{"procedure":{"code_type":"CPT","code":"12001","lay_name":"Simple wound stitching on trunk or limbs, up to 2.5 cm","blurb":"Single-layer closure of a shallow cut on the scalp, neck, underarm, genital area, trunk, arms or legs, with a total repaired length of 2.5 cm or less.","slug":"cpt-12001-simple-wound-stitching-on-trunk-or-limbs-up-to-2-5-cm","description":"Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/<","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"171","label":"Suture of skin and subcutaneous tissue","surgery_flag":"broad"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-07-21T03:10:38.720322Z","checked_through":"2026-09-25T01:13:55.396173Z","n_priced_setters":3956,"n_filed":3131,"n_usable":2923,"n_not_usable":1,"n_labelled":88,"n_no_cash":109,"n_estimated":10,"n_states":50,"cash_p10":94.5,"cash_p20":139.2,"cash_p25":161.74,"cash_p50":273.65,"cash_p75":457.0,"cash_p80":510.0,"cash_p90":733.5,"cash_mean_trimmed":287.87,"gross_p50":463.0,"cash_to_gross_p50":0.65,"medicare_rate":204.98,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":1.335,"by_state":[{"state":"AK","n":16,"p20":204.75,"p50":372.0,"p80":626.34},{"state":"AL","n":34,"p20":90.4,"p50":223.87,"p80":604.0},{"state":"AR","n":38,"p20":127.14,"p50":202.54,"p80":258.04},{"state":"AZ","n":36,"p20":106.0,"p50":183.55,"p80":495.28},{"state":"CA","n":167,"p20":239.66,"p50":551.2,"p80":946.0},{"state":"CO","n":58,"p20":133.7,"p50":235.45,"p80":488.25},{"state":"CT","n":16,"p20":179.0,"p50":292.88,"p80":445.0},{"state":"DE","n":7,"p20":null,"p50":null,"p80":null},{"state":"FL","n":110,"p20":194.7,"p50":502.8,"p80":1042.56},{"state":"GA","n":99,"p20":151.5,"p50":287.7,"p80":741.0},{"state":"HI","n":16,"p20":266.68,"p50":403.0,"p80":510.9},{"state":"IA","n":91,"p20":120.0,"p50":200.85,"p80":309.0},{"state":"ID","n":23,"p20":81.6,"p50":225.0,"p80":556.0},{"state":"IL","n":126,"p20":149.06,"p50":331.1,"p80":513.49},{"state":"IN","n":59,"p20":179.67,"p50":296.94,"p80":506.4},{"state":"KS","n":88,"p20":108.5,"p50":189.0,"p80":300.0},{"state":"KY","n":50,"p20":147.5,"p50":276.6,"p80":415.97},{"state":"LA","n":51,"p20":87.92,"p50":170.56,"p80":288.5},{"state":"MA","n":44,"p20":249.67,"p50":360.0,"p80":497.0},{"state":"MD","n":7,"p20":null,"p50":null,"p80":null},{"state":"ME","n":24,"p20":102.6,"p50":137.27,"p80":197.37},{"state":"MI","n":85,"p20":91.5,"p50":210.0,"p80":318.4},{"state":"MN","n":100,"p20":145.6,"p50":271.5,"p80":405.79},{"state":"MO","n":70,"p20":116.66,"p50":213.95,"p80":417.0},{"state":"MS","n":52,"p20":104.14,"p50":166.93,"p80":335.92},{"state":"MT","n":34,"p20":100.75,"p50":182.03,"p80":306.8},{"state":"NC","n":58,"p20":181.2,"p50":295.2,"p80":374.23},{"state":"ND","n":28,"p20":121.5,"p50":263.0,"p80":330.85},{"state":"NE","n":76,"p20":159.0,"p50":208.0,"p80":307.0},{"state":"NH","n":21,"p20":120.6,"p50":174.72,"p80":302.22},{"state":"NJ","n":56,"p20":220.12,"p50":267.15,"p80":3786.0},{"state":"NM","n":29,"p20":207.6,"p50":355.2,"p80":523.0},{"state":"NV","n":16,"p20":213.2,"p50":252.7,"p80":345.0},{"state":"NY","n":103,"p20":126.0,"p50":250.45,"p80":584.21},{"state":"OH","n":118,"p20":174.0,"p50":263.9,"p80":456.87},{"state":"OK","n":69,"p20":85.6,"p50":175.52,"p80":396.91},{"state":"OR","n":54,"p20":113.05,"p50":171.6,"p80":402.0},{"state":"PA","n":125,"p20":144.0,"p50":297.43,"p80":543.6},{"state":"RI","n":9,"p20":null,"p50":null,"p80":null},{"state":"SC","n":45,"p20":198.0,"p50":328.0,"p80":683.8},{"state":"SD","n":43,"p20":119.31,"p50":259.2,"p80":444.8},{"state":"TN","n":58,"p20":84.0,"p50":165.02,"p80":307.12},{"state":"TX","n":191,"p20":170.0,"p50":334.29,"p80":591.5},{"state":"UT","n":34,"p20":224.56,"p50":322.79,"p80":429.31},{"state":"VA","n":58,"p20":121.5,"p50":361.22,"p80":470.7},{"state":"VT","n":12,"p20":129.15,"p50":217.8,"p80":508.2},{"state":"WA","n":77,"p20":158.9,"p50":317.6,"p80":500.0},{"state":"WI","n":87,"p20":158.65,"p50":342.65,"p80":487.2},{"state":"WV","n":41,"p20":153.11,"p50":271.0,"p80":402.5},{"state":"WY","n":14,"p20":56.31,"p50":189.19,"p80":438.0}],"by_segment":{"hospital_type":[{"key":"acute","n":1948,"p20":158.65,"p50":301.2,"p80":566.4},{"key":"childrens","n":47,"p20":162.0,"p50":297.43,"p80":545.3},{"key":"critical_access","n":922,"p20":112.0,"p50":216.03,"p80":368.0}],"ownership":[{"key":"for_profit","n":310,"p20":166.61,"p50":330.0,"p80":881.81},{"key":"government","n":609,"p20":118.97,"p50":219.0,"p80":374.23},{"key":"nonprofit","n":1998,"p20":147.08,"p50":280.5,"p80":516.04}],"affiliation":[{"key":"affiliated","n":2313,"p20":152.0,"p50":287.7,"p80":531.6},{"key":"independent","n":610,"p20":106.56,"p50":209.25,"p80":395.53}]},"histogram":[{"lo":66.0,"hi":87.35,"n":108},{"lo":87.35,"hi":115.6,"n":179},{"lo":115.6,"hi":152.98,"n":237},{"lo":152.98,"hi":202.46,"n":330},{"lo":202.46,"hi":267.94,"n":435},{"lo":267.94,"hi":354.6,"n":417},{"lo":354.6,"hi":469.28,"n":369},{"lo":469.28,"hi":621.06,"n":328},{"lo":621.06,"hi":821.92,"n":154},{"lo":821.92,"hi":1087.75,"n":74}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-07-21T03:10:38.720322Z","checked_through":"2026-09-25T01:13:55.396173Z","n_priced_setters":3956,"n_filed":2323,"n_usable":2174,"n_not_usable":1,"n_labelled":54,"n_no_cash":94,"n_estimated":0,"n_states":50,"cash_p10":103.91,"cash_p20":151.8,"cash_p25":176.18,"cash_p50":308.8,"cash_p75":487.2,"cash_p80":534.0,"cash_p90":719.0,"cash_mean_trimmed":318.5,"gross_p50":507.0,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":10,"p20":229.32,"p50":429.78,"p80":663.72},{"state":"AL","n":16,"p20":168.43,"p50":269.0,"p80":390.39},{"state":"AR","n":12,"p20":69.83,"p50":122.45,"p80":195.75},{"state":"AZ","n":26,"p20":106.0,"p50":133.56,"p80":247.6},{"state":"CA","n":149,"p20":275.05,"p50":551.2,"p80":1024.0},{"state":"CO","n":45,"p20":222.95,"p50":287.55,"p80":600.6},{"state":"CT","n":10,"p20":179.0,"p50":315.14,"p80":470.4},{"state":"DE","n":6,"p20":null,"p50":null,"p80":null},{"state":"FL","n":83,"p20":226.8,"p50":502.8,"p80":800.0},{"state":"GA","n":78,"p20":162.9,"p50":287.7,"p80":741.0},{"state":"HI","n":11,"p20":266.68,"p50":474.6,"p80":510.9},{"state":"IA","n":68,"p20":133.6,"p50":213.6,"p80":401.61},{"state":"ID","n":16,"p20":150.15,"p50":322.79,"p80":556.0},{"state":"IL","n":113,"p20":172.52,"p50":376.7,"p80":490.0},{"state":"IN","n":37,"p20":99.6,"p50":269.15,"p80":518.4},{"state":"KS","n":65,"p20":190.4,"p50":375.92,"p80":529.0},{"state":"KY","n":43,"p20":168.59,"p50":289.8,"p80":471.38},{"state":"LA","n":36,"p20":109.0,"p50":195.75,"p80":289.6},{"state":"MA","n":37,"p20":270.0,"p50":384.0,"p80":534.0},{"state":"MD","n":4,"p20":null,"p50":null,"p80":null},{"state":"ME","n":20,"p20":99.58,"p50":130.25,"p80":187.5},{"state":"MI","n":69,"p20":171.6,"p50":213.25,"p80":361.25},{"state":"MN","n":81,"p20":149.64,"p50":277.86,"p80":359.2},{"state":"MO","n":35,"p20":118.5,"p50":235.2,"p80":375.6},{"state":"MS","n":34,"p20":101.24,"p50":183.54,"p80":285.0},{"state":"MT","n":25,"p20":112.12,"p50":254.0,"p80":351.0},{"state":"NC","n":36,"p20":191.0,"p50":374.23,"p80":442.0},{"state":"ND","n":18,"p20":106.59,"p50":207.32,"p80":346.4},{"state":"NE","n":30,"p20":135.0,"p50":202.7,"p80":317.2},{"state":"NH","n":18,"p20":120.6,"p50":161.32,"p80":480.63},{"state":"NJ","n":26,"p20":259.59,"p50":266.24,"p80":987.16},{"state":"NM","n":20,"p20":207.6,"p50":354.9,"p80":399.3},{"state":"NV","n":7,"p20":null,"p50":null,"p80":null},{"state":"NY","n":69,"p20":100.75,"p50":285.0,"p80":601.25},{"state":"OH","n":107,"p20":166.5,"p50":330.0,"p80":492.6},{"state":"OK","n":52,"p20":100.5,"p50":131.8,"p80":363.6},{"state":"OR","n":38,"p20":129.0,"p50":295.2,"p80":558.86},{"state":"PA","n":108,"p20":186.0,"p50":426.6,"p80":580.35},{"state":"RI","n":4,"p20":null,"p50":null,"p80":null},{"state":"SC","n":39,"p20":204.0,"p50":360.5,"p80":683.8},{"state":"SD","n":35,"p20":119.31,"p50":273.54,"p80":447.0},{"state":"TN","n":44,"p20":84.0,"p50":103.91,"p80":217.8},{"state":"TX","n":146,"p20":208.0,"p50":385.92,"p80":591.5},{"state":"UT","n":30,"p20":209.45,"p50":322.79,"p80":429.31},{"state":"VA","n":50,"p20":103.6,"p50":363.0,"p80":470.7},{"state":"VT","n":9,"p20":null,"p50":null,"p80":null},{"state":"WA","n":60,"p20":176.0,"p50":389.07,"p80":551.04},{"state":"WI","n":71,"p20":158.65,"p50":379.6,"p80":503.58},{"state":"WV","n":17,"p20":116.63,"p50":226.0,"p80":516.03},{"state":"WY","n":11,"p20":56.31,"p50":273.0,"p80":459.0}],"by_segment":{"hospital_type":[{"key":"acute","n":1493,"p20":166.4,"p50":329.5,"p80":566.1},{"key":"childrens","n":38,"p20":162.0,"p50":385.92,"p80":782.3},{"key":"critical_access","n":637,"p20":122.85,"p50":267.0,"p80":447.0}],"ownership":[{"key":"for_profit","n":184,"p20":130.0,"p50":315.14,"p80":647.0},{"key":"government","n":414,"p20":140.0,"p50":279.2,"p80":470.48},{"key":"nonprofit","n":1570,"p20":158.65,"p50":316.0,"p80":538.2}],"affiliation":[{"key":"affiliated","n":1753,"p20":158.85,"p50":317.0,"p80":543.6},{"key":"independent","n":421,"p20":125.0,"p50":265.0,"p80":498.95}]},"histogram":[{"lo":82.34,"hi":105.06,"n":117},{"lo":105.06,"hi":134.04,"n":142},{"lo":134.04,"hi":171.03,"n":149},{"lo":171.03,"hi":218.21,"n":236},{"lo":218.21,"hi":278.41,"n":224},{"lo":278.41,"hi":355.23,"n":277},{"lo":355.23,"hi":453.24,"n":279},{"lo":453.24,"hi":578.28,"n":302},{"lo":578.28,"hi":737.83,"n":132},{"lo":737.83,"hi":941.4,"n":103}],"previous":null}},"related":[{"code_type":"CPT","code":"12002","lay_name":"Simple wound stitching on trunk or limbs, 2.6 to 7.5 cm","slug":"cpt-12002-simple-wound-stitching-on-trunk-or-limbs-2-6-to-7-5-cm"},{"code_type":"CPT","code":"12032","lay_name":"Layered repair of scalp, trunk or limb wound, 2.6 to 7.5 cm","slug":"cpt-12032-layered-repair-of-scalp-trunk-or-limb-wound-2-6-to-7-5-cm"},{"code_type":"CPT","code":"12011","lay_name":"Simple wound stitching on face or lips, up to 2.5 cm","slug":"cpt-12011-simple-wound-stitching-on-face-or-lips-up-to-2-5-cm"},{"code_type":"CPT","code":"12031","lay_name":"Layered repair of scalp, trunk or limb wound, up to 2.5 cm","slug":"cpt-12031-layered-repair-of-scalp-trunk-or-limb-wound-up-to-2-5-cm"},{"code_type":"CPT","code":"12013","lay_name":"Simple wound stitching on face or lips, 2.6 to 5 cm","slug":"cpt-12013-simple-wound-stitching-on-face-or-lips-2-6-to-5-cm"},{"code_type":"CPT","code":"12004","lay_name":"Simple wound stitching on trunk or limbs, 7.6 to 12.5 cm","slug":"cpt-12004-simple-wound-stitching-on-trunk-or-limbs-7-6-to-12-5-cm"},{"code_type":"CPT","code":"12034","lay_name":"Layered repair of scalp, trunk or limb wound, 7.6 to 12.5 cm","slug":"cpt-12034-layered-repair-of-scalp-trunk-or-limb-wound-7-6-to-12-5-cm"},{"code_type":"CPT","code":"12042","lay_name":"Layered repair of neck, hand or foot wound, 2.6 to 7.5 cm","slug":"cpt-12042-layered-repair-of-neck-hand-or-foot-wound-2-6-to-7-5-cm"},{"code_type":"CPT","code":"12041","lay_name":"Layered repair of neck, hand or foot wound, up to 2.5 cm","slug":"cpt-12041-layered-repair-of-neck-hand-or-foot-wound-up-to-2-5-cm"},{"code_type":"CPT","code":"12051","lay_name":"Layered repair of face or lip wound, up to 2.5 cm","slug":"cpt-12051-layered-repair-of-face-or-lip-wound-up-to-2-5-cm"},{"code_type":"CPT","code":"12052","lay_name":"Layered stitch repair of face or mouth wound, 2.6-5 cm","slug":"cpt-12052-layered-stitch-repair-of-face-or-mouth-wound-2-6-5-cm"},{"code_type":"CPT","code":"12014","lay_name":"Simple stitching of face or lip wound, 5.1 to 7.5 cm","slug":"cpt-12014-simple-stitching-of-face-or-lip-wound-5-1-to-7-5-cm"}]}