PCI DSS
Global standard for securing payment cardholder data
HIPAA
US regulation for health information privacy and security
Quick Verdict
PCI DSS secures payment card data contractually for merchants worldwide, while HIPAA federally regulates health information privacy for providers. Companies adopt PCI DSS to process cards without fines; HIPAA to legally protect PHI and avoid OCR penalties.
PCI DSS
Payment Card Industry Data Security Standard
Key Features
- 12 requirements organized into 6 control objectives
- 300+ granular controls for cardholder data protection
- Contractual mandate for merchants and service providers
- Network segmentation to minimize compliance scope
- Quarterly ASV scans and annual penetration testing
HIPAA
Health Insurance Portability and Accountability Act of 1996
Key Features
- Risk-based safeguards for ePHI confidentiality, integrity, availability
- Minimum necessary principle for PHI uses and disclosures
- Presumption-of-breach model with four-factor risk assessment
- Direct liability and BAAs for business associates
- Individual rights to access, amend, and account for PHI
Detailed Analysis
A comprehensive look at the specific requirements, scope, and impact of each standard.
PCI DSS Details
What It Is
PCI DSS (Payment Card Industry Data Security Standard) is a contractual security framework managed by the PCI Security Standards Council. It mandates technical and operational controls to protect cardholder data (CHD) and sensitive authentication data (SAD) for entities storing, processing, or transmitting payment card information. Its control-based approach enforces a baseline via 12 requirements under 6 objectives.
Key Components
- 12 requirements spanning network security, data protection, vulnerability management, access controls, monitoring, and policy maintenance.
- Over 300 sub-requirements with testing procedures.
- Merchant/service provider levels (1-4) determine validation (SAQ or ROC).
- v4.0 emphasizes MFA, segmentation, and customized approaches.
Why Organizations Use It
- Contractual obligation from card brands/acquirers prevents fines, processing bans.
- Reduces breach risks/costs ($37/record avg.), builds customer trust.
- Enhances security hygiene, supports GDPR alignment.
Implementation Overview
- Scoping CDE, gap analysis, remediation, validation (ASV scans, pentests).
- Applies to all card-handling entities globally; Levels 1 require QSA audits. (178 words)
HIPAA Details
What It Is
HIPAA (Health Insurance Portability and Accountability Act of 1996) is a US federal regulation establishing national standards for protecting individuals' health information. It focuses on covered entities (health plans, providers, clearinghouses) and business associates handling protected health information (PHI). Its risk-based approach balances privacy, security, and necessary data flows via Privacy, Security, and Breach Notification Rules.
Key Components
- **Privacy RuleControls PHI uses/disclosures, minimum necessary principle, patient rights.
- **Security RuleAdministrative, physical, technical safeguards for ePHI.
- **Breach Notification RuleTimely reporting of unsecured PHI breaches. Seven pillars include scope, individual rights, business associate governance; no fixed control count, flexible implementation with documentation retention (6 years). Compliance via OCR enforcement, no formal certification.
Why Organizations Use It
Mandated for applicable entities to avoid penalties (up to $2M+ annually); reduces breach risks, builds patient trust, enables secure operations. Strategic benefits: cyber resilience, vendor management, market differentiation.
Implementation Overview
Phased: assess (risk analysis), build (safeguards, training, BAAs), operate (monitoring), assure (audits). Applies to US healthcare organizations of all sizes; ongoing program with OCR audits, no certification.
Key Differences
| Aspect | PCI DSS | HIPAA |
|---|---|---|
| Scope | Payment card data protection (CHD/SAD) | Protected health information (PHI/ePHI) |
| Industry | Payment processing, merchants, service providers | Healthcare providers, plans, business associates |
| Nature | Contractual standard, enforced by card brands | Federal regulation, enforced by OCR/HHS |
| Testing | Quarterly ASV scans, annual ROC/SAQ by QSA | Risk analysis, periodic audits, no mandated frequency |
| Penalties | Fines, loss of processing privileges | Civil monetary penalties up to $50K per violation |
Scope
Industry
Nature
Testing
Penalties
Frequently Asked Questions
Common questions about PCI DSS and HIPAA
PCI DSS FAQ
HIPAA FAQ
You Might also be Interested in These Articles...

HITRUST CSF MyCSF Platform Deep Dive: Automating Evidence Collection for Continuous R2 Renewal in Multi-Regulated Environments 2025
Unpack MyCSF's AI features for HITRUST CSF: automate evidence tagging, maturity scoring & monitoring for R2 renewals amid 2025 regs. CISOs in healthcare/fintech

NIST CSF 2.0: Key Enhancements and How They Address Evolving Cyber Threats
Explore NIST CSF 2.0 updates: Govern function, supply chain security, SME playbooks for ransomware & AI threats. Boost your cyber defenses now!

CIS Controls v8.1 for Cloud & Kubernetes: A Practical Implementation Playbook (AWS/Azure/GCP + IaC)
Translate CIS Controls v8.1 to cloud-native: Kubernetes patterns for IAM, logging, vuln mgmt, hardening on AWS, Azure, GCP + IaC. Practical playbook for teams.
Run Maturity Assessments with GRADUM
Transform your compliance journey with our AI-powered assessment platform
Assess your organization's maturity across multiple standards and regulations including ISO 27001, DORA, NIS2, NIST, GDPR, and hundreds more. Get actionable insights and track your progress with collaborative, AI-powered evaluations.
Check out these other Gradum.io Standards Comparison Pages
GDPR vs ITIL
Discover GDPR vs ITIL: How data privacy rules intersect with IT service management. Unlock compliance strategies, synergies, challenges & best practices for secure ops.
HIPAA vs ISO 31000
HIPAA vs ISO 31000: HIPAA's strict PHI rules & breach safeguards vs ISO 31000's flexible risk principles. Optimize healthcare compliance & resilience now!
APPI vs WELL
APPI vs WELL: Compare Japan's data privacy law with WELL Building Standard. Master compliance, risks, strategies & implementation for privacy & occupant health. Expert guide!