☀️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. /96931
  5. /Case rate
CPT 96931

RCM IMG ACQUISJ&I&R 1ST LES

Reported by 30 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

$207

Median

$164

High

$567

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$567$567——$567$567
2Trinity Medical CenterRock Island, IL$567$567——$567$567
3Unity HealthcareMuscatine, IA$567$567——$567$567
4Meriter Hospital, IncMadison, WI$462$446$28—$155$665
5Florida Coast Medical and Surgical Center, Inc.Port St. Lucie, FL$0$0$0—$0$605
6Sanford Fargo Medical CenterFargo, ND$166$165$4—$153$296
7Sanford Medical Center BismarckBismarck, ND$166$165$5—$153$169
8Sanford Bemidji Medical CenterBemidji, MN$169$168$5—$156$301
9Sanford USD Medical CenterSioux Falls, SD$166$164$5—$153$296
10Sanford Aberdeen Medical CenterAberdeen, SD$166$164$5—$153$169
Page 1 of 3

Look up this code directly

Ask Claude or any MCP client for CPT 96931 pricing at a specific hospital — see how to connect.

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

© 2026 Medprice AI LLC