HpHDHPvsPPO.com
Updated April 2026 · 2026 IRS limits

HDHP vs PPO calculator: find your break-even point in 2026

Most online HDHP vs PPO calculators ignore the HSA tax savings, the employer HSA contribution, and what happens to the break-even when you bake both in. This one models all three. Defaults are set to typical large-employer 2026 figures. Replace any field with your own SBC numbers; results update live.

Break-even calculator

Plug in your two SBC sheets, get a break-even

Inputs default to typical large-employer 2026 figures. Replace each value with what appears on your benefits portal. Results update live.

HDHP plan

$
$
%
$

PPO plan

$
$
%
$

HSA & tax adjustments

$
$
%

Annual premium savings

+$2,400

HDHP cheaper on premiums

Break-even point

Never

HDHP always cheaper

HSA tax savings / yr

$1,050

Annual tax benefit of HSA

The HDHP is cheaper at every level of medical spending with these plan parameters.

HDHP total costPPO total cost
$0$13,750$27,500

Annual medical spending (billed) →

Where to find each input on your benefits portal

Every employer benefits portal looks different, but every plan must publish a Summary of Benefits and Coverage (SBC) form. The form is standardised by the federal government and contains all six numbers the calculator needs.

Monthly premium

On the benefits portal, look for "your cost per pay period". Multiply by pay frequency (24 for semi-monthly, 26 for biweekly) and divide by 12. Use the employee-only or family figure to match your coverage.

Annual deductible

On page 2 of the SBC, the row labelled "Overall deductible". For family plans, note whether the deductible is aggregate (whole family must hit it before coinsurance starts) or embedded (each member has their own sub-deductible).

Coinsurance

Also on page 2 of the SBC. Look for "coinsurance" or "your share". Typical PPO coinsurance is 10 to 20 percent; HDHP is often 20 to 30 percent. Enter your percentage, not the insurer's.

Out-of-pocket maximum

Page 1 or 2 of the SBC, labelled "out-of-pocket limit" or "maximum out of pocket". This is your worst-case annual exposure for in-network care. Premiums do not count toward this number.

Employer HSA contribution

Found in the HDHP plan summary or benefits guide, often as a separate line item like "Employer HSA contribution" or "Wellness HSA reward". Common amounts are $500, $1,000, or $1,500. Enter the annual total.

Marginal tax rate

Your marginal federal rate plus state and FICA where applicable. A 22 percent federal bracket employee paying state tax of 5 percent and FICA on payroll-deducted HSA contributions has an effective rate near 35 percent. Use 22 plus your state if unsure.

Not sure where you fit? Start with a scenario

Each scenario page contains plan-specific cost modelling, real-world spending averages, and the trade-offs that apply to that audience. They are the longer-form companion to the calculator above.

$1,500 / yr expected

Healthy individual

Routine physical, occasional urgent care, generic meds.

$6,500 / yr expected

Family with young kids

Well-child visits, ear infections, sports injuries, occasional ER.

$15,000+ billed

Planning a pregnancy

Prenatal, delivery, postnatal, plus the plan-year boundary risk.

$5,000 to $12,000 / yr

Chronic condition

Specialist visits, ongoing medication, regular labs.

Methodology & assumptions