Healthcare
20 columns
200 rows
8 formats

Healthcare Procedure Cost Benchmarks

This dataset provides comprehensive synthetic benchmarks for healthcare procedure costs across providers, including detailed provider information, standardized procedure codes, benchmark types (mean, median, percentiles), and effective dates. Designed to support cost transparency, price comparison, and analytics, it enables users to analyze pricing patterns by provider, procedure, payer type, and geography for informed decision-making and policy development.

last updated 21 Jul 2025
by GoMask

The brief that made it

Comparing procedure costs across healthcare providers for transparency initiatives

Sample rows

preview · 8 of 200 rows · all 20 columns

benchmark_idstring	provider_typestring	sample_sizeinteger	benchmark_typestring	provider_idstring	provider_namestring	provider_street_addressstring	provider_citystring	provider_statestring	provider_postal_codestring	provider_countrystring	procedure_codestring	procedure_code_typestring	procedure_descriptionstring	benchmark_valuefloat	currencystring	effective_datedate	data_sourcestring	payer_typestring	notesstring
BMK-00001	hospital	325	median	PROV-001	New York General Hospital	123 Main St	New York	NY	10001	USA	99213	CPT	Office/outpatient visit, established patient	145	USD	2023-08-15	claims database	commercial	Urban, average rates
BMK-00002	hospital	265	75th_percentile	PROV-002	Los Angeles Medical Center	456 Elm Ave	Los Angeles	CA	90001	USA	70450	CPT	CT head/brain without contrast	225	USD	2024-02-29	public reporting	Medicare	High cost, urban
BMK-00003	clinic	470	median	PROV-003	St. Paul Clinic	88 River Rd	St Paul	MN	55107	USA	93000	CPT	Electrocardiogram, routine ECG	54	USD	2022-11-12	claims database	Medicaid	Low cost, high volume
BMK-00004	ambulatory surgery center	29	mean	PROV-004	Springfield Ambulatory Surgery Center	200 Willow Ln	Springfield	IL	62704	USA	27447	CPT	Total knee arthroplasty	14500	USD	2023-01-28	public reporting	commercial	Surgical, small sample
BMK-00005	hospital	1	min	PROV-005	Desert Healthcare	blank	blank	AZ	blank	USA	blank	CPT	blank	0	USD	2022-09-01	blank	all	Edge case, missing fields
BMK-00006	hospital	56	median	PROV-006	Berlin City Hospital	Karlsplatz 10	Berlin	BE	10115	DEU	5-820	ICD-10-PCS	Knee replacement, total	1350	EUR	2024-03-05	public reporting	all	German procedure rates
BMK-00007	clinic	245	mean	PROV-007	Tokyo Metropolitan Clinic	5-2-1 Shinjuku	Tokyo	13	1600022	JPN	J1234	Other	Routine health checkup	8800	JPY	2023-05-20	synthetic	all	Japanese provider, routine
BMK-00008	hospital	88	median	PROV-008	Vienna General Hospital	Alser Strasse 4	Vienna	T	1090	AUT	5-380	ICD-10-PCS	Appendectomy	540	EUR	2022-12-14	claims database	all	Local benchmark
BMK-00009	clinic	117	mean	PROV-009	Montreal Health Center	789 Rue Sainte-Catherine	Montreal	QC	H2X1Y9	CAN	C8765	Other	General physical exam	120	CAD	2021-10-30	public reporting	all	Canadian rates
BMK-00010	physician group	410	25th_percentile	PROV-010	Dallas Primary Physicians	321 Oak Dr	Dallas	TX	75201	USA	90471	CPT	Immunization administration	30	USD	2022-08-17	claims database	Medicaid	Low cost, high volume
BMK-00011	ambulatory surgery center	12	mean	PROV-011	Anchorage Regional Surgery Center	222 Frost Rd	Anchorage	AK	99501	USA	27130	CPT	Total hip arthroplasty	18200	USD	2024-01-03	public reporting	self-pay	Rural, small sample
BMK-00012	physician group	410	median	PROV-012	Chicago Health Group	77 Clark St	Chicago	IL	60601	USA	36415	CPT	Venipuncture, collection of blood sample	23	USD	2023-07-14	synthetic	all	Low cost, high volume
BMK-00013	hospital	285	median	PROV-013	Boston City Medical Center	10 Beacon St	Boston	MA	02108	USA	99214	CPT	Office visit, established patient, moderate	195	USD	2022-10-12	public reporting	commercial	Urban, average rates
BMK-00014	clinic	310	median	PROV-014	Seattle Preventive Care Clinic	55 Pine St	Seattle	WA	98101	USA	99385	CPT	Preventive medicine, new patient	160	USD	2023-06-19	claims database	commercial	Urban, average rates
BMK-00015	clinic	52	mean	PROV-015	Houston Imaging Center	8000 Fannin St	Houston	TX	77054	USA	72141	CPT	MRI, cervical spine	1730	USD	2024-01-27	public reporting	commercial	Imaging, moderate cost
BMK-00016	physician group	222	median	PROV-016	Calgary Family Practice	123 9 Ave SW	Calgary	AB	T2P1J9	CAN	C1234	Other	Annual physical exam	115	CAD	2023-03-08	claims database	all	Canadian, high volume
BMK-00017	ambulatory surgery center	38	mean	PROV-017	Portland Outpatient Center	2000 SW Cedar Hills Blvd	Portland	OR	97225	USA	29881	CPT	Knee arthroscopy, meniscectomy	5900	USD	2022-11-03	public reporting	self-pay	ASC, moderate sample
BMK-00018	clinic	439	median	PROV-018	Denver Health Clinic	123 Colfax Ave	Denver	CO	80204	USA	80050	CPT	General health panel, blood	48	USD	2023-04-09	claims database	all	Routine screening
BMK-00019	physician group	80	mean	PROV-019	Manhattan Orthopedic Group	200 Park Ave	New York	NY	10166	USA	73562	CPT	X-ray, knee, 3+ views	205	USD	2021-12-15	claims database	commercial	Urban imaging
BMK-00020	hospital	94	mean	PROV-020	Toronto Central Hospital	456 Queen St W	Toronto	ON	M5V2B6	CAN	C4321	Other	CT scan, abdomen	295	CAD	2022-02-27	public reporting	all	Canadian imaging

What the 200 rows show

from the 200-row sample

Ambulatory surgery center (provider type) stands out: mean sample_size is 20.8, against 195.6 for the rest.

148median sample_size
3procedure code types
3data sources
4currencies
5provider countries
6payer types

Mean sample_size by provider_type200 rows

sample_size200 rows, in bands of 50

Median 148, from 1 to 492.

benchmark_type200 rows · 7 values

median95
mean73
75th_percentile10
25th_percentile8
max6
min5
other3

20 columns by typefrom the column list below

string 17
integer 1
float 1
date 1

Columns

20 columns in three groups

blueprint · 20 columns
column	type	description	example
Text 17 columns
`benchmark_id`	string	Unique identifier for each benchmark recordunique	BMK-00001
`provider_id`	string	Unique identifier for the healthcare provider	PROV-001
`provider_name`	string	Name of the healthcare provider or facility	St. Paul Clinic
`provider_type`	string	Type of provider (e.g., hospital, clinic, ambulatory surgery center, physician group)4 types · optional	hospital
`provider_street_address`	string	Street address of the provideroptional	123 Main St
`provider_city`	string	City where the provider is locatedoptional	New York
`provider_state`	string	State where the provider is located (2-letter code)optional	NY
`provider_postal_code`	string	Postal code of the provider's locationoptional	10001
`provider_country`	string	Country where the provider is located5 countries · optional	USA
`procedure_code`	string	Standardized code for the healthcare procedure (e.g., CPT, HCPCS, DRG)	99213
`procedure_code_type`	string	Type of procedure code (e.g., CPT, HCPCS, DRG, ICD-10-PCS)CPT · HCPCS · DRG · ICD-10-PCS · Other	CPT
`procedure_description`	string	Description of the healthcare procedure	Total knee arthroplasty
`benchmark_type`	string	Type of benchmark (e.g., median, mean, 25th percentile, 75th percentile)7 values	median
`currency`	string	Currency code for the benchmark value (ISO 4217, e.g., USD, EUR)4 currencies	USD
`data_source`	string	Source of the benchmark data (e.g., claims database, public reporting, synthetic)3 sources · optional	claims database
`payer_type`	string	Type of payer (e.g., commercial, Medicare, Medicaid, self-pay, all)6 values · optional	commercial
`notes`	string	Additional notes or comments about the benchmark recordoptional	Urban, average rates
Numbers 2 columns
`benchmark_value`	float	Benchmark price or cost for the procedure (in provider's local currency)0 or more	145
`sample_size`	integer	Number of cases or claims used to calculate the benchmark1 or more · optional	325
Dates and times 1 column
`effective_date`	date	Date when the benchmark value is effective	2023-08-15

Use it for

A healthcare dashboard
Sample_size by provider_type and a breakdown of benchmark_type. Excel, Power BI or Tableau.
Why do the 22 ambulatory surgery center rows have a mean sample_size of 20.8?
A root-cause class exercise
Hand out the rows and one question. The answer is in the data, not in the brief.
Benchmarks200
BMK-00001325hospital
BMK-00002265hospital
BMK-00003470clinic
A software demo
Believable benchmarks with provider_id, provider_name and provider_type to fill a screen in front of a buyer.

This dataset200 rows20 columns

Yours1,000 rows20 columnsprovider_street_address: UK only

blueprint · healthcare-procedure-cost-benchmarks

Behind this dataset

Same schema. As many rows as you need.

These 200 rows came out of a blueprint — 20 columns with generation rules behind each one. Open it in Data Factory to retune a column, add your own, wire in foreign keys, and run it at the size you actually need.

Rules it was built with

Each record links procedure code, provider ID
Includes median, min, and max cost per procedure
Simulate urban/rural price differentials
Insurance coverage levels provided
Flag outliers and special cases

Rows1,000 rows10,000 rows100,000 rows1,000,000 rows

Open the blueprint in Data Factory

1 credit per row. Preview 20 rows free. Buy rows for the full run.

Exports: CSV, JSON, JSONL, Parquet, SQL, Excel, TSV, XML
Licence: yours to use, including commercially
API slug: healthcare-procedure-cost-benchmarks

What should your data show?

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Sample rows

What the 200 rows show

Columns

Use it for

A healthcare dashboard

A root-cause class exercise

A software demo

Make it yours.

Same schema. As many rows as you need.

More in Healthcare

What should your data show?