☀️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. /81427
  5. /Case rate
CPT 81427

GENOME RE-EVALUATION

Reported by 41 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

$0

Average

$2.7k

Median

$2.4k

High

$3.7k

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$2.5k$3.1k$1.2k—$2.3k$5.3k
2Northwest Iowa Hospital CorporationSioux City, IA$2.4k$2.4k$35—$2.3k$4.6k
3St Luke's Methodist HospitalCedar Rapids, IA$2.4k$2.4k$35—$2.3k$4.6k
4Trinity Medical CenterRock Island, IL$2.5k$3.1k$1.2k—$2.2k$5.3k
5Trinity Medical CenterBettendorf, IA$2.5k$2.6k$463—$2.3k$4.6k
6Unity HealthcareMuscatine, IA$2.5k$3.1k$1.2k—$2.3k$5.3k
7Trinity Regional Medical CenterFort Dodge, IA$2.4k$2.4k$35—$2.3k$4.6k
8Meriter Hospital, IncMadison, WI$2.3k$2.3k——$2.3k$2.3k
9Central Iowa Hospital CorporationDes Moines, IA$2.4k$2.4k$35—$2.3k$4.6k
10Central Iowa Hospital CorporationDes Moines, IA$2.4k$2.4k$35—$2.3k$4.7k
Page 1 of 5

Look up this code directly

Ask Claude or any MCP client for CPT 81427 pricing at a specific hospital — see how to connect.

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

© 2026 Medprice AI LLC