PayorTransparency

How do I read a code's benchmark?

The Benchmark block at the top of a code page shows the market median, the spread between payer medians and how the median compares with Medicare.

1 video · 9 sec in all

Video 1 of 1 · 9 sec

Read the Benchmark block

Captions are in the video. The steps and the full narration are below.

Step by step

Before you start. A code page opens with a Benchmark block for the state, payer and month in the filters above it.

  1. Click Rate Watch in the top bar, then click a code in the Code column, for example A4351.
  2. In the Benchmark block, read Market median, the median of the payers' medians.
  3. Read Payer spread, the lowest to the highest payer median.
  4. Read vs Medicare, how far the market median sits above or below the Medicare fee printed under it.
  5. Below the block, read the strip. The band is the middle half of the payer medians (P25 to P75), the square is the median and the tick is the Medicare fee.

What you see. You see where the market sits for this code and how it compares with the Medicare fee.

Tip. Pick a payer in the Payer menu to see that payer's median instead.

Read the narration

In Benchmark, read Market median, Payer spread and vs Medicare. The strip's tick is the Medicare fee.

Screens from this video

  1. In Benchmark, read Market median, Payer spread and vs Medicare.
    01 In Benchmark, read Market median, Payer spread and vs Medicare.
  2. In Benchmark, read Market median, Payer spread and vs Medicare.
    02 In Benchmark, read Market median, Payer spread and vs Medicare.
  3. In Benchmark, read Market median, Payer spread and vs Medicare.
    03 In Benchmark, read Market median, Payer spread and vs Medicare.
  4. The strip's tick is the Medicare fee.
    04 The strip's tick is the Medicare fee.
Use case
How do I read a code's benchmark?
Task
Read the Benchmark block