{
  "dataset": "Median prevailing offer relative to QPA by cost band, second half of 2025",
  "period": {
    "start": "2025-07-01",
    "end": "2025-12-31",
    "label": "H2 2025"
  },
  "source": {
    "publisher": "U.S. Departments of Health and Human Services, Labor, and the Treasury",
    "document": "Supplemental Background on Federal Independent Dispute Resolution Public Use Files, July 1, 2025 – December 31, 2025, and the accompanying Federal IDR Supplemental Tables for 2025 Q3 and 2025 Q4",
    "sourceFormat": "XLSX",
    "sourceUpdated": "2026-07-22",
    "sourceUrl": "https://www.cms.gov/initiatives/no-surprise-billing/overview/policies-resources/independent-dispute-resolution-reports",
    "note": "Figures are transcribed from the published federal tables. Nothing here is estimated, modelled or adjusted. Where a value is a sum of the two quarters, the field name says so.",
    "table": "Table 13 — Prevailing Offers Relative to QPA by Cost Band"
  },
  "fields": {
    "qpa_range": "Cost band of the qualifying payment amount, as published",
    "q3_2025_multiple": "Ratio of the median prevailing offer to the plan's qualifying payment amount. CMS reports this column as a percentage in the 2025 workbooks (522) and as a ratio in the 2024 workbooks (5.53); the value here is always a ratio.",
    "q4_2025_multiple": "Ratio of the median prevailing offer to the plan's qualifying payment amount. CMS reports this column as a percentage in the 2025 workbooks (522) and as a ratio in the 2024 workbooks (5.53); the value here is always a ratio.",
    "determinations_h2_2025": "Payment determinations, sum of the two quarters"
  },
  "rows": [
    {
      "qpa_range": "<$100",
      "q3_2025_multiple": 5.98,
      "q4_2025_multiple": 5.22,
      "determinations_h2_2025": 260840
    },
    {
      "qpa_range": "$100 - $500",
      "q3_2025_multiple": 3.44,
      "q4_2025_multiple": 3.71,
      "determinations_h2_2025": 678771
    },
    {
      "qpa_range": "$500 - $1,000",
      "q3_2025_multiple": 3.07,
      "q4_2025_multiple": 3.12,
      "determinations_h2_2025": 160801
    },
    {
      "qpa_range": "$1,000 - $5,000",
      "q3_2025_multiple": 2.62,
      "q4_2025_multiple": 2.62,
      "determinations_h2_2025": 162394
    },
    {
      "qpa_range": "$5,000 - 10,000",
      "q3_2025_multiple": 2.77,
      "q4_2025_multiple": 2.3,
      "determinations_h2_2025": 15977
    },
    {
      "qpa_range": ">=$10,000",
      "q3_2025_multiple": 1.73,
      "q4_2025_multiple": 1.69,
      "determinations_h2_2025": 22966
    }
  ]
}