☀️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. /0455U
  5. /Case rate
CPT 0455U

NFCT AGT STI MULT AMP PRB UR

Reported by 33 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

$143

Average

$176

Median

$150

High

$225

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$143$150$150$324$7
2Northwest Iowa Hospital CorporationSioux City, IA$143$148$148$324$2
3St Luke's Methodist HospitalCedar Rapids, IA$143$148$148$324$2
4Trinity Medical CenterRock Island, IL$134$145$153$324$24
5Trinity Medical CenterBettendorf, IA$143$150$159$324$28
6Unity HealthcareMuscatine, IA$143$148$157$324$27
7Trinity Regional Medical CenterFort Dodge, IA$143$148$148$324$2
8Meriter Hospital, IncMadison, WI$143$143$143$143—
9Central Iowa Hospital CorporationDes Moines, IA$143$148$148$324$2
10Central Iowa Hospital CorporationDes Moines, IA$143$148$148$324$2
Page 1 of 4

Look up this code directly

Ask Claude or any MCP client for CPT 0455U pricing at a specific hospital — see how to connect.

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

© 2026 Medprice AI LLC