☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC

☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC

☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
  1. Home
  2. /Codes
  3. /CPT
  4. /0031A
  5. /Case rate
CPT 0031A

Non-Surgical Cases

Reported by 24 hospitals in the network under the case rate methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$40

Average

$342

Median

$53

High

$6.9k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1The Finley HospitalDubuque, IA$119$119——$119$119
2Trinity Medical CenterRock Island, IL$119$119——$119$119
3Unity HealthcareMuscatine, IA$119$119——$119$119
4HCA Healthcare Summerville HospitalSUMMERVILLE, SC$40$40——$40$40
5HCA Healthcare Live Oak Mental Health and WellnessLadson, SC$40$40——$40$40
6HCA Healthcare Trident HospitalMONCKS CORNER, SC$40$40——$40$40
7Sanford Fargo Medical CenterFargo, ND$43$42$1—$39$44
8Sanford Medical Center BismarckBismarck, ND$43$42$1—$39$44
9Sanford Bemidji Medical CenterBemidji, MN$42$42$1—$39$43
10Sanford USD Medical CenterSioux Falls, SD$43$42$1—$39$44
Page 1 of 3

Look up this code directly

Ask Claude or any MCP client for CPT 0031A pricing at a specific hospital — see how to connect.

☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC