Negotiated prices for one billing code in one area, per canonical payer and plan type
hospital_payersEvery payer’s negotiated dollar amounts for the code at the hospitals within the radius, grouped by canonical payer_id (the stable id behind the many ways hospitals write a payer’s name), plan type and methodology (a per diem and a case rate are never pooled): how many hospitals and rates, and nearest-rank statistics. Payers with the most hospitals first. Percentage-only rates are left out (they have no dollar amount; hospital.prices shows them). The payer_ids here are what the payer filter of hospital.prices and hospital.compare takes. Price: $0.02 per call. Free tier: 3 free calls a day per IP, at most 3 rows per answer, taken by an unpaid call unless its _meta["distill/free-tier"] is "skip". Confidence: Mean over every rate in the payer rows returned of normalize × quality × freshness, with the same factors as hospital.prices (normalize: the stored per-rate payer canonicalization confidence, rule 1, model 0.9, fallback 0.6; quality: 1 valid v3.0, 0.85 with conformance errors, 0.7 after header repair; freshness: 1 while last_updated_on is at most 365 days old, then halving every 180 days, times 1 within 14 days of our fetch, then halving every 30 days). Posted standard charges from hospital machine-readable files (45 CFR 180): posted rates, not a quote; not medical or financial advice. What you pay depends on your plan, your care and the hospital. See /terms.
Input Schema
| Name | Required | Description | Default |
|---|---|---|---|
| lat | No | Latitude of the point (with lon). | |
| lon | No | Longitude of the point (with lat). | |
| zip | No | A 5-digit ZIP code (its Census ZCTA point). Give a zip, or lat and lon. | |
| code | Yes | The billing code: CPT (5 characters, e.g. 99213), HCPCS Level II (a letter and 4 digits, e.g. J1885) or MS-DRG (3 digits, e.g. 470). | |
| setting | No | Optional: inpatient or outpatient (items posted for both always match). | |
| code_type | No | Optional: the code type. Inferred from the code’s shape when omitted. | |
| plan_type | No | Optional: the canonical plan type. | |
| radius_miles | No | Search radius in miles (default 25, at most 100). |