☀️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. /HCPCS
  4. /M0243
  5. /Per diem
HCPCS M0243

Pt. Location - Casi-Imdev Admin Charge - Inf Cente

Reported by 6 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

$190

Average

$919

Median

$738

High

$2.3k

Hospitals reporting this code

#HospitalLocation
1Dukes Health System LLCPeru, IN$172$191$190$1.5k$2
2Lutheran Musculoskeletal Center LLCFort Wayne, IN$272$738$738$1.1k—
3Dupont Hospital LLCIN 46825, IN$275$738$738$1.0k—
4Manatee Memorial HospitalBradenton, FL—$673$602—$88
5Lakewood RanchLakewood Ranch, FL—$1.0k$982—$188
6UPMC MuncyMuncy, PA$728$2.3k$2.3k$2.3k$54

Look up this code directly

Ask Claude or any MCP client for HCPCS M0243 pricing at a specific hospital — see how to connect.

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

© 2026 Medprice AI LLC