Market Intelligence
Cleveland, OH RBP Market Intelligence
Public-safe Healthdex signals for evaluating reference-based pricing opportunity in the Cleveland market, using OPPS-backed Medicare benchmark coverage, positive threshold-category signals, and Ohio balance-billing risk context.
Cleveland, OH Snapshot
Market-Level Signals With Enough Coverage To Be Useful
14
Hospitals with supported categories
12
Ratio-ready hospitals
9
Positive threshold-category signals
27,958
Supported negotiated-rate rows
Category Signals
OPPS Categories Driving Cleveland RBP Review
| Category | Ratio-ready hospitals | Median to Medicare | Above thresholds | Benchmark rows |
|---|---|---|---|---|
|
Specialty Drug Management
Pharmacy / Drug Spend / pharmacy
|
11 | 1,831% | 11 / 11 / 11 | 2,460 |
|
Rehab / Wound Optimization
Site of Care Optimization / outpatient_hospital, cross_setting, professional
|
11 | 207% | 11 / 11 / 11 | 9,286 |
|
Infusion Site Optimization
Site of Care Optimization / pharmacy, cross_setting
|
11 | 207% | 11 / 11 / 10 | 11,491 |
|
Imaging Optimization
Site of Care Optimization / cross_setting
|
12 | 192% | 10 / 10 / 10 | 1,715 |
|
Sleep Management
Utilization Management / cross_setting
|
11 | 157% | 9 / 9 / 8 | 1,234 |
|
Lab Optimization
Site of Care Optimization / professional
|
11 | 146% | 9 / 9 / 2 | 1,424 |
|
Emergency Department Review
Payment Integrity / Bill Review / outpatient_hospital
|
1 | 405% | 1 / 1 / 1 | 128 |
|
Diagnostic Testing Optimization
Site of Care Optimization / cross_setting
|
1 | 243% | 1 / 1 / 1 | 77 |
How To Use This Market Page
- Counts are market-level directional signals, not employer-specific savings guarantees.
- OPPS-backed CPT/HCPCS categories are public here; inpatient MS-DRG benchmark work remains signed-in analyst workflow.
- Threshold counts show hospitals above modeled Medicare percentages across supported categories.
- Resolved ZIPs with thinner local coverage may still use a broader market or statewide fallback in the public estimator.
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