Medical procedure code
A standard code identifying the healthcare procedure or service to which a price or payment result applies; coding scheme remains context.
Sources that carry it
11 sourcesCMS quarterly ASC Fee Schedule and Drug File addenda, publishing covered surgical procedures and ancillary services with HCPCS codes, payment indicators, discounting status, and payment rates. The July 2026 ZIP contains Addenda AA, BB, DD1, DD2, EE, and FF as XLSX and accessible CSV components and was updated July 13, 2026.
Commercial analytics-ready healthcare pricing dataset combining payer and hospital transparency files, claims benchmarks, Medicare fee schedules, and reference data. Turquoise normalizes coding and rate structures, exposes source/logic traceability, and offers the same Clear Rates product through its platform, API, Trino/Snowflake/Databricks, and scheduled S3/SFTP files.
Separately identified FH Charge Benchmark module reporting professional non-discounted billed-charge benchmarks by CPT code and FAIR Health geozip. FAIR Health documents recent 12-month claim windows, semiannual refreshes and 493 US geozips.
Standing licensed web lookup for solo and small medical or dental practices, sold by specialty/geozip combination, with professional charge benchmarks for thousands of procedures and separately displayed Medicare fees.
Commercial bearer-token API for location-first U.S. negotiated rates.
Standing annual Florida workers' compensation Health Care Provider Fee Schedule download. The official landing page lists 2024, 2025, and 2026 editions with effective dates; access to each file is gated only by an AMA CPT end-user click-through license for eligible organizations participating in Florida DWC programs.
CMS quarterly OPPS Addenda A, B, and Q public files. CMS defines A and B as snapshots, effective at the beginning of each quarter, of HCPCS codes, status indicators, APC groups, and OPPS payment rates.
Commercial Context4 Medicare pricing reference data available in the cloud through a real-time web service. Current product documentation names Medicare carrier/ZIP cross-reference, RBRVS, Ambulance, Ambulatory Surgical Center, Clinical Laboratory, DMEPOS, Physician Fee Schedule, Part B Drug ASP, and a broader set of Medicare Prospective Payment System data families.
Official New York workers' compensation specialty fee schedules. The Board states that Medical, Acupuncture/PT/OT, Behavioral Health, Chiropractic, and Podiatry schedules may be purchased from RefMed, whose standing purchase channel offers data-file downloads as well as eBooks and printed booklets.
Commercial subscription platform for enriched payer and hospital price-transparency data. It provides on-demand dashboards and a query engine, supports drilldown by payer, provider, plan, service, site of care, and DRG/CPT, and permits export into other workflows.
Commercial U.S. usual, customary, and reasonable healthcare fee benchmarks derived from provider-level charges before payer adjudication.
Questions it helps answer
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