Market Intelligence
Minneapolis-St. Paul RBP Market Intelligence
Public-safe Healthdex signals for evaluating reference-based pricing opportunity in the Minneapolis-St. Paul market, using OPPS-backed Medicare benchmark coverage, positive threshold-category signals, and Minnesota balance-billing risk context.
Minneapolis-St. Paul-Bloomington, MN-WI Snapshot
Market-Level Signals With Enough Coverage To Be Useful
21
Hospitals with supported categories
19
Ratio-ready hospitals
11
Positive threshold-category signals
728,488
Supported negotiated-rate rows
Category Signals
OPPS Categories Driving Minneapolis-St. Paul RBP Review
| Category | Ratio-ready hospitals | Median to Medicare | Above thresholds | Benchmark rows |
|---|---|---|---|---|
|
Imaging Optimization
Site of Care Optimization / cross_setting
|
19 | 187% | 14 / 13 / 13 | 348,740 |
|
Specialty Drug Management
Pharmacy / Drug Spend / pharmacy
|
13 | 1,258% | 12 / 12 / 12 | 15,744 |
|
Diagnostic Testing Optimization
Site of Care Optimization / cross_setting
|
17 | 183% | 12 / 12 / 10 | 21,544 |
|
Emergency Department Review
Payment Integrity / Bill Review / outpatient_hospital
|
17 | 159% | 11 / 10 / 9 | 10,767 |
|
Sleep Management
Utilization Management / cross_setting
|
17 | 134% | 9 / 8 / 8 | 37,489 |
|
Infusion Site Optimization
Site of Care Optimization / pharmacy, cross_setting
|
19 | 96% | 4 / 3 / 3 | 70,550 |
|
ASC Migration
Site of Care Optimization / asc
|
9 | 117% | 3 / 3 / 2 | 10,732 |
|
Lab Optimization
Site of Care Optimization / professional
|
18 | 20% | 2 / 2 / 2 | 95,100 |
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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