MedPrice AI

Looks up cost stats for several (code_type, code) pairs at one hospital (identified by hospital_id) in a single call - the batch counterpart to get_hospital_chargemaster_cost. Use this instead of calling get_hospital_chargemaster_cost once per code when pricing a fixed set of codes at one hospital (e.g. cross-linking a curated list of procedures on a hospital's page). Capped at 100 codes per call; a request over that is rejected with INVALID_ARGUMENT rather than silently truncated. Served from the hospital-prices serving snapshot, which pools exactly (exact medians), so figures can differ slightly from earlier results of this tool. Like those, each figure still combines facility and professional charges (and all settings) into one number; use batch_get_hospital_provider_code_costs for a per-billing-class breakdown instead.

Batch counterpart to get_hospital_provider_code_costs: one hospital's provider charges for 1 to 100 codes in a single call, results in request order. A code the hospital doesn't charge is an entry with no costs, not an error. Backed by the hospital-prices serving snapshot; fails with UNAVAILABLE until the server has opened one.

Returns the distribution of every hospital's price for a code_type/code, computed server-side: min/p10/q1/median/q3/p90/max, standard deviation, a histogram, and the real hospital nearest each percentile. Use this instead of paging through list_hospital_code_costs when you want to know how prices spread across hospitals (e.g. "is $12k high for MS-DRG 788?" - pass reference_price to get the number of hospitals priced below it). All figures are in terms of the chosen statistic (default: each hospital's average price). Served from the hospital-prices serving snapshot, which pools exactly (exact medians), so figures can differ slightly from earlier results of this tool. Like those, each figure still combines facility and professional charges (and all settings) into one number; use get_code_provider_price_distribution for a per-billing-class breakdown instead. With statistic MIN/MAX the figure is now the hospital's lowest/highest charge itself, not widened by the filing's per-item minimum/maximum.

Distribution (min/p10/q1/median/q3/p90/max, std dev, histogram, nearest hospital per percentile) of one figure per hospital for a code, never blending billing classes. The filter must name every term the group_by grouping keeps (all three of billing_class, methodology and setting for the default; the billing class or the methodology for those groupings; nothing for GROUP_BY_ALL), else INVALID_ARGUMENT; use *_UNSPECIFIED for 'not filed'. Counterpart to get_code_price_distribution. Backed by the hospital-prices serving snapshot; fails with UNAVAILABLE until the server has opened one.

Which billing classes, methodologies and settings hospitals file a (code_type, code) under, and how many hospitals each group has, so a caller can offer the choices before calling list_code_provider_hospitals or get_code_provider_price_distribution. group_by sets what each entry is a group of (default: one set of terms). A hospital filing several groups is counted in each, so don't sum the entries' hospital_count; use the top-level hospital_count for distinct hospitals. Backed by the hospital-prices serving snapshot; fails with UNAVAILABLE until the server has opened one.

Looks up one hospital's cost stats (min/max/avg/median/std_dev and sample counts) for a code_type/code: a single all-terms figure, or one entry per requested methodology. Served from the hospital-prices serving snapshot, which pools exactly (exact medians), so figures can differ slightly from earlier results of this tool. Like those, each figure still combines facility and professional charges (and all settings) into one number; use get_hospital_provider_code_costs for a per-billing-class breakdown instead. Fails with UNAVAILABLE until the server has opened a snapshot. Fields without a counterpart in the snapshot data are left empty (description.methodology_note).

Every plan rate (per payer and plan, with price terms) one hospital files for a (code_type, code), cheapest average first. Pass revision_id (from list_hospitals) to answer for a past filing. NOT_FOUND when the hospital has no payer rates at all; an empty rates list when it has some but none for this code. Backed by the hospital-prices serving snapshot; fails with UNAVAILABLE until the server has opened one.

Returns one hospital's own charges for a (code_type, code), one entry per row of the group_by grouping (default: per billing class, methodology and setting; never blended unless GROUP_BY_ALL), plus an all_terms figure over all of them regardless of grouping. Unlike get_hospital_chargemaster_cost, billing classes are not mixed into one figure. Pass revision_id to answer for a past filing. Backed by the hospital-prices serving snapshot; fails with UNAVAILABLE until the server has opened one.

One payer's rate for a (code_type, code) at each hospital, one row per hospital and billing class/methodology/setting, paginated, rolled up across the payer's plans there. Good for 'which hospital is cheapest for Aetna members'. Defaults/caps page_size at 500; includes total_count. Backed by the hospital-prices serving snapshot; fails with UNAVAILABLE until the server has opened one.

Every insurer (payer) with a negotiated rate for a (code_type, code), one summary per payer and billing class/methodology/setting, across hospitals, most hospitals first: hospital_count, n, min/avg/median-of-hospital-averages/max rate and the price terms. Billing classes, methodologies and settings are never blended. Use the returned payer_slug (e.g. "aetna") with list_code_payer_hospitals. Backed by the hospital-prices serving snapshot; fails with UNAVAILABLE until the server has opened one.

Each hospital's charges for a (code_type, code), one row per hospital and group of the group_by grouping (default: per billing class, methodology and setting; GROUP_BY_ALL gives one row per hospital), paginated. The billing-class-aware counterpart to list_hospital_code_costs, good for 'which hospital is cheapest for X'. Defaults/caps page_size at 500; includes total_count and hospital_count. Backed by the hospital-prices serving snapshot; fails with UNAVAILABLE until the server has opened one.

Returns every distinct code_type (e.g. CPT, MS-DRG) with catalogued cost data, along with each type's distinct code count and total hospital reports. Unpaginated. Use this to discover which code systems have data before drilling into list_codes.

Returns every distinct code catalogued under a given code_type, paginated, with each code's raw chargemaster description and the number of hospitals reporting it. Use this to discover which codes exist under a code system (e.g. all CPT codes) before looking up prices with get_hospital_chargemaster_cost or list_hospital_code_costs. Pass query to text-search codes/descriptions instead of listing a whole code_type. Pass hospital_id to restrict results to codes that one hospital actually reports.

Returns cost stats for every hospital with a matching chargemaster entry for a code_type/code. Use this instead of calling get_hospital_chargemaster_cost once per hospital when comparing prices for the same procedure across hospitals (e.g. "which hospital has the cheapest MS-DRG 652?"). Defaults to returning every matching hospital (currently at most a few hundred) in one call. If the response's next_page_token is non-empty, the result set was truncated: call this tool again passing that exact value as page_token to get the next page, and keep doing so until next_page_token is empty - do not stop after one page and conclude a hospital has no data for this code. The response's total_count field (total across all pages) can be compared against how many results you've accumulated so far as a completeness check. Served from the hospital-prices serving snapshot, which pools exactly (exact medians), so figures can differ slightly from earlier results of this tool. Like those, each figure still combines facility and professional charges (and all settings) into one number; use list_code_provider_hospitals for a per-billing-class breakdown instead. page_tokens from before this change are not valid.

Lists the codes one hospital reports on its latest (or a given) revision, as list_codes does, each with that hospital's own all-terms sample counts. Paginated; supports query, sort and code_type like list_codes. Backed by the hospital-prices serving snapshot; fails with UNAVAILABLE until the server has opened one.

Returns the hospitals supported by the medprice.ai API, with their hospital_id (opaque handle), EIN, name, structured_locations (addresses with geocoded coordinates where available), last_updated_on, and revision history (with per-revision has_payer_data, revision_id, and added_at - when medprice itself ingested that revision, as opposed to revision_date's source-file-reported update date). Defaults to returning the entire registry (currently a few hundred hospitals) in one call. If the response's next_page_token is non-empty, the result set was truncated: call this tool again passing that exact value as page_token to get the next page, and keep doing so until next_page_token is empty - do not stop after one page and conclude the list is complete. The response's total_count field (total across all pages) can be compared against how many hospitals you've accumulated so far as a completeness check, e.g. before answering questions like 'does medprice.ai cover any hospitals in Iowa'.