HCCD Public Reports
Public data reports on Delaware healthcare costs, utilization and outcomes, derived from the Healthcare Claims Database (HCCD). DHIN annually updates its public reports with new data from the submitting organizations.
An overview of the HCCD
How the HCCD is Making Health Data More Useful
The Delaware Health Care Claims Database collects healthcare claims, enrollment and provider data from Medicare, Medicaid and commercial health insurers in the State of Delaware.
The Delaware General Assembly passed legislation in FY16 authorizing the Delaware Health Information Network to develop a healthcare claims database.
§ 10311 The Delaware Health Care Claims Database — Findings; purpose; creation (delaware.gov)
The purpose of the HCCD is to facilitate data-driven, evidence-based improvements in access, quality, and cost of healthcare and to promote and improve the public health through increased transparency of accurate claims data and information.
The next update is planned for May 2027.
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CostAware: Average Prescription Drug Costs | This CostAware report shows the average daily cost of brand and generic prescription drugs in Delaware by insurance type and drug category based on 2023 pharmacy claims data. The CostAware initiative, sponsored by the Delaware Health Care Commission and Department of Health & Social Services, compares cost and quality across Delaware hospitals, Accountable Care Organizations, outpatient facilities, and office settings to help consumers make more informed choices when seeking care. | Jun 11, 2026 |
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CostAware: Cervical Cancer Screening | This CostAware report shows cervical cancer screening rates for women in Delaware between the ages of 21 and 64 who require screening. The CostAware initiative, sponsored by the Delaware Health Care Commission and Department of Health & Social Services, compares cost and quality across Delaware hospitals, Accountable Care Organizations, and outpatient facility and office settings to help consumers make more informed choices when seeking care. | Jun 16, 2026 |
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CostAware: Imaging by Provider Organization | This CostAware report shows the average cost of imaging procedures (head CT, lumbar spine MRI, screening mammography) in Delaware by provider organization, insurance type, and year. The CostAware initiative, sponsored by the Delaware Health Care Commission and Department of Health & Social Services, compares cost and quality across Delaware hospitals, Accountable Care Organizations, outpatient facilities, and office settings to help consumers make more informed choices when seeking care. | Jun 11, 2026 |
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CostAware: Inpatient Services | This CostAware report shows the average cost of IP procedures in Delaware by hospital, insurance type, and year. IP procedures include vaginal and cesarean births, normal newborns, and cardiac procedures such as percutaneous coronary intervention and heart failure treatment. The CostAware initiative, sponsored by the Delaware Health Care Commission and Department of Health & Social Services, compares cost and quality across Delaware hospitals, Accountable Care Organizations, outpatient facilities, and office settings to help consumers make more informed choices when seeking care. | Jun 16, 2026 |
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CostAware: Outpatient Services and Top Procedures | This CostAware report shows the average cost of OP services in Delaware by insurance type and year. OP services include Adult doctor visits; Child wellness visits; Mental health services; Diabetes care; Cardiac care; Colonoscopy; ED visits; Imaging procedures; Lab tests; and Gall Bladder removal. This report also shows the top 10 OP procedures based on number of claims and total spending. The CostAware initiative, sponsored by the Delaware Health Care Commission and Department of Health & Social Services, compares cost and quality data across Delaware hospitals, Accountable Care Organizations, outpatient facilities, and office settings to help consumers make more informed choices when seeking care. | Jun 16, 2026 |
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CostAware: Quality Measures | This CostAware report shows health care quality, outcome, and patient satisfaction measures for Delaware hospitals and ACOs generated by the Centers for Medicare & Medicaid Services (CMS). The CostAware initiative, sponsored by the Delaware Health Care Commission and Department of Health & Social Services, compares cost and quality across Delaware hospitals, Accountable Care Organizations, outpatient facilities, and office settings to help consumers make more informed choices when seeking care. | Jun 16, 2026 |
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CostAware: Quality Measures_ Hospital Quality – Patient Ratings | This CostAware report shows patient satisfaction measures for Delaware hospitals generated by the Centers for Medicare & Medicaid Services (CMS). The CostAware initiative, sponsored by the Delaware Health Care Commission and Department of Health & Social Services, compares cost and quality across Delaware hospitals, Accountable Care Organizations, outpatient facilities, and office settings to help consumers make more informed choices when seeking care. | Jun 16, 2026 |
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CostAware: Quality Measures_Hospital Quality – Patient Outcomes | This CostAware report shows patient outcome measures for Delaware hospitals generated by the Centers for Medicare & Medicaid Services (CMS). The CostAware initiative, sponsored by the Delaware Health Care Commission and Department of Health & Social Services, compares cost and quality across Delaware hospitals, Accountable Care Organizations, outpatient facilities, and office settings to help consumers make more informed choices when seeking care. | Jun 16, 2026 |
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CostAware: Quality Measures- ACO Quality | This CostAware report shows quality measures reported by the Centers for Medicare and Medicaid Services (CMS) for ACOs participating in the Medicare Shared Savings Program. The CostAware initiative, sponsored by the Delaware Health Care Commission and Department of Health & Social Services, compares cost and quality across Delaware hospitals, Accountable Care Organizations, outpatient facilities, and office settings to help consumers make more informed choices when seeking care. | Jun 11, 2026 |
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Emergency Department Utilization | How frequently do Delawareans go to the ED and for what reasons? This report helps identify opportunities to prevent non-emergent visits through targeted educational outreach about managing chronic conditions and alternatives to the ED. | Jun 2, 2026 |
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Opioid Related ED Visits | Who is seen in Delaware EDs with suspected opioid overdose? Delaware continues to struggle with higher than average opioid prescribing (per CDC) and opioid death rates (per NIDA.) In 2018, the CDC reported that visits to Delaware EDs with suspected opioid overdoses more than doubled from the previous year. This report breaks out visits by age range and zip codes. | Jun 2, 2026 |
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Overview of the Healthcare Claims Database (HCCD) – Delaware | This report provides an overview of the Healthcare Claims Database (HCCD), including information on the total population, members with claims, percentage of claims by insurance type, care setting, diagnosis group, HCCD file summary and drug classification. | Jun 2, 2026 |
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Pharmacy Spending in Delaware | Pharmacy related expenses are an important part of healthcare spending in Delaware. This report looks at trends of pharmacy spending based on pharmacy specific claims by year, insurance type, age, and class of medication. | Jun 2, 2026 |
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Snapshot: EpiPen Cost Assessment | How much does EpiPen cost with insurance versus the cost of its generic alternative? An EpiPen pricing controversy several years ago spurred the development of generic alternatives. This report shows the amounts paid by consumers and insurers for both the name-brand EpiPen and primary generic alternative. | Jun 16, 2026 |
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Snapshot: Persons at Higher Risk for COVID-19 | This report looks at the prevalence of underlying medical conditions associated with increased risk of COVID-19 severity (per CDC). It shows the prevalence of various medical conditions (ischemic heart disease, chronic obstructive pulmonary disease, chronic kidney disease and cancer) segmented by age group and geographic location. | Jun 16, 2026 |
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Snapshot: Telehealth Spending and Utilization Before and During COVID-19 | When COVID-19 hit, the US healthcare system pivoted to televisits for routine care. Since telehealth visits are predominantly paid for by insurers, this report shows the increase in claims and associated costs, as well as the top diagnoses and televisit users by age range and gender. | Jun 16, 2026 |
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Top Diagnosis in DE | What are the most common diagnosis for Delawareans? This report breaks out the top principal diagnosis (based on ICD 10 codes) data of interest in addressing the burden of chronic diseases. | Jun 2, 2026 |
CostAware: Average Prescription Drug Costs
This CostAware report shows the average daily cost of brand and generic prescription drugs in Delaware by insurance type and drug category based on 2023 pharmacy claims data. The CostAware initiative, sponsored by the Delaware Health Care Commission and Department of Health & Social Services, compares cost and quality across Delaware hospitals, Accountable Care Organizations, outpatient facilities, and office settings to help consumers make more informed choices when seeking care.
Updated Jun 11, 2026
CostAware: Cervical Cancer Screening
This CostAware report shows cervical cancer screening rates for women in Delaware between the ages of 21 and 64 who require screening. The CostAware initiative, sponsored by the Delaware Health Care Commission and Department of Health & Social Services, compares cost and quality across Delaware hospitals, Accountable Care Organizations, and outpatient facility and office settings to help consumers make more informed choices when seeking care.
Updated Jun 16, 2026
CostAware: Imaging by Provider Organization
This CostAware report shows the average cost of imaging procedures (head CT, lumbar spine MRI, screening mammography) in Delaware by provider organization, insurance type, and year. The CostAware initiative, sponsored by the Delaware Health Care Commission and Department of Health & Social Services, compares cost and quality across Delaware hospitals, Accountable Care Organizations, outpatient facilities, and office settings to help consumers make more informed choices when seeking care.
Updated Jun 11, 2026
CostAware: Inpatient Services
This CostAware report shows the average cost of IP procedures in Delaware by hospital, insurance type, and year. IP procedures include vaginal and cesarean births, normal newborns, and cardiac procedures such as percutaneous coronary intervention and heart failure treatment. The CostAware initiative, sponsored by the Delaware Health Care Commission and Department of Health & Social Services, compares cost and quality across Delaware hospitals, Accountable Care Organizations, outpatient facilities, and office settings to help consumers make more informed choices when seeking care.
Updated Jun 16, 2026
CostAware: Outpatient Services and Top Procedures
This CostAware report shows the average cost of OP services in Delaware by insurance type and year. OP services include Adult doctor visits; Child wellness visits; Mental health services; Diabetes care; Cardiac care; Colonoscopy; ED visits; Imaging procedures; Lab tests; and Gall Bladder removal. This report also shows the top 10 OP procedures based on number of claims and total spending. The CostAware initiative, sponsored by the Delaware Health Care Commission and Department of Health & Social Services, compares cost and quality data across Delaware hospitals, Accountable Care Organizations, outpatient facilities, and office settings to help consumers make more informed choices when seeking care.
Updated Jun 16, 2026
CostAware: Quality Measures
This CostAware report shows health care quality, outcome, and patient satisfaction measures for Delaware hospitals and ACOs generated by the Centers for Medicare & Medicaid Services (CMS). The CostAware initiative, sponsored by the Delaware Health Care Commission and Department of Health & Social Services, compares cost and quality across Delaware hospitals, Accountable Care Organizations, outpatient facilities, and office settings to help consumers make more informed choices when seeking care.
Updated Jun 16, 2026
CostAware: Quality Measures_ Hospital Quality – Patient Ratings
This CostAware report shows patient satisfaction measures for Delaware hospitals generated by the Centers for Medicare & Medicaid Services (CMS). The CostAware initiative, sponsored by the Delaware Health Care Commission and Department of Health & Social Services, compares cost and quality across Delaware hospitals, Accountable Care Organizations, outpatient facilities, and office settings to help consumers make more informed choices when seeking care.
Updated Jun 16, 2026
CostAware: Quality Measures_Hospital Quality – Patient Outcomes
This CostAware report shows patient outcome measures for Delaware hospitals generated by the Centers for Medicare & Medicaid Services (CMS). The CostAware initiative, sponsored by the Delaware Health Care Commission and Department of Health & Social Services, compares cost and quality across Delaware hospitals, Accountable Care Organizations, outpatient facilities, and office settings to help consumers make more informed choices when seeking care.
Updated Jun 16, 2026
CostAware: Quality Measures- ACO Quality
This CostAware report shows quality measures reported by the Centers for Medicare and Medicaid Services (CMS) for ACOs participating in the Medicare Shared Savings Program. The CostAware initiative, sponsored by the Delaware Health Care Commission and Department of Health & Social Services, compares cost and quality across Delaware hospitals, Accountable Care Organizations, outpatient facilities, and office settings to help consumers make more informed choices when seeking care.
Updated Jun 11, 2026
Emergency Department Utilization
How frequently do Delawareans go to the ED and for what reasons? This report helps identify opportunities to prevent non-emergent visits through targeted educational outreach about managing chronic conditions and alternatives to the ED.
Updated Jun 2, 2026
Opioid Related ED Visits
Who is seen in Delaware EDs with suspected opioid overdose? Delaware continues to struggle with higher than average opioid prescribing (per CDC) and opioid death rates (per NIDA.) In 2018, the CDC reported that visits to Delaware EDs with suspected opioid overdoses more than doubled from the previous year. This report breaks out visits by age range and zip codes.
Updated Jun 2, 2026
Overview of the Healthcare Claims Database (HCCD) – Delaware
This report provides an overview of the Healthcare Claims Database (HCCD), including information on the total population, members with claims, percentage of claims by insurance type, care setting, diagnosis group, HCCD file summary and drug classification.
Updated Jun 2, 2026
Pharmacy Spending in Delaware
Pharmacy related expenses are an important part of healthcare spending in Delaware. This report looks at trends of pharmacy spending based on pharmacy specific claims by year, insurance type, age, and class of medication.
Updated Jun 2, 2026
Snapshot: EpiPen Cost Assessment
How much does EpiPen cost with insurance versus the cost of its generic alternative? An EpiPen pricing controversy several years ago spurred the development of generic alternatives. This report shows the amounts paid by consumers and insurers for both the name-brand EpiPen and primary generic alternative.
Updated Jun 16, 2026
Snapshot: Persons at Higher Risk for COVID-19
This report looks at the prevalence of underlying medical conditions associated with increased risk of COVID-19 severity (per CDC). It shows the prevalence of various medical conditions (ischemic heart disease, chronic obstructive pulmonary disease, chronic kidney disease and cancer) segmented by age group and geographic location.
Updated Jun 16, 2026
Snapshot: Telehealth Spending and Utilization Before and During COVID-19
When COVID-19 hit, the US healthcare system pivoted to televisits for routine care. Since telehealth visits are predominantly paid for by insurers, this report shows the increase in claims and associated costs, as well as the top diagnoses and televisit users by age range and gender.
Updated Jun 16, 2026
Top Diagnosis in DE
What are the most common diagnosis for Delawareans? This report breaks out the top principal diagnosis (based on ICD 10 codes) data of interest in addressing the burden of chronic diseases.
Updated Jun 2, 2026
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