Area 11: Coverage Type vs Diagnosis Patterns
How Case Mix Varies by Payer | Generated March 11, 2026
Plan Types
4
EPO, HDHP, HMO, PPO
HMO Dominates
530
35.4% of encounters
Highest Avg Billed
$22,377
HDHP Mental Health
Most Diverse
HMO
All 10 body systems
Plan Type × Body System (Stacked Encounters)
Grouped Bar: Plan Type Composition by Top 5 Body Systems
Avg Billed by Plan Type × Body System