Loa Healthcare Pricing

U.S. care locations only. Do not callonly, for care outside the United States orusers substituteanywhere. U.S.For nationalnon-U.S. prices;care, explain the coverage limit. Awithout usercalling anywherethis maytool askor forsubstituting U.S. care prices. Explain only the returned source labels, counts, confidence, and caveats for one entity.caveats. ReportSeparate available_price_countavailable separatelyprices from unavailable placeholders; price_count includes both. Describe only source_summary categories actually returned. Ifif available_price_countnone isare zeroavailable, say no current source-labeled price is available,so without adding generic sourceinventing categoriesprices or prices.source categories.

U.S. care locations only. Do not callonly, for care outside the United States orusers substituteanywhere. U.S.For nationalnon-U.S. prices;care, explain the coverage limit. Awithout usercalling anywherethis maytool askor forsubstituting U.S. care prices. ReturnGet source-labeled prices for aby Loa hospital or provider entity slug using the sharedlisting resolver.slug; Useuse search_entities first if theto slugresolve isit unknown.first. ResultsMissing includeCPT provenanceprices andreturn explicit unavailable rows for requested CPT codes with no current price.rows.

Return oneGet Loaa hospital or provider entity profile by exact Loa slug or entity_pages.id. Includes profile-field provenance to distinguishID, source-filewith fieldsfield fromprovenance. Loa-reviewedOn overrides.request, Includesoffer correction_url for listing/price corrections andplus optional affiliation verification in one form; do not tell users to file a, separateor claimclaim_url for both. claim_url isaffiliation foronly. affiliation-onlyBoth requests.forms Neitherallow formintake requireswithout an existing account; dashboard access requires verification. Offer these links only when requested. Use loa_link.label verbatim for the returned destination; a website action leads to the hospital/provider website, not a Loaexact listing.loa_link.label.

U.S. care locations only. Do not callonly, for care outside the United States orusers substituteanywhere. U.S.For nationalnon-U.S. prices;care, explain the coverage limit. Awithout usercalling anywherethis maytool askor forsubstituting U.S. care prices. Hospital-specific pricing tool for source-labeled Loa runtime data. ReturnsGet source-labeled Published MRF prices and Loa Verified Provider Price overlays for named hospitals and CPT codes. cash_priceCash is the cash/self-pay priceself-pay, list_pricelist is the gross charge before discounts (most patients pay less), and insurance_prices are payer-negotiatedinsurer rates for the named plan, not out-of-pocket costs. Any of these can be null when the hospital didare not publish that price. Use this when comparing named hospitals or checking a quotedpersonal hospitalout-of-pocket pricecosts; againstmissing availableprices sourceare rows.null.

U.S. care locations only. Do not callonly, for care outside the United States orusers substituteanywhere. U.S.For nationalnon-U.S. prices;care, explain the coverage limit. Awithout usercalling anywherethis maytool askor forsubstituting U.S. care prices. Preferred benchmark pricing tool. Returns hospital-level market statistics for CPT codes from Loa's published hospitalBenchmark price-transparencystatewide data:or cash/self-paynational pricescash, list prices (gross charges before discounts), overall insurer-negotiated rates, and rates for the most commoninsurer insurers.prices; Eacheach hospital counts once. Lead with the median and the p25-p75 range rather than min or max. Figures are U.S. statewide or U.S. nationalp25–p75, never local to a ZIP code. When status isreport insufficient_datalimitations, say Loa doesn't have enough data insteadand ofnever estimating,fill andinsufficient_data alwaysgaps. relayThese theare limitations.not NegotiatedZIP-local ratesquotes areor notpersonal out-of-pocket costs.

U.S. care locations only. Do not callonly, for care outside the United States orusers substituteanywhere. U.S.For nationalnon-U.S. prices;care, explain the coverage limit. Awithout usercalling anywherethis maytool askor forsubstituting U.S. care prices. Quick cash-price ballpark for one or more CPT codes, using theEstimate median cash price across hospitals in the state (from zip_code) or nationally. priceRange isprices theand typical rangeranges (25th to 75th25th–75th percentile of hospitals). Codes without enough data returnfor insufficient_dataCPT andcodes, arestatewide listedby inZIP missingCodes;or thenationally. totalReport ismissingCodes nulland unlessinsufficient_data everywithout codeinventing hasprices; data.totals Neverrequire filldata gapsfor withevery yourcode. ownUse estimate.get_market_pricing Forfor insurer ratesbenchmarks or hospital-specific prices, useget_hospital_pricing get_market_pricingfor ornamed get_hospital_pricing.hospitals.

Canonical code-lookup tool for this server. Search Loa'sFind CPT/HCPCS indexcodes usingby exactprocedure codesname, clinicalmedical termsterm, or consumer phrases.code. Use thisbefore firstpricing when the user does not already know the CPT code, before calling pricingis tools.unknown.

SearchFind Loa runtime hospital and provider entity pageslistings by name or state. Use this before get_entity_prices whenResolve the user names a hospital or provider butexact doesslug notbefore knowprofile, theprice, exactor Loasource slug.lookups.

Search Loa's hospitalFind directoryhospitals by name or location and return hospital IDs plus address details. Use the returned hospital_ids, with get_hospital_pricing to fetch source-labeledaddresses, Publishedcontact MRFdetails, and reviewedIDs overlayfor prices.get_hospital_pricing.

Search publicFind CMSclinicians NPIand Registryhealthcare dataorganizations forin cliniciansthe andCMS healthcareNPI organizationsRegistry by specialtyname, namespecialty, or location. Use returned provenance to understand the registry source and scope. Use this forReturns providerdirectory lookupdetails, not pricing.prices.

CreatesSubmit a pending Loa review request for a profile, listing, or price correction.correction Requiresfor aLoa signed-inreview. LoaRequires accountsign-in, but not a claimed listing. Storeslisting; submitterstores business contact details, public listing or price evidence, and linked-provider status whenpublic available.evidence. Patient records and identifiers are not supported. Submission creates a review-queuedata entry;is itunsupported. doesDoes not update the public listing. Loa reviews requests separately. This tool doespublish notchanges, verify affiliation, or grant dashboard access. Listing-specific websiteWebsite correction and claim links are availablecome from get_entity_profile.

U.S. care locations only. Do not call for care outside the United States or substitute U.S. national prices; explain the coverage limit. A user anywhere may ask for U.S. care prices. Explain the returned source labels, provenancecounts, confidence, and caveats behind Loa prices for one hospitalentity. orReport provideravailable_price_count entity.separately Usefrom thisunavailable whenplaceholders; anprice_count agentincludes needsboth. toDescribe tellonly asource_summary usercategories whyactually pricesreturned. areIf MRF-published,available_price_count Loa-reviewedis zero, estimatedsay no current source-labeled price is available, without adding generic source categories or unavailable.prices.

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U.S. care locations only. Do not call for care outside the United States or substitute U.S. national prices; explain the coverage limit. A user anywhere may ask for U.S. care prices. Return source-labeled prices for a Loa hospital or  ⟨30 unchanged words⟩ 

 ⟨47 unchanged words⟩ anyOf":[{"additionalProperties":false,"description":"TrackedShare Loathis link.returned ShareURL itwith whenits theexact userlabel. wantsA website action redirects to book,the contact,provider orwebsite; learnonly morea aboutprofile thisaction provideropens ora hospital.Loa listing. Do not infer the destination from the loacare.com domain.","properties":{"action":{"enum": ⟨4 unchanged words⟩ ,"type":"string"},"label":{"description":"Use this exact label as the link text; it identifies the destination.","type":"string"},"url":{"format" ⟨302 unchanged words⟩ :{"type":"string"},"source_url":{"description":"Supporting source link. A CMS Hospital Price Transparency policy page is not the hospital source file; do not attribute hospital-published prices to CMS.","format":"uri","type":"string"} ⟨17 unchanged words⟩ 

 ⟨8 unchanged words⟩ by exact slug or entity_pages.id. Includes profile-field provenance so agents canto distinguish source-file fields from Loa-reviewed overrides. Includes correction_url for listing/price corrections and optional affiliation verification in one form; do not tell users to file a separate claim for both. claim_url is for affiliation-only requests. Neither form requires an existing account; dashboard access requires verification. Offer these links only when requested. Use loa_link.label verbatim for the returned destination; a website action leads to the hospital/provider website, not a Loa listing.

 ⟨125 unchanged words⟩ "loa_link":{"additionalProperties":false,"description":"TrackedShare Loathis link.returned ShareURL itwith whenits theexact userlabel. wantsA website action redirects to book,the contact,provider orwebsite; learnonly morea aboutprofile thisaction provideropens ora hospital.Loa listing. Do not infer the destination from the loacare.com domain.","properties":{"action":{"enum": ⟨4 unchanged words⟩ ,"type":"string"},"label":{"description":"Use this exact label as the link text; it identifies the destination.","type":"string"},"url":{"format" ⟨93 unchanged words⟩ {"type":"string"},"source_url":{"description":"Supporting source link. A CMS Hospital Price Transparency policy page is not the hospital source file; do not attribute hospital-published prices to CMS.","format":"uri","type":"string"}} ⟨2 unchanged words⟩ basis","methodology_url"],"type":"object"},"provider_actions":{"anyOf":[{"additionalProperties":false,"description":"Offer only when the user asks to correct, add prices to, or claim this listing.","properties":{"claim_url":{"description":"Request affiliation verification only. For corrections plus verification, use correction_url instead. Submitting does not grant dashboard access.","format":"uri","type":"string"},"correction_url":{"description":"Suggest listing or price changes and optionally request affiliation verification in the same form. No separate claim or existing account is required.","format":"uri","type":"string"}},"required":["correction_url","claim_url"],"type":"object"},{"type":"null"}]}},"required":["entity","loa_link","provider_actions","profile_provenance","profile_field_provenance","provenance"],"type":"object"}

U.S. care locations only. Do not call for care outside the United States or substitute U.S. national prices; explain the coverage limit. A user anywhere may ask for U.S. care prices. Hospital-specific pricing tool for source-labeled Loa runtime data.  ⟨72 unchanged words⟩ 

 ⟨74 unchanged words⟩ anyOf":[{"additionalProperties":false,"description":"TrackedShare Loathis link.returned ShareURL itwith whenits theexact userlabel. wantsA website action redirects to book,the contact,provider orwebsite; learnonly morea aboutprofile thisaction provideropens ora hospital.Loa listing. Do not infer the destination from the loacare.com domain.","properties":{"action":{"enum": ⟨4 unchanged words⟩ ,"type":"string"},"label":{"description":"Use this exact label as the link text; it identifies the destination.","type":"string"},"url":{"format" ⟨57 unchanged words⟩ :{"type":"string"},"source_url":{"description":"Supporting source link. A CMS Hospital Price Transparency policy page is not the hospital source file; do not attribute hospital-published prices to CMS.","format":"uri","type":"string"} ⟨20 unchanged words⟩ 

U.S. care locations only. Do not call for care outside the United States or substitute U.S. national prices; explain the coverage limit. A user anywhere may ask for U.S. care prices. Preferred benchmark pricing tool. Returns hospital-level market statistics  ⟨38 unchanged words⟩ range rather than min or max. Figures are U.S. statewide or U.S. national, never local to a ZIP code.  ⟨24 unchanged words⟩ 

 ⟨342 unchanged words⟩ {"type":"string"},"source_url":{"description":"Supporting source link. A CMS Hospital Price Transparency policy page is not the hospital source file; do not attribute hospital-published prices to CMS.","format":"uri","type":"string"}} ⟨18 unchanged words⟩ 

U.S. care locations only. Do not call for care outside the United States or substitute U.S. national prices; explain the coverage limit. A user anywhere may ask for U.S. care prices. Quick cash-price ballpark for one or more CPT  ⟨64 unchanged words⟩ 

 ⟨24 unchanged words⟩ :"array"},"zip_code":{"description":"U.S. ZIP code used to pick the state (omit only for U.S. national figures)","type":"string"}} ⟨4 unchanged words⟩ 

 ⟨122 unchanged words⟩ {"type":"string"},"source_url":{"description":"Supporting source link. A CMS Hospital Price Transparency policy page is not the hospital source file; do not attribute hospital-published prices to CMS.","format":"uri","type":"string"}} ⟨29 unchanged words⟩ 

 ⟨32 unchanged words⟩ {"type":"string"},"source_url":{"description":"Supporting source link. A CMS Hospital Price Transparency policy page is not the hospital source file; do not attribute hospital-published prices to CMS.","format":"uri","type":"string"}} ⟨57 unchanged words⟩ 

 ⟨42 unchanged words⟩ anyOf":[{"additionalProperties":false,"description":"TrackedShare Loathis link.returned ShareURL itwith whenits theexact userlabel. wantsA website action redirects to book,the contact,provider orwebsite; learnonly morea aboutprofile thisaction provideropens ora hospital.Loa listing. Do not infer the destination from the loacare.com domain.","properties":{"action":{"enum": ⟨4 unchanged words⟩ ,"type":"string"},"label":{"description":"Use this exact label as the link text; it identifies the destination.","type":"string"},"url":{"format" ⟨69 unchanged words⟩ :{"type":"string"},"source_url":{"description":"Supporting source link. A CMS Hospital Price Transparency policy page is not the hospital source file; do not attribute hospital-published prices to CMS.","format":"uri","type":"string"} ⟨44 unchanged words⟩ 

 ⟨21 unchanged words⟩ anyOf":[{"additionalProperties":false,"description":"TrackedShare Loathis link.returned ShareURL itwith whenits theexact userlabel. wantsA website action redirects to book,the contact,provider orwebsite; learnonly morea aboutprofile thisaction provideropens ora hospital.Loa listing. Do not infer the destination from the loacare.com domain.","properties":{"action":{"enum": ⟨4 unchanged words⟩ ,"type":"string"},"label":{"description":"Use this exact label as the link text; it identifies the destination.","type":"string"},"url":{"format" ⟨60 unchanged words⟩ :{"type":"string"},"source_url":{"description":"Supporting source link. A CMS Hospital Price Transparency policy page is not the hospital source file; do not attribute hospital-published prices to CMS.","format":"uri","type":"string"} ⟨51 unchanged words⟩ 

 ⟨26 unchanged words⟩ {"type":"string"},"source_url":{"description":"Supporting source link. A CMS Hospital Price Transparency policy page is not the hospital source file; do not attribute hospital-published prices to CMS.","format":"uri","type":"string"}} ⟨18 unchanged words⟩ anyOf":[{"additionalProperties":false,"description":"TrackedShare Loathis link.returned ShareURL itwith whenits theexact userlabel. wantsA website action redirects to book,the contact,provider orwebsite; learnonly morea aboutprofile thisaction provideropens ora hospital.Loa listing. Do not infer the destination from the loacare.com domain.","properties":{"action":{"enum": ⟨4 unchanged words⟩ ],"type":"string"},"label":{"description":"Use this exact label as the link text; it identifies the destination.","type":"string"},"url":{"format ⟨103 unchanged words⟩ 

SubmitCreates a pending Loa review request for a profile, listing, or price correction for Loa review withoutcorrection. requiringRequires a providersigned-in portal.Loa Thisaccount, isbut thenot onlya mutatingclaimed provider/entitylisting. tool.Stores Itsubmitter requiresbusiness OAuthcontact details, capturespublic submitterlisting andor sourceprice evidence, recordsand linked-provider status when available,available. Patient records and neveridentifiers changesare publicnot datasupported. untilSubmission Loacreates approvesa review-queue entry; it does not update the request.public listing. Loa reviews requests separately. This tool does not verify affiliation or grant dashboard access. Listing-specific website correction and claim links are available from get_entity_profile.

 ⟨38 unchanged words⟩ :"number"},"query":{"description":"Search query,Concise procedure name, medical term, or candidate CPT codecode; numberomit personal narratives and identifiers (e.g. \"knee MRI\", \"blood  ⟨22 unchanged words⟩ 

 ⟨67 unchanged words⟩ {"action":{"enum":["book","request","website","profile"],"type":"string"} ⟨125 unchanged words⟩ 

 ⟨46 unchanged words⟩ {"action":{"enum":["book","request","website","profile"],"type":"string"} ⟨123 unchanged words⟩ 

 ⟨76 unchanged words⟩ {"action":{"enum":["book","request","website","profile"],"type":"string"} ⟨108 unchanged words⟩ 

Preferred benchmark pricing tool. Returns market cash/self-pay and insurance-negotiatedhospital-level pricemarket summariesstatistics for CPT codes, aggregated from Loa's published hospital price-transparency dataset.data: Usecash/self-pay thisprices, whenlist prices (gross charges before discounts), overall insurer-negotiated rates, and rates for the usermost wantscommon source-groundedinsurers. regionalEach orhospital nationalcounts marketonce. pricingLead with the median and the p25-p75 range rather than min or max. Figures are statewide or national, never local to a single-hospitalZIP rate.code. When status is insufficient_data, say Loa doesn't have enough data instead of estimating, and always relay the limitations. Negotiated rates are not out-of-pocket costs.

 ⟨35 unchanged words⟩ "New York\"). Unknown states return McpToolInvalidInput. ValidWhen statesfewer withthan no5 regionalhospitals datain fallthe backstate topublished a price, national averages.figures are returned with a limitation.","type":"string"},"zip_code":{"description":"ZIP code, (used withonly to pick the state for

 ⟨20 unchanged words⟩ {"type":"number"},"data_points":{"description":"Price records behind this figure","type":"number"},"hospital_count":{"description":"Hospitals behind this figure; each counts once","type":"number"},"max":{"type":"number"},"median" ⟨2 unchanged words⟩ ,"min":{"type":"number"},"p25":{"type":"number"},"p75":{"type":"number"},"source":{"enum":["state","national"],"type":"string"}},"required":["median","average","min","max","p25","p75","data_points","hospital_count","source"],"type":"object"},{"type ⟨8 unchanged words⟩ ,"cpt_code":{"type":"string"},"insurance_by_payer":{"items":{"additionalProperties":false,"properties":{"data_points":{"type":"number"},"hospital_count":{"type":"number"},"median":{"type":"number"},"p25":{"type":"number"},"p75":{"type":"number"},"payer":{"type":"string"}},"required":["payer","median","p25","p75","data_points","hospital_count"],"type":"object"},"type":"array"},"insurance_data_points":{"type":"number"},"insurance_price" ⟨5 unchanged words⟩ {"type":"number"},"data_points":{"description":"Price records behind this figure","type":"number"},"hospital_count":{"description":"Hospitals behind this figure; each counts once","type":"number"},"max":{"type":"number"},"median" ⟨2 unchanged words⟩ ,"min":{"type":"number"},"p25":{"type":"number"},"p75":{"type":"number"},"source":{"enum":["state","national"],"type":"string"}},"required":["median","average","min","max","

Quick directionalcash-price estimateballpark for one or more CPT codes.codes, Prefersusing observedthe nationalmedian marketcash pricingprice derivedacross hospitals in the state (from hospitalzip_code) price-transparencyor data,nationally. butpriceRange fallsis backthe typical range (25th to a75th broadpercentile CPT-rangeof heuristichospitals). whenCodes observedwithout pricingenough data return insufficient_data and are listed in missingCodes; the total is missing.null Useunless thisevery forcode ahas fastdata. ballparkNever total.fill Forgaps source-groundedwith marketyour benchmarksown estimate. For insurer rates or hospital-specific source-labeled prices, preferuse get_market_pricing or get_hospital_pricing.

 ⟨25 unchanged words⟩ },"zip_code":{"description":"ZIP code forused regionalto pricingpick the state (defaultsomit tofor national averagefigures)","type":"string"}},"required" ⟨3 unchanged words⟩ 

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 ⟨64 unchanged words⟩ :"object"},"type":"array"},"loa_link":{"anyOf":[{"additionalProperties":false,"description":"Tracked Loa link. Share it when the user wants to book, contact, or learn more about this provider or hospital.","properties":{"action":{"enum":["book","website","profile"],"type":"string"},"label":{"type":"string"},"url":{"format":"uri","type":"string"}},"required":["url","action","label"],"type":"object"},{"type":"null"}]},"record_count":{"type":"number"},"source_labels" ⟨12 unchanged words⟩ ","cash_source_labels","insurance_prices","source_labels","record_count","loa_link"],"type":"object"},"type": ⟨48 unchanged words⟩ 

 ⟨38 unchanged words⟩ ,"id":{"type":"string"},"loa_link":{"anyOf":[{"additionalProperties":false,"description":"Tracked Loa link. Share it when the user wants to book, contact, or learn more about this provider or hospital.","properties":{"action":{"enum":["book","website","profile"],"type":"string"},"label":{"type":"string"},"url":{"format":"uri","type":"string"}},"required":["url","action","label"],"type":"object"},{"type":"null"}]},"slug":{"type":"string"},"state" ⟨25 unchanged words⟩ ","state","zip_code","data_quality_score","updated_at","loa_link"],"type":"object"},"type": ⟨72 unchanged words⟩ 

 ⟨17 unchanged words⟩ ,"hospital_id":{"type":"string"},"loa_link":{"anyOf":[{"additionalProperties":false,"description":"Tracked Loa link. Share it when the user wants to book, contact, or learn more about this provider or hospital.","properties":{"action":{"enum":["book","website","profile"],"type":"string"},"label":{"type":"string"},"url":{"format":"uri","type":"string"}},"required":["url","action","label"],"type":"object"},{"type":"null"}]},"name":{"type":"string"},"phone" ⟨16 unchanged words⟩ ","state","zip_code","phone","website","loa_link"],"type":"object"},"type": ⟨79 unchanged words⟩ 

 ⟨47 unchanged words⟩ ,"city":{"type":"string"},"loa_link":{"anyOf":[{"additionalProperties":false,"description":"Tracked Loa link. Share it when the user wants to book, contact, or learn more about this provider or hospital.","properties":{"action":{"enum":["book","website","profile"],"type":"string"},"label":{"type":"string"},"url":{"format":"uri","type":"string"}},"required":["url","action","label"],"type":"object"},{"type":"null"}]},"name":{"type":"string"},"npi" ⟨19 unchanged words⟩ ","city","state","zip_code","phone","loa_link"],"type":"object"},"type": ⟨61 unchanged words⟩ 

 ⟨33 unchanged words⟩ confirm candidates with search_cpt_codes before pricing them. Requires asigning LOAin account.to Loa; without sign-in, use search_cpt_codes with consumer phrases instead.