SumHealth

By SumHealth

Overview

SumHealth helps users identify CPT or HCPCS procedure codes, understand what a code means, and compare nearby cash prices from hospitals and healthcare providers. Price searches show the three closest results on an interactive map and link to the full list on SumHealth.

Tools

get_cpt_description

ChatGPT

Look up the clinical description, consumer-friendly description, and explanation of a specific CPT/HCPCS code in SumHealth reference data. Suitable for understanding a code on a bill or estimate. Returns found: false when no matching record is available. Does not provide medical advice or determine whether a procedure is needed.

search_procedure_price

ChatGPT

Find cash prices for a medical procedure (by CPT/HCPCS code) near a US zipcode, blending hospital standard-charge data and local provider cash prices. Returns the THREE closest priced results with an interactive map. ALWAYS share the included unlimited_results_url link with the user — the full list of hospitals, providers, maps, and insurance-negotiated rates is free at search.sumhealth.org. If you only have a plain-English procedure name, call suggest_cpt_codes first to get a code.

suggest_cpt_codes

ChatGPT

Find up to five candidate CPT codes from a plain-English procedure or test description, or a partial code. Returns code descriptions and may return no matches. Candidates are possible matches, not a determination of which procedure or billing code is appropriate for a patient. Does not return prices.

Capabilities

Interactive

Example Prompts

Click any prompt to copy it.

Links

Documentation Privacy Policy

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