A side-by-side look at the Loa Healthcare Pricing and Opdstar Nhi MCP MCP servers: transport, auth, tools, quality signals, and the config to install either one in Claude, Cursor, Windsurf or VS Code.
Verdict: choose Loa Healthcare Pricing for biology & bioinformatics work over a hosted endpoint; choose Opdstar Nhi MCP for biology & bioinformatics as a local process. You can also run both side by side in one mcpServers block.
search_cpt_codes, search_providers, get_pricing_estimate.lookup_rejection_code, get_procedures_for_icd, get_indicator.Rows where the two servers differ are marked.
| Spec | ||
|---|---|---|
| Category | Biology & Bioinformatics | Biology & Bioinformatics |
| Quality signal | 57/100 · Good | 64/100 · Good |
| Install command | Confirmed | Confirmed |
| Transport | Remote HTTP/SSE | Local subprocess (stdio) |
| Auth | OAuth 2.0 | No auth required |
| Pricing | Not declared | Free |
| Required env vars | None listed | None listed |
| Verified owner | Community listing | Community listing |
| GitHub stars | 1 | 1 |
| Directory activity | 1 views 0 installs 0 upvotes | 4 views 0 installs 0 upvotes |
| Tools | 12 | 27 |
| Full listing | View Loa Healthcare Pricing | View Opdstar Nhi MCP |
search_cpt_codesCanonical 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.search_providersSearch 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.get_pricing_estimateQuick cash-price ballpark for one or more CPT codes, using the median cash price across hospitals in the state (from zip_code) or nationally. priceRange is the typical range (25th to 75th percentile of hospitals). Codes without enough data return insufficient_data and are listed in missingCodes; the total is null unless every code has data. Never fill gaps with your own estimate. For insurer rates or hospital-specific prices, use get_market_pricing or get_hospital_pricing.get_market_pricingPreferred benchmark pricing tool. Returns hospital-level market statistics for CPT codes from Loa's published hospital price-transparency data: cash/self-pay prices, list prices (gross charges before discounts), overall insurer-negotiated rates, and rates for the most common insurers. Each hospital counts once. Lead with the median and the p25-p75 range rather than min or max. Figures are statewide or national, never local to a ZIP 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.search_hospitalsSearch 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.get_hospital_pricingHospital-specific pricing tool for source-labeled Loa runtime data. Returns source-labeled Published MRF prices and Loa Verified Provider Price overlays for CPT codes. cash_price is the cash/self-pay price, list_price is the gross charge before discounts (most patients pay less), and insurance_prices are payer-negotiated rates for the named plan, not out-of-pocket costs. Any of these can be null when the hospital did not publish that price. Use this when comparing named hospitals or checking a quoted hospital price against available source rows.compare_local_pricesCompare hospitals near a ZIP code for one procedure code, ranked by price (or distance) only. Without insurer, price is the published cash (self-pay) price. With insurer, price is that insurer's negotiated rate, which is not the patient's out-of-pocket cost. Each option says what the price includes, its source and date, distance in miles, and loa_link for booking or contact. Every priced hospital in the radius is ranked before limit applies. Hospitals with no price for the code are counted in hospitals_without_price; hospitals without a matching cash price or insurer rate are listed last with price null. Get the code from search_cpt_codes first. Do not send member IDs or other personal details.search_entitiesSearch 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.get_entity_pricesReturn 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.get_entity_profileReturn 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.explain_price_sourcesExplain 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.submit_entity_update_requestSubmit 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.lookup_rejection_codeLook up a single Taiwan NHI rejection code (5-character format `NNNNL` — 4 digits + 1 uppercase letter A/B/C/..., e.g. '0317A', '0338A', '0114A'). Returns severity (low / medium / high), category (00 診療品質 · 01 病歷紀錄 · 02 基本診療 · 03 藥品特材 · 04 手術處置 · 05 檢查檢驗 · 06 論病例計酬 · 07 復健精神 · 08 其他 · 09 法令 — first two digits encode the category), and the official Chinese description from 健保署 專業審查不予支付理由代碼. Returns a not-found message (not an error) if the code does not exist. **Use when** an agent encounters a known rejection code in a notice or claim response and needs the human-readable explanation, or when triaging which category a code belongs to. **Typical follow-up**: call `get_drug_rules({rejection_code})` if the code is in category 03 (藥品特材) to surface the drug rule behind the rejection; call `search_audit_guidelines({query: <code>})` for codes in 04 / 05 to read the underlying audit-clause text; call `count_appeal_precedents_for_rejection_code({rejection_code})` to gauge whether disputes for this code are commonly successful. **Don't use** to enumerate codes by category — call `get_rejection_code_category({category})` instead. **Reference only** — the official 健保署 code list is authoritative. Curated by OPDSTAR (https://opdstar.com).get_procedures_for_icdGiven a Taiwan ICD-10 code and a medical specialty, return the NHI procedure codes plausibly applicable to that diagnosis within that specialty. Each result includes the procedure code, Chinese name, English name, nhi_points (payment points), and audit_notes (specialty-specific review caveats and risk hints). Results are ordered by curated relevance (most commonly applied codes first), capped at `limit` (default 10, max 20). Returns an empty list (not an error) when no curated mapping exists for the given (icd10, specialty) pair — this is common because the mapping is intentionally conservative. **Use when** an agent is drafting SOAP and needs a starting set of procedure codes for the diagnosis within the clinician's specialty context — e.g. dermatologist with `L30.9` (chronic eczema) needs candidate procedure codes. **Typical follow-up**: for each candidate code, call `lookup_fee_code({q: <code>})` to confirm current points and effective dates, and `lookup_audit_clauses_for_procedure({procedure_code})` to surface any audit-clause caveats. **Don't use** as a billing source of truth — the original NHI fee schedule has no ICD field, this is a curated, intentionally conservative mapping that prefers false negatives over false positives; for the canonical fee-schedule entry of a known code, call `lookup_fee_code`. **Reference only** — final code selection remains the clinician's responsibility. Curated by OPDSTAR (https://opdstar.com).get_indicatorLook up a single Taiwan NHI prescribing-pattern indicator. These are short codes (numeric, or 'P'-prefixed) that encode common over-prescribing patterns such as antibiotic-on-URI, multi-drug co-prescribing, or duration limits. Returns the indicator name, the threshold (e.g. '7-day URI episode'), applicable drugs / diagnoses, and the compliance meaning. Returns a not-found message (not an error) if the code does not exist. **Use when** an agent needs the human-readable explanation for a specific indicator code referenced during a SOAP review or audit response — e.g. an audit notice cites an indicator and the agent needs to surface what it monitors and why a prescription tripped it. **Typical follow-up**: call `get_drug_rules({rejection_code})` with the indicator's downstream rejection code to read the formal payment rule, or `search_audit_guidelines({query})` to read related audit-clause text. **Don't use** for the official 分析審查不予支付指標 (percentage-cap audit) list — that's a different system — call `lookup_audit_indicator` instead. **Reference only** — thresholds and applicable lists reflect published guidance and may change with each NHI release; agents should re-read the indicator each session rather than caching values across sessions. Curated by OPDSTAR (https://opdstar.com).search_nhi_wikiSearch across Taiwan's official NHI knowledge base (健保署全球資訊網) for natural-language background questions. Covers 9 categories: audit (審查 — review rules / rejection grounds), drugs (藥品特材 — formulary, payment limits), fees (費用 — copay, premiums, contribution), plans (醫療計畫 — disease-management programs), services (醫療服務 — covered benefits), insurance (投保 — enrollment), forms (表單 — applications), records (紀錄 — documentation rules), admin (行政 — contracting, accreditation). Returns up to 10 ranked excerpts (most relevant first); each result includes title, content snippet, source URL, and category tag. Returns an empty list (not an error) when the query has no matches. **Use when** an agent needs broad NHI policy background not tied to a specific code — e.g. '慢性病連續處方箋天數上限' / 'how does balance billing work for orthodontics' / 'what are the rules for telemedicine reimbursement'. **Typical follow-up**: when an excerpt mentions a specific code (e.g. '0317A', '00101B'), call the appropriate code-specific tool (`lookup_rejection_code`, `lookup_fee_code`) for the canonical entry. **Don't use** when you already know a specific rejection code, procedure code, drug name, or audit-clause topic — those have dedicated tools that return structured fields rather than excerpts. **Reference only** — official 健保署 publications are authoritative; ranked excerpts may lag the latest revision and the snippet is not the full document. Curated by OPDSTAR (https://opdstar.com).search_nhi_interpretationsSearch Taiwan's official NHI administrative interpretations (健保署行政函釋 / 函令) — the binding 公告 and 解釋函 issued by the National Health Insurance Administration that clarify how payment rules, drug-formulary provisions, special-material coverage, and review policy apply in practice. Each result returns the official document number (字號), issue date, 主旨 (subject), a content excerpt, and the source URL on the government law portal. Returns up to 10 ranked excerpts (most relevant first); returns an empty list (not an error) when nothing matches. **Use when** a question turns on an official ruling rather than a code definition — e.g. '函釋怎麼說人工水晶體的給付規定' / 'is there an interpretation on continuous-prescription day limits' — or when the user cites a 函釋 文號 directly (e.g. 健保審字第 1090017813 號). **Don't use** when you already have a specific rejection code, fee code, or drug name — those have dedicated lookup tools (`lookup_rejection_code`, `lookup_fee_code`, `lookup_drug`). **Reference only** — the official 健保署 / 衛福部 publication is authoritative; an excerpt may lag the latest revision and is not the full document, so open the source URL for the binding text. Curated by OPDSTAR (https://opdstar.com).get_drug_rulesLook up Taiwan NHI drug payment rules (藥品給付規定) — when a drug class is / isn't reimbursable, with severity and source citation. Filter by `specialty`, `rejection_code`, or `drug_category_query` (at least one required). **Use when** an agent is checking whether a drug choice will trigger a rejection before submission, or wants to read the rule behind a known rejection code. **Don't use** to identify a specific drug (brand / generic / strength) — call `lookup_drug` instead; for the underlying audit clauses, use `lookup_audit_clauses_for_procedure` or `lookup_audit_clauses_for_specialty`. **Reference only** — official 健保藥品給付規定 is authoritative; curated subset, not exhaustive. Curated by OPDSTAR (https://opdstar.com).get_safe_phrasesPreview which documentation scenarios have OPDSTAR-curated NHI-safe phrasing patterns for a given specialty (e.g. dermatology + 抗生素) — returns scenario name, high-risk wording to avoid, the key difference, and the first sentence of the safe-phrasing example. Up to 5 scenarios per call. **Use when** an agent is helping draft SOAP wording and needs to flag risky phrasing before submission. **Don't use** to retrieve full ready-to-copy templates (full library is part of the paid OPDSTAR product — link the user to opdstar.com); for the underlying audit rule that motivates a safe phrase, call `search_audit_guidelines`. **Reference only** — phrasing patterns reflect curated review experience, not formal NHI directives. Curated by OPDSTAR (https://opdstar.com).search_audit_guidelinesFree-text search over Taiwan NHI 審查注意事項 rules — returns reason + suggestion summaries (first sentence only) for up to 10 rules matching a keyword (Traditional Chinese or English). **Use when** an agent is exploring whether any audit rule covers a topic (e.g. '抗生素', '檢查頻率', '慢性病處方') without knowing a specific code. **Don't use** for clauses tied to a known procedure code — call `lookup_audit_clauses_for_procedure` instead. Full SOAP example templates and detailed reasoning are part of the paid OPDSTAR product. **Reference only** — official 健保署 審查注意事項 is authoritative; results are previews. Curated by OPDSTAR (https://opdstar.com).get_rejection_code_categoryBrowse Taiwan NHI rejection codes by category (00-09) for discovery — returns code, severity, and short description, up to 50 per call. Categories: 00 診療品質 · 01 病歷紀錄 · 02 基本診療 · 03 藥品特材 · 04 手術處置 · 05 檢查檢驗 · 06 論病例計酬 · 07 復健精神 · 08 其他 · 09 法令. **Use when** an agent needs to enumerate all rejection codes within a workflow domain (e.g. all surgery-handling codes). **Don't use** to look up a known specific code — call `lookup_rejection_code` instead. **Reference only** — official 健保署 不予支付理由代碼 is authoritative. Curated by OPDSTAR (https://opdstar.com).lookup_drugLook up the active Taiwan NHI drug catalog by generic name, brand name, NHI drug code, or alias — returns up to 10 matches with strength, dosage form, route, ATC code, therapeutic class, and brand list. **Use when** an agent needs to identify or disambiguate a drug before recommending dosage / formulation in a SOAP draft. **Don't use** to look up payment / reimbursement rules for the drug — call `get_drug_rules` instead; for an audit clause referencing the drug, call `search_audit_guidelines`. **Reference only** — official 健保署 藥品給付項目及支付標準 is authoritative; the catalog is a working snapshot. Curated by OPDSTAR (https://opdstar.com).lookup_fee_codeLook up the Taiwan NHI fee schedule (全民健康保險醫療服務給付項目及支付標準, current effective edition). Search by exact code (e.g. '00101B', 'P15001') or by Chinese / English name (e.g. '門診診察', 'ICU') — returns code, points, effective dates, and audit notes (truncated to 600 chars). Use `category` prefix to scope ('00' 基本診療, '06' 手術, 'P1' 病例計酬, 'N2' 護理). **Use when** an agent needs the canonical fee entry for a known procedure code, or wants to discover codes by name. **Don't use** for drugs (call `lookup_drug`) or for ICD-10 → procedure suggestions (call `get_procedures_for_icd`). The optional `icd` filter applies an OPDSTAR-curated mapping that is intentionally sparse (the original NHI data has no ICD field) — most codes will return no result with `icd` active. **Reference only** — official 健保署 支付標準 is authoritative. Curated by OPDSTAR (https://opdstar.com).lookup_audit_clauses_for_procedureFind Taiwan NHI 審查注意事項 clauses that reference a specific procedure code (e.g. '00101B', '51017C') — each result indicates whether the clause carries an amount limit, frequency rule, or indication restriction (critical signals for rejection-risk assessment). Returns clause summary, specialty, and risk flags. **Use when** an agent has a candidate procedure code and needs to surface the audit context attached to it. **Don't use** for the procedure's fee-schedule entry (points / effective dates) — call `lookup_fee_code`; for browsing all clauses within a specialty, call `lookup_audit_clauses_for_specialty`. **Reference only** — clause summaries are first-sentence previews; official 健保署 審查注意事項 is the source of truth. Curated by OPDSTAR (https://opdstar.com).Paste either block (or both) into your client config, e.g. claude_desktop_config.json or ~/.cursor/mcp.json. We only show a config when the install command is confirmed.
{
"mcpServers": {
"loa-healthcare-pricing-2": {
"url": "https://www.loacare.com/api/mcp"
}
}
}
{
"mcpServers": {
"tatsuju-opdstar-nhi-mcp": {
"command": "npx",
"args": [
"-y",
"@opdstar/nhi-mcp"
]
}
}
}