Market Intelligence
Columbus, OH RBP Market Intelligence
Public-safe Healthdex signals for evaluating reference-based pricing opportunity in the Columbus market, using OPPS-backed Medicare benchmark coverage, positive threshold-category signals, and Ohio balance-billing risk context.
Columbus, OH Snapshot
Market-Level Signals With Enough Coverage To Be Useful
18
Hospitals with supported categories
11
Ratio-ready hospitals
10
Positive threshold-category signals
28,549
Supported negotiated-rate rows
Category Signals
OPPS Categories Driving Columbus RBP Review
| Category | Ratio-ready hospitals | Median to Medicare | Above thresholds | Benchmark rows |
|---|---|---|---|---|
|
Specialty Drug Management
Pharmacy / Drug Spend / pharmacy
|
9 | 4,959% | 9 / 9 / 9 | 1,210 |
|
Infusion Site Optimization
Site of Care Optimization / pharmacy, cross_setting
|
11 | 508% | 7 / 7 / 7 | 1,717 |
|
Emergency Department Review
Payment Integrity / Bill Review / outpatient_hospital
|
9 | 620% | 7 / 7 / 7 | 604 |
|
Imaging Optimization
Site of Care Optimization / cross_setting
|
9 | 68% | 4 / 4 / 4 | 13,628 |
|
Lab Optimization
Site of Care Optimization / professional
|
11 | 35% | 1 / 1 / 1 | 6,438 |
|
Rehab / Wound Optimization
Site of Care Optimization / professional, cross_setting, outpatient_hospital
|
11 | 24% | 1 / 1 / 1 | 2,982 |
|
Sleep Management
Utilization Management / cross_setting
|
3 | 95% | 1 / 1 / 1 | 823 |
|
Diagnostic Testing Optimization
Site of Care Optimization / cross_setting
|
3 | 86% | 1 / 1 / 1 | 611 |
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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