Healthcare Procedure Cost Dataset
This dataset contains detailed synthetic records of healthcare procedure costs, including patient demographics, provider information, procedure details, and comprehensive financial breakdowns. Designed for cost modeling and pricing analytics, it enables in-depth analysis of healthcare expenses, demographic trends, and provider performance across various medical procedures.
Sample rows
preview · 8 of 200 rows · all 22 columns| record_idstring | insurance_typestring | patient_ageinteger | provider_citystring | patient_idstring | patient_genderstring | patient_race_ethnicitystring | patient_zip_codestring | procedure_codestring | procedure_descriptionstring | procedure_datedate | provider_idstring | provider_namestring | provider_statestring | provider_postal_codestring | provider_countrystring | cost_billedfloat | cost_paidfloat | cost_patient_responsibilityfloat | cost_insurance_coveredfloat | payment_datedate | procedure_outcomestring |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| REC-01A23B45D | medicaid | 7 | San Francisco | PAT-0001ABCD | female | hispanic | 94107 | CPT-99213 | Office/outpatient visit | 2024-03-14 | PRV-10XJ8WQK5 | UCSF Pediatrics | CA | 94107 | USA | 250 | 200 | 10 | 190 | 2024-03-21 | successful |
| REC-02B34C56E | private | 29 | New York | PAT-0002EFGH | male | asian | 10001 | CPT-93000 | Electrocardiogram | 2024-04-07 | PRV-11YH9KLM2 | NYU Cardiology | NY | 10001 | USA | 320 | 250 | 30 | 220 | 2024-04-13 | successful |
| REC-03C45D67F | medicare | 68 | Chicago | PAT-0003IJKL | male | white | 60611 | CPT-27130 | Hip replacement | 2024-02-19 | PRV-12ZH6WXR7 | Northwestern Hospital | IL | 60611 | USA | 38500 | 28500 | 900 | 27600 | 2024-02-27 | complications |
| REC-04D56E78G | medicare | 86 | Houston | PAT-0004MNOP | female | black | 77030 | CPT-99291 | Critical care evaluation | 2024-01-22 | PRV-13QK4FDV8 | Houston Medical Center | TX | 77030 | USA | 7700 | 6000 | 700 | 5300 | 2024-01-27 | readmission |
| REC-05E67F89H | medicaid | 2 | Phoenix | PAT-0005QRST | female | native-american | 85016 | CPT-59410 | Vaginal delivery | 2024-05-05 | PRV-14DL6PWO2 | Phoenix Children's Hosp | AZ | 85016 | USA | 4200 | 3800 | 40 | 3760 | 2024-05-12 | successful |
| REC-06F78G90I | private | 34 | Los Angeles | PAT-0006UVWX | female | asian | 90001 | CPT-45378 | Colonoscopy | 2024-04-15 | PRV-15RM2GTE5 | Cedars Sinai | CA | 90001 | USA | 2800 | 2100 | 120 | 1980 | 2024-04-18 | successful |
| REC-07G89H01J | private | 45 | Chicago | PAT-0007YZAB | male | white | 60616 | CPT-70450 | CT head/brain | 2024-03-02 | PRV-16EG3VBN9 | Rush University Med | IL | 60616 | USA | 1100 | 950 | 130 | 820 | 2024-03-09 | successful |
| REC-08H90I12K | medicare | 71 | Atlanta | PAT-0008CDEF | female | asian | 30303 | CPT-33533 | Coronary artery bypass | 2024-02-09 | PRV-17DS6EWM3 | Emory University Hosp | GA | 30303 | USA | 42000 | 30000 | 1500 | 28500 | 2024-02-19 | complications |
| REC-09I01J23L | uninsured | 19 | Detroit | PAT-0009GHIJ | other | other | 48201 | CPT-81001 | Urinalysis automated | 2024-06-04 | PRV-18UJ7QWL4 | Detroit Medical Center | MI | 48201 | USA | 120 | 120 | 120 | 0 | 2024-06-04 | successful |
| REC-10J12K34M | private | 57 | Atlanta | PAT-0010KLMN | male | black | 30308 | CPT-43235 | Upper GI endoscopy | 2024-05-19 | PRV-19QK9RWE8 | Atlanta GI Clinic | GA | 30308 | USA | 800 | 650 | 85 | 565 | 2024-05-25 | successful |
| REC-11K23L45N | medicaid | 3 | Miami | PAT-0011OPQR | male | hispanic | 33101 | CPT-99392 | Preventive medicine, infant | 2024-06-08 | PRV-20VD3KQP1 | Miami Children's Hosp | FL | 33101 | USA | 180 | 160 | 10 | 150 | 2024-06-16 | successful |
| REC-12L34M56O | private | 50 | Dallas | PAT-0012STUV | female | white | 75201 | CPT-29827 | Shoulder arthroscopy | 2024-04-21 | PRV-21TG3NWM7 | Baylor Ortho Center | TX | 75201 | USA | 6200 | 5100 | 450 | 4650 | 2024-04-27 | successful |
| REC-13M45N67P | medicare | 68 | Chicago | PAT-0003IJKL | male | white | 60611 | ICD10-I63.9 | Cerebral infarction unspecified | 2024-03-02 | PRV-12ZH6WXR7 | Northwestern Hospital | IL | 60611 | USA | 8300 | 7000 | 850 | 6150 | 2024-03-06 | readmission |
| REC-14N56O78Q | uninsured | 35 | San Francisco | PAT-0013WXYZ | other | other | 94110 | CPT-99214 | Office visit, established patient | 2024-05-30 | PRV-22RT2JQK6 | Mission Health SF | CA | 94110 | USA | 180 | 180 | 180 | 0 | 2024-05-30 | successful |
| REC-15O67P89R | private | 23 | New York | PAT-0014ABCD | female | asian | 10003 | CPT-71020 | Chest x-ray | 2024-04-25 | PRV-23YD4JKP3 | NYC Imaging | NY | 10003 | USA | 220 | 180 | 20 | 160 | 2024-04-28 | successful |
| REC-16P78Q90S | medicaid | 12 | Detroit | PAT-0015EFGH | male | black | 48226 | CPT-12001 | Simple wound repair | 2024-02-20 | PRV-24ZM7ELM8 | Detroit Children's Hosp | MI | 48226 | USA | 370 | 310 | 15 | 295 | 2024-02-24 | successful |
| REC-17Q89R01T | medicare | 67 | Miami | PAT-0016IJKL | female | white | 33132 | CPT-99223 | Hospital discharge day | 2024-03-23 | PRV-25ET6KZW4 | Jackson Memorial Hosp | FL | 33132 | USA | 2100 | 1900 | 100 | 1800 | 2024-03-28 | successful |
| REC-18R90S12U | private | 39 | New York | PAT-0017MNOP | male | asian | 10016 | CPT-72148 | MRI lumbar spine | 2024-06-13 | PRV-26RP5KWE9 | NYC Radiology | NY | 10016 | USA | 1700 | 1400 | 110 | 1290 | 2024-06-18 | successful |
| REC-19S01T23V | private | 25 | San Francisco | PAT-0018QRST | female | white | 94115 | CPT-81002 | Urinalysis, non-auto | 2024-05-12 | PRV-10XJ8WQK5 | UCSF General Clinic | CA | 94115 | USA | 60 | 50 | 10 | 40 | 2024-05-14 | successful |
| REC-20T12U34W | other | 120 | Houston | PAT-0019UVWX | unknown | unknown | blank | ICD10-E11.9 | Type 2 diabetes mellitus | 2024-04-10 | PRV-27VT8JWP1 | blank | TX | 77098 | USA | 300 | 180 | 60 | 120 | 2024-04-10 | ongoing |
What the 200 rows show
from the 200-row sampleMedicare (insurance type) stands out: mean patient_
- 41median patient_
age - 4patient genders
- 4procedure outcomes
- 8patient race ethnicities
- 14provider states
- 370.0median cost_
billed
Median 41, from 0 to 120.
- string 15
- integer 1
- float 4
- date 2
Columns
22 columns in three groups| column | type | description | example |
|---|---|---|---|
| Text 15 columns | |||
record_id | string | Unique identifier for each procedure cost recordunique | REC-01A23B45D |
patient_id | string | Unique identifier for the patient | PAT-0001ABCD |
patient_gender | string | Gender of the patientmale · female · other · unknown | female |
patient_race_ethnicity | string | Race or ethnicity of the patient8 values · optional | hispanic |
patient_zip_code | string | ZIP or postal code of patient's residenceoptional | 94107 |
insurance_type | string | Type of insurance coverage for the procedureprivate · medicare · medicaid · uninsured · other · optional | medicaid |
procedure_code | string | Standardized code for the medical procedure (e.g., CPT, ICD-10) | CPT-99213 |
procedure_description | string | Short description of the medical procedure | Office/outpatient visit |
provider_id | string | Unique identifier for the healthcare provider or facility | PRV-10XJ8WQK5 |
provider_name | string | Name of the healthcare provider or facilityoptional | UCSF Pediatrics |
provider_city | string | City where the procedure was performedoptional | San Francisco |
provider_state | string | State where the procedure was performedoptional | CA |
provider_postal_code | string | Postal code of the provider's locationoptional | 94107 |
provider_country | string | Country of the provider's locationoptional | USA |
procedure_outcome | string | Outcome of the procedure (e.g., successful, complications, readmission)successful · complications · readmission · ongoing · unknown · optional | successful |
| Numbers 5 columns | |||
patient_age | integer | Age of the patient at the time of procedure0 to 120 | 7 |
cost_billed | float | Total amount billed for the procedure0 or more | 250 |
cost_paid | float | Actual amount paid for the procedure (after insurance adjustments)0 or more | 200 |
cost_patient_responsibility | float | Amount the patient is responsible for paying (copay, deductible, etc.)0 or more · optional | 10 |
cost_insurance_covered | float | Amount covered by insurance0 or more · optional | 190 |
| Dates and times 2 columns | |||
procedure_date | date | Date when the procedure was performed | 2024-03-14 |
payment_date | date | Date when payment was madeoptional | 2024-03-21 |
Use it for
A healthcare dashboard
Patient_
age by insurance_ type and a breakdown of provider_ city. Excel, Power BI or Tableau. Why do the 52 medicare rows have a mean patient_
age of 76.7? A root-cause class exercise
Hand out the rows and one question. The answer is in the data, not in the brief.
- Records200REC-01A23B45D7medicaidREC-02B34C56E29privateREC-03C45D67F68medicare
A software demo
Believable records with patient_
id, patient_ age and patient_ gender to fill a screen in front of a buyer.
blueprint · healthcare-procedure-cost-dataset
Behind this dataset
Same schema. As many rows as you need.
These 200 rows came out of a blueprint — 22 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.
- Procedure type and code tracked
- Cost standardized per region
- Patient insurance status included
- Discounts and adjustments logged
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-dataset