Standards Comparison

    PCI DSS

    Mandatory
    2022

    Global standard for securing payment cardholder data

    VS

    HIPAA

    Mandatory
    1996

    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.

    Payment Security

    PCI DSS

    Payment Card Industry Data Security Standard

    Cost
    €€€€
    Complexity
    Medium
    Implementation Time
    6-12 months

    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
    Healthcare Data Privacy

    HIPAA

    Health Insurance Portability and Accountability Act of 1996

    Cost
    €€€€
    Complexity
    High
    Implementation Time
    12-18 months

    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

    Scope

    PCI DSS
    Payment card data protection (CHD/SAD)
    HIPAA
    Protected health information (PHI/ePHI)

    Industry

    PCI DSS
    Payment processing, merchants, service providers
    HIPAA
    Healthcare providers, plans, business associates

    Nature

    PCI DSS
    Contractual standard, enforced by card brands
    HIPAA
    Federal regulation, enforced by OCR/HHS

    Testing

    PCI DSS
    Quarterly ASV scans, annual ROC/SAQ by QSA
    HIPAA
    Risk analysis, periodic audits, no mandated frequency

    Penalties

    PCI DSS
    Fines, loss of processing privileges
    HIPAA
    Civil monetary penalties up to $50K per violation

    Frequently Asked Questions

    Common questions about PCI DSS and HIPAA

    PCI DSS FAQ

    HIPAA FAQ

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