io.github.aanari/loacare-healthcare-pricing

Tools

• explain_price_sources

  Explain the source labels, provenance, confidence, and caveats behind Loa prices for one hospital or provider entity. Use this when an agent needs to tell a user why prices are MRF-published, Loa-reviewed, estimated, or unavailable.

  shallow
• get_entity_prices

  Return source-labeled prices for a Loa hospital or provider entity slug using the shared resolver. Use search_entities first if the slug is unknown. Results include provenance and explicit unavailable rows for requested CPT codes with no current price.

  shallow
• get_entity_profile

  Return one Loa hospital or provider entity profile by exact slug or entity_pages.id. Includes profile-field provenance so agents can distinguish source-file fields from Loa-reviewed overrides.

  shallow
• get_hospital_pricing

  Hospital-specific pricing tool for source-labeled Loa runtime data. Returns source-labeled Published MRF prices and Loa Verified Provider Price overlays for CPT codes, including cash/self-pay and payer-negotiated rates when available. Use this when comparing named hospitals or checking a quoted hospital price against available source rows.

  shallow
• get_market_pricing

  Preferred benchmark pricing tool. Returns market cash/self-pay and insurance-negotiated price summaries for CPT codes, aggregated from Loa's hospital price-transparency dataset. Use this when the user wants source-grounded regional or national market pricing rather than a single-hospital rate.

  shallow
• get_pricing_estimate

  Quick directional estimate for one or more CPT codes. Prefers observed national market pricing derived from hospital price-transparency data, but falls back to a broad CPT-range heuristic when observed pricing is missing. Use this for a fast ballpark total. For source-grounded market benchmarks or hospital-specific source-labeled prices, prefer get_market_pricing or get_hospital_pricing.

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• search_cpt_codes

  Canonical code-lookup tool for this server. Search Loa's CPT/HCPCS index using exact codes, clinical terms, or consumer phrases. Use this first when the user does not already know the CPT code, before calling pricing tools.

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• search_entities

  Search Loa runtime hospital and provider entity pages by name or state. Use this before get_entity_prices when the user names a hospital or provider but does not know the exact Loa slug.

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• search_hospitals

  Search Loa's hospital directory by name or location and return hospital IDs plus address details. Use the returned hospital_ids with get_hospital_pricing to fetch source-labeled Published MRF and reviewed overlay prices.

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• search_providers

  Search public CMS NPI Registry data for clinicians and healthcare organizations by specialty, name, or location. Use returned provenance to understand the registry source and scope. Use this for provider lookup, not pricing.

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• submit_entity_update_request

  Submit a profile, listing, or price correction for Loa review without requiring a provider portal. This is the only mutating provider/entity tool. It requires OAuth, captures submitter and source evidence, records linked-provider status when available, and never changes public data until Loa approves the request.

  shallow
• suggest_procedures

  Advisory helper that suggests likely CPT codes from a plain-English medical need. Uses Loa heuristics plus AI and is not authoritative or diagnostic. Use only when the user cannot name the procedure, then confirm candidates with search_cpt_codes before pricing them. Requires a LOA account.

  shallow

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