☀️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. /81203
  5. /Per diem
CPT 81203

Q93797 APC GN DD VAR

Reported by 9 hospitals in the network under the per diem 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 per diem rate paid per day of care.

National pricing summary

Low

$198

Average

$486

Median

$201

High

$2.3k

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.
1Naples HMA LLCNaples, FL$354$369$87—$83$1.0k
2Naples HMA LLCNaples, FL$373$375$85—$83$1.0k
3Naples HMA LLCNaples, FL$354$369$87—$83$1.0k
4Cocke County HMA, LLCNewport, TN$200$201$1—$70$756
5Campbell County HMA, LLCLaFollette, TN$199$199$3—$70$29.7k
6Jefferson County HMA LLCJefferson City, TN$200$200——$70$756
7Metro Knoxville HMA LLCKnoxville, TN$200$200——$70$662
8Metro Knoxville HMA LLCPowell, TN$198$198$2—$70$756
9UPMC MuncyMuncy, PA$2.3k$2.3k$54—$1.1k$2.4k

Look up this code directly

Ask Claude or any MCP client for CPT 81203 pricing at a specific hospital — see how to connect.

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

© 2026 Medprice AI LLC