This document describes Medicost Guider, a tool that allows users to compare medical procedure prices across locations. It stores over 2 billion synthetic medical cost records in Amazon Redshift for fast query processing. The author's goals are to help users make better financial healthcare decisions by providing location-specific price ranges. The document discusses Redshift configuration details like columnar storage, distribution keys, sort keys, and compression codes which were optimized to improve query performance and reduce latency. Sample queries are also presented.