care spending for individuals with employer-sponsored insurance

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Original Publications

You can access HCCI’s original research on topics related to health care spending, utilization, and prices.

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HCCI’s latest innovative health care price transparency tool is designed as a free patient resource.

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HCCI maintains a multi-payer commercial claims dataset covering one-third of the employer-sponsored insurance population in the United States. We license access to our data to academic researchers, policymakers, and non-profit organizations.

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Data Tools

Providing access to understandable health care spending and price information is crucial to our mission. Our team regularly releases interactive tools and downloadable data with our written and visual publications.

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PUBLICATIONS

  • Issue Brief: ESI Payments to 340B Hospitals are Multiples Higher than Their Estimated Acquisition Costs
    Publications

    Issue Brief: ESI Payments to 340B Hospitals are Multiples Higher than Their Estimated Acquisition Costs

    Jessica Chang
    October 30, 2025

    The Health Care Cost Institute (HCCI) conducted an analysis on estimated acquisition costs and ESI reimbursement costs among 340B-participating hospitals in 2022. This issue brief analyzes the estimated ESI and Medicare fee-for-service price mark-up,… More

  • Drug administration shifted toward outpatient departments, especially to 340B hospitals

    Drug administration shifted toward outpatient departments, especially to 340B hospitals

    October 23, 2025
  • Preventive Health Services: What are they and how much do they cost?

    Preventive Health Services: What are they and how much do they cost?

    October 2, 2025
  • 4% of Health Spending Goes to Primary Care

    4% of Health Spending Goes to Primary Care

    September 17, 2025
  • Prices in Hospital Outpatient Departments are Consistently Higher than Physician Offices among Site-Neutral Services

    Prices in Hospital Outpatient Departments are Consistently Higher than Physician Offices among Site-Neutral Services

    August 13, 2025
  • Rates of Blood Cancer Diagnosis Among Private and Public Insurers

    Rates of Blood Cancer Diagnosis Among Private and Public Insurers

    July 1, 2025

Reports

  • Outpatient Hospital Prices are Higher Among System-Affiliated, For-Profit, and Urban Hospitals
    Publications, Reports

    Outpatient Hospital Prices are Higher Among System-Affiliated, For-Profit, and Urban Hospitals

    Kelsey Burke, Jessica Chang
    June 25, 2025

    Spending on hospital (inpatient and outpatient) services accounts for more than half of per-person health care spending in…

    Read More: Outpatient Hospital Prices are Higher Among System-Affiliated, For-Profit, and Urban Hospitals
  • Facility Fees: What are they and how do they impact health care prices?
    Publications, Reports

    Facility Fees: What are they and how do they impact health care prices?

    Bianca Silva Gordon and Katie Martin
    May 6, 2025

    Research has shown that the price of a single service provided in a hospital outpatient department is consistently…

    Read More: Facility Fees: What are they and how do they impact health care prices?
  • Children’s Health Services 2020 Report
    Publications, Reports

    Children’s Health Services 2020 Report

    HCCI Staff
    September 7, 2022

    The population with employer-sponsored health insurance (ESI) includes individuals who receive health insurance coverage from an employer, including…

    Read More: Children’s Health Services 2020 Report

Diabetes

  • The Share of Ozempic Users with Diabetes has Decreased Over Time, Indicating Increased Off-label Use
    June 14, 2023

    The Share of Ozempic Users with Diabetes has Decreased Over Time, Indicating Increased Off-label Use

  • Insulin Prices in ESI Nearly Doubled from 2012-2021, with Effects of Emerging Biosimilars Evident in Recent Years
    April 4, 2023

    Insulin Prices in ESI Nearly Doubled from 2012-2021, with Effects of Emerging Biosimilars Evident in Recent Years

  • HCCI Spotlights National Diabetes Month: ESI Enrollees with Diabetes Face High Out-of-Pocket Costs. A Cap on Insulin Costs Would Help Many.
    November 12, 2022

    HCCI Spotlights National Diabetes Month: ESI Enrollees with Diabetes Face High Out-of-Pocket Costs. A Cap on Insulin Costs Would Help Many.

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