What does Medicare pay for this CPT or HCPCS code at this ZIP?
What does Medicare pay for this CPT or HCPCS code at this ZIP? Physician Fee Schedule facility and non-facility allowed amounts with the RVUs and GPCIs behind them, any US ZIP or Medicare locality, 2025 on, computed by Distill from CMS’s quarterly RVU files. Updated quarterly. $0.01 per call (x402, USDC on Base); 3 free calls a day.
Answeringour last check, 2026-10-24
1 of 1checks answered this week
908 msmedian answer time
$0.01listed price per call
$0.01price it asked us
Paid test badge: not yet. The checks above are free: we call the tool without paying and read the payment request it sends back. The Verified badge needs paid calls whose answers match the promised output, and nobody can buy a badge.
Endpoint
GET https://data.spencermcw.com/v1/medicare/pfs/rate
| Category | Code and developer |
|---|---|
| Provider host | data.spencermcw.com |
| Networks | eip155:8453 |
| Payment schemes | exact |
| Self-reported calls, 30 days | 2 from 2 payers (the provider's figure, not ours) |
Our checks, last 30 days
| Day | Result | HTTP | Asked | Time |
|---|---|---|---|---|
| 2026-10-24 | valid payment request | 402 | $0.01 | 908 ms |
Example input (from the provider)
{
"method": "GET",
"queryParams": {
"code": "99213",
"zip": "80218"
},
"type": "http"
}
Promised output schema (from the provider)
{
"$schema": "https://json-schema.org/draft/2020-12/schema",
"properties": {
"input": {
"additionalProperties": false,
"properties": {
"method": {
"enum": [
"GET"
],
"type": "string"
},
"queryParams": {
"properties": {
"code": {
"pattern": "^[0-9A-Za-z]{5}$",
"type": "string"
},
"date": {
"pattern": "^\\d{4}-\\d{2}-\\d{2}$",
"type": "string"
},
"locality": {
"pattern": "^\\d{5}-\\d{2}$",
"type": "string"
},
"modifier": {
"pattern": "^[0-9A-Za-z]{2}$",
"type": "string"
},
"release": {
"pattern": "^\\d{4}[A-Da-d]$",
"type": "string"
},
"setting": {
"enum": [
"facility",
"nonfacility"
],
"type": "string"
},
"zip": {
"pattern": "^\\d{5}(-?\\d{4})?$",
"type": "string"
}
},
"required": [
"code"
],
"type": "object"
},
"type": {
"const": "http",
"type": "string"
}
},
"required": [
"type",
"method"
],
"type": "object"
},
"output": {
"properties": {
"example": {
"properties": {
"data": {
"additionalProperties": false,
"properties": {
"code": {
"type": "string"
},
"code_type": {
"enum": [
"CPT",
"HCPCS"
],
"type": "string"
},
"conversion_factor": {
"type": "object"
},
"description": {
"type": [
"string",
"null"
]
},
"facility": {
"anyOf": [
{
"type": "object"
},
{
"type": "null"
}
]
},
"gpci": {
"type": "object"
},
"history": {
"type": "array"
},
"indicators": {
"type": "object"
},
"locality": {
"type": "object"
},
"location": {
"type": "object"
},
"modifier": {
"type": [
"string",
"null"
]
},
"nonfacility": {
"anyOf": [
{
"type": "object"
},
{
"type": "null"
}
]
},
"priced": {
"type": "boolean"
},
"release": {
"type": "object"
},
"rvus": {
"type": "object"
},
"status": {
"type": "string"
},
"status_meaning": {
"type": "string"
}
},
"required": [
"code",
"modifier",
"code_type",
"description",
"status",
"status_meaning",
"priced",
"release",
"locality",
"location",
"rvus",
"gpci",
"conversion_factor",
"nonfacility",
"facility",
"indicators",
"history"
],
"type": "object"
}
},
"type": "object"
},
"type": {
"type": "string"
}
},
"required": [
"type"
],
"type": "object"
}
},
"required": [
"input"
],
"type": "object"
}