Look up Medicare rate for a CPT/HCPCS code
lookup_cpt_rateReturns the Medicare national-average non-facility allowed amount for a CPT or HCPCS procedure code from the CMS Physician Fee Schedule. Useful for benchmarking what a hospital or clinic billed against what Medicare reimburses. Free, no authentication required. For the patient-facing description and disputes information, link the user to the returned pageUrl.
Input Schema
| Name | Required | Description | Default |
|---|---|---|---|
| cpt | Yes | 5-character CPT or HCPCS code, uppercase (e.g. '99285', 'J7030', 'G0008'). |