Get price quotes for specific procedure codes, grouped by hospital.
This is the most detailed pricing tool. Provide exact CPT/HCPCS codes
and get per-hospital price estimates with totals. Supports insurance
filtering and geographic search.
Default location is San Jose, CA if no coordinates provided — always pass the user's location for best results.
NOTE: Quotes are from US HOSPITALS only — not non-US providers, independent
imaging centers, ambulatory surgery centers (ASCs), or other freestanding facilities.
For outpatient procedures, independent facilities often cost significantly
less than hospital outpatient departments.
Args:
codes: Comma-separated CPT/HCPCS codes (e.g. "70551,70552,70553").
lat: Patient latitude — always provide the user's location for best results.
lng: Patient longitude — always provide the user's location for best results.
radius_miles: Search radius in miles (default 25).
payer: Insurance company name to filter rates (e.g. "Blue Cross", "Aetna").
plan_type: Insurance plan type (e.g. "PPO", "HMO", "Indemnity").
plan_category: Plan category filter (e.g. "Commercial", "Medicare", "Medicaid").
plan_name: Specific plan name for exact matching.
drg_codes: Comma-separated MS-DRG codes for inpatient bundled pricing.
include_bundle: If true, also include ancillary procedure codes
(anesthesia, facility fees, etc.) in the total estimate.
limit: Max hospitals to return (default 5).
Returns:
JSON with hospitals sorted by total estimated cost. Each hospital
includes individual line items, total estimate, and distance.
When a payer is specified, negotiated/estimated-rate items include
plan_category (Commercial, Medicare, Medicaid, Other). Items priced
from cash/standard charges only will not have plan_category.