☀️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. /35211
  5. /Case rate
CPT 35211

RPR BLVSL DIR NTRATHRC W/BYP

Reported by 345 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

$1

Average

$8.3k

Median

$6.8k

High

$27.8k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$6.0k$6.0k$6.0k$6.0k—
2Medical Ctiy ArgyleArgyle, TX$948$10.9k$12.3k$48.9k$8.7k
3Medical City AllianceSAGINAW, TX$2.1k$16.1k$13.4k$25.8k$6.4k
4Trinity Medical CenterRock Island, IL$6.0k$6.0k$6.0k$6.0k—
5Unity HealthcareMuscatine, IA$6.0k$6.0k$6.0k$6.0k—
6Meriter Hospital, IncMadison, WI$1.2k$4.0k$4.1k$14.2k$387
7Medical City MckinneyMcKinney, TX$948$10.9k$12.4k$34.8k$8.7k
8Medical City Las ColinasIrving, TX$948$10.9k$11.5k$25.8k$7.4k
9Med City Heart HospitalDallas, TX$948$12.1k$12.4k$29.6k$7.8k
10Medical City DentonArgyle, TX$948$10.9k$12.3k$48.9k$8.7k
Page 1 of 35

Look up this code directly

Ask Claude or any MCP client for CPT 35211 pricing at a specific hospital — see how to connect.

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

© 2026 Medprice AI LLC