`medicare_dmepos_rate`

Pack: medicare-pricing · Connect: https://pipeworx.io/mcp (see Connect below for a single-pack URL)

No MCP client? Call it directly: GET https://gateway.pipeworx.io/v1/tools/medicare_dmepos_rate for the schema, then POST the same URL with its arguments for the data.

What does Medicare pay for a piece of durable medical equipment, prosthetic, orthotic, or medical supply (DMEPOS)? Returns the fee-schedule amount for a HCPCS Level II code (E/K/L/A-codes — CPAP machines, wheelchairs, ostomy supplies, braces, oxygen equipment…) in a given US state, with SEPARATE rural and non-rural amounts, since Medicare pays DMEPOS by state rather than by the physician-fee-schedule locality. Answers “how much does Medicare pay for a CPAP machine (E0601)”, “DMEPOS rate for a wheelchair in Texas”, “what is the rural rate for this HCPCS code in Montana”.

Parameters

Name	Type	Required	Description
`code`	string	yes	HCPCS Level II code, e.g. “E0601” (CPAP device) or “E1390” (oxygen concentrator).
`state`	string	no	US state, DC, or territory (PR/VI) where the equipment is furnished — a 2-letter code (“TX”) or full name (“Texas”). DMEPOS is priced by STATE, not by Medicare locality. Omit only for the raw record without a resolved dollar amount.
`modifier`	string	no	Optional HCPCS modifier, e.g. “RR” (rental), “NU” (purchase, new), “UE” (purchase, used). Many DMEPOS codes are priced only under one modifier; omit to use whichever is on file (stated in the response).
`year`	number	no	Fee-schedule year, e.g. 2026. Omit to use the newest loaded year, which is stated in the response.
`release`	string	no	Quarterly release letter within the year: “A” (Jan), “B” (Apr), “C” (Jul), or “D” (Oct). Omit to use the newest loaded release for the resolved year.

Example call

Arguments

{
  "code": "E0601",
  "state": "TX"
}

curl

curl -X POST https://gateway.pipeworx.io/medicare-pricing/mcp \
  -H 'Content-Type: application/json' \
  -d '{"jsonrpc":"2.0","id":1,"method":"tools/call","params":{"name":"medicare_dmepos_rate","arguments":{"code":"E0601","state":"TX"}}}'

TypeScript (@pipeworx/sdk)

import { Pipeworx } from '@pipeworx/sdk';
const pipeworx = new Pipeworx();

const result = await pipeworx.call('medicare_dmepos_rate', {
  "code": "E0601",
  "state": "TX"
});

Connect

Add this to your MCP client config — every tool in the catalog, including this one — or use one-click install buttons:

{
  "mcpServers": {
    "pipeworx": {
      "url": "https://pipeworx.io/mcp"
    }
  }
}

Connect to just the medicare-pricing pack

{
  "mcpServers": {
    "medicare-pricing": {
      "url": "https://gateway.pipeworx.io/medicare-pricing/mcp"
    }
  }
}

See Getting Started for client-specific install steps.

medicare_dmepos_rate