{"uid":"cap_Uvpq7gK_hm34p9szjGk6f","slug":"medical-procedure-billing-code-price-benchmark-lookup-57483e3f","name":"Medical Procedure Billing Code Price Benchmark Lookup","description":"X402 micropayments server — AI agents pay USDC for OFAC screening, rates, and billing verification.","url":"https://x402helper.xyz/89e509/price/benchmark?utm_source=zero.xyz","method":"GET","headers":{},"bodySchema":{"type":"object","$schema":"https://json-schema.org/draft/2020-12/schema","required":["input"],"properties":{"input":{"type":"object","required":["type","method"],"properties":{"type":{"type":"string","const":"http"},"method":{"enum":["GET"],"type":"string"},"queryParams":{"type":"object","required":["code"],"properties":{"code":{"type":"string","default":null,"description":"Procedure billing code, e.g. 99213"},"code_type":{"type":"array","items":{"enum":["CPT","HCPCS","MS-DRG","DRG","APC","NDC","ICD-10","CDM","local"],"type":"string"},"default":null,"description":"Billing-code system; national benchmark supports CPT and HCPCS"}}}},"additionalProperties":false},"output":{"type":"object","required":["type"],"properties":{"type":{"type":"string"},"example":{"type":"object"}}}}},"responseSchema":{"type":"json","example":{"result":{},"success":true}},"example":null,"exampleRequest":null,"tags":["x402"],"displayCostAmount":"0.013","displayCostAsset":"USDC","priceDynamic":false,"priceHint":null,"priceStatus":"priced","priceSource":"probe","requiresHandshake":false,"reviewCount":0,"rating":{"score":"0.00","successRate":"0.00","reviews":0,"stars":null,"state":"unrated"},"availabilityStatus":"unknown","priceObserved":null,"sessionDeposit":null,"pricing":{"kind":"static","summary":"$0.013/call","primary":{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.013","per":"call","confidence":"exact"},"accepted":[{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.013","per":"call","confidence":"exact"}]},"paymentMethods":[{"uid":"pm_XyB-NnP3pSnGjSldYH0m0","protocol":"x402","methodType":"crypto","chain":"base","mode":"charge","costAmount":"0.013","costPer":"request","priority":0,"asset":"0x833589fCD6eDb6E08f4c7C32D4f71b54bdA02913","unit":"request","depositMicros":null,"planRef":null}],"brandName":null,"brandSlug":null,"brandBaseUrl":null,"brandDocsUrl":null,"whatItDoes":"Returns national benchmark pricing data for a given medical billing code (CPT or HCPCS), paid via x402 USDC micropayment.","exampleAgentPrompt":"What is the national benchmark price for CPT code 99213? I need to verify if our billing rate is in line with standard reimbursement.","exampleUseCases":[{"title":"Verify outpatient visit billing rate","prompt":"Can you look up the national benchmark price for CPT code 99213 so I can check whether our clinic is billing within the normal range for an established patient office visit?"},{"title":"Benchmark HCPCS vaccine administration code","prompt":"What's the standard benchmark reimbursement for HCPCS code G0008, the influenza vaccine administration code? I want to make sure we're pricing it correctly."},{"title":"Audit procedure pricing against national standard","prompt":"Pull the benchmark price for CPT code 27447, total knee arthroplasty — I need to compare what we're charging against the national reimbursement benchmark for our billing audit."}],"resultDescription":"A JSON object containing benchmark pricing data for the requested medical billing code, including reimbursement reference amounts keyed to the supplied CPT or HCPCS code. The response includes a success flag and a result object with the pricing details.","failureModes":["Missing required 'code' query parameter returns an error","Invalid or unrecognized billing code returns empty or null result","Unsupported code_type (e.g. ICD-10, MS-DRG) may return no data since only CPT and HCPCS are supported for national benchmarks","Payment failure via x402 (insufficient USDC, wrong wallet) results in HTTP 402 and no data returned","Network timeout or server error returns a non-success response"],"whenToPreferThis":"Use this endpoint when you need a quick, low-cost national benchmark price lookup for a specific CPT or HCPCS procedure code, especially for billing verification or rate auditing. Prefer this over larger healthcare data APIs when you only need a single-code benchmark and want per-call micropayment pricing rather than a subscription. Not suitable for ICD-10, MS-DRG, or NDC code lookups.","instructions":null,"reviewSummary":null,"reviewSummaryHighlights":null,"reviewSummaryConcerns":null,"reviewSummaryGeneratedAt":null,"activationCount":0,"lastUsedAt":null,"lastSuccessfullyRanAt":null,"lastHealthCheckAt":"2026-11-07T06:47:18.753Z","isFirstParty":false,"canonicalSlug":"medical-procedure-billing-code-price-benchmark-lookup-57483e3f"}