{"procedure":{"code_type":"CPT","code":"12042","lay_name":"Layered repair of neck, hand or foot wound, 2.6 to 7.5 cm","blurb":"Multi-layer stitch repair, including the tissue under the skin, of a cut on the neck, hand, foot or external genitals, with repaired length totaling 2.6 to 7.5 cm.","slug":"cpt-12042-layered-repair-of-neck-hand-or-foot-wound-2-6-to-7-5-cm","description":"Repair Intermediate N/H/F/Xtrnl Gent 2.6-7.5 Cm","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":2864,"n_usable":2665,"n_not_usable":0,"n_labelled":85,"n_no_cash":103,"n_estimated":11,"n_states":50,"cash_p10":215.54,"cash_p20":300.95,"cash_p25":332.98,"cash_p50":524.0,"cash_p75":819.0,"cash_p80":925.0,"cash_p90":1445.0,"cash_mean_trimmed":553.84,"gross_p50":847.0,"cash_to_gross_p50":0.65,"medicare_rate":415.32,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":1.2617,"by_state":[{"state":"AK","n":14,"p20":511.37,"p50":707.0,"p80":1532.48},{"state":"AL","n":31,"p20":248.4,"p50":375.45,"p80":791.13},{"state":"AR","n":36,"p20":215.54,"p50":448.0,"p80":592.51},{"state":"AZ","n":28,"p20":350.0,"p50":467.35,"p80":1666.2},{"state":"CA","n":138,"p20":505.2,"p50":878.8,"p80":1317.0},{"state":"CO","n":49,"p20":337.15,"p50":602.0,"p80":1006.0},{"state":"CT","n":19,"p20":323.11,"p50":831.0,"p80":1298.0},{"state":"DE","n":5,"p20":null,"p50":null,"p80":null},{"state":"FL","n":106,"p20":445.6,"p50":995.0,"p80":2092.66},{"state":"GA","n":74,"p20":326.7,"p50":577.8,"p80":897.0},{"state":"HI","n":16,"p20":570.53,"p50":592.9,"p80":954.0},{"state":"IA","n":85,"p20":260.0,"p50":427.2,"p80":638.0},{"state":"ID","n":22,"p20":248.0,"p50":356.0,"p80":1117.0},{"state":"IL","n":117,"p20":319.2,"p50":586.6,"p80":882.99},{"state":"IN","n":58,"p20":307.45,"p50":489.6,"p80":2255.25},{"state":"KS","n":77,"p20":251.5,"p50":381.84,"p80":610.26},{"state":"KY","n":49,"p20":276.6,"p50":367.14,"p80":791.48},{"state":"LA","n":49,"p20":176.12,"p50":303.0,"p80":559.32},{"state":"MA","n":47,"p20":498.92,"p50":691.52,"p80":1212.0},{"state":"MD","n":3,"p20":null,"p50":null,"p80":null},{"state":"ME","n":22,"p20":256.2,"p50":329.4,"p80":475.5},{"state":"MI","n":77,"p20":225.0,"p50":433.6,"p80":583.1},{"state":"MN","n":93,"p20":343.44,"p50":559.18,"p80":745.65},{"state":"MO","n":56,"p20":269.5,"p50":427.5,"p80":908.6},{"state":"MS","n":49,"p20":147.6,"p50":283.5,"p80":573.56},{"state":"MT","n":32,"p20":247.0,"p50":415.2,"p80":524.55},{"state":"NC","n":51,"p20":265.2,"p50":454.65,"p80":522.6},{"state":"ND","n":27,"p20":410.4,"p50":574.0,"p80":720.0},{"state":"NE","n":67,"p20":369.6,"p50":569.32,"p80":679.5},{"state":"NH","n":20,"p20":141.96,"p50":289.98,"p80":571.76},{"state":"NJ","n":47,"p20":470.51,"p50":752.14,"p80":4627.0},{"state":"NM","n":29,"p20":365.0,"p50":583.5,"p80":813.29},{"state":"NV","n":15,"p20":337.9,"p50":442.0,"p80":840.0},{"state":"NY","n":110,"p20":298.0,"p50":603.31,"p80":1613.85},{"state":"OH","n":108,"p20":352.11,"p50":648.0,"p80":837.0},{"state":"OK","n":63,"p20":238.0,"p50":433.55,"p80":853.05},{"state":"OR","n":51,"p20":352.6,"p50":562.9,"p80":746.25},{"state":"PA","n":118,"p20":330.5,"p50":531.2,"p80":925.0},{"state":"RI","n":8,"p20":null,"p50":null,"p80":null},{"state":"SC","n":45,"p20":250.18,"p50":555.22,"p80":1279.85},{"state":"SD","n":32,"p20":543.9,"p50":652.8,"p80":864.0},{"state":"TN","n":49,"p20":150.9,"p50":332.98,"p80":649.0},{"state":"TX","n":176,"p20":312.9,"p50":510.4,"p80":867.0},{"state":"UT","n":27,"p20":368.62,"p50":693.65,"p80":730.16},{"state":"VA","n":54,"p20":159.6,"p50":517.8,"p80":720.5},{"state":"VT","n":12,"p20":239.4,"p50":360.5,"p80":980.0},{"state":"WA","n":69,"p20":439.2,"p50":588.7,"p80":950.04},{"state":"WI","n":83,"p20":330.2,"p50":511.1,"p80":703.76},{"state":"WV","n":38,"p20":376.94,"p50":485.66,"p80":728.5},{"state":"WY","n":14,"p20":243.39,"p50":286.65,"p80":739.0}],"by_segment":{"hospital_type":[{"key":"acute","n":1772,"p20":312.9,"p50":565.0,"p80":1092.0},{"key":"childrens","n":45,"p20":246.0,"p50":522.0,"p80":1217.41},{"key":"critical_access","n":841,"p20":281.4,"p50":473.25,"p80":712.8}],"ownership":[{"key":"for_profit","n":279,"p20":326.5,"p50":636.0,"p80":1666.2},{"key":"government","n":549,"p20":269.5,"p50":454.65,"p80":723.6},{"key":"nonprofit","n":1830,"p20":304.8,"p50":543.9,"p80":922.0}],"affiliation":[{"key":"affiliated","n":2110,"p20":320.02,"p50":557.2,"p80":980.0},{"key":"independent","n":555,"p20":251.6,"p50":429.0,"p80":736.0}]},"histogram":[{"lo":154.7,"hi":205.92,"n":113},{"lo":205.92,"hi":274.1,"n":207},{"lo":274.1,"hi":364.86,"n":321},{"lo":364.86,"hi":485.66,"n":422},{"lo":485.66,"hi":646.47,"n":453},{"lo":646.47,"hi":860.52,"n":403},{"lo":860.52,"hi":1145.44,"n":245},{"lo":1145.44,"hi":1524.69,"n":126},{"lo":1524.69,"hi":2029.52,"n":65},{"lo":2029.52,"hi":2701.5,"n":45}],"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":2068,"n_usable":1922,"n_not_usable":0,"n_labelled":50,"n_no_cash":96,"n_estimated":0,"n_states":50,"cash_p10":227.07,"cash_p20":312.8,"cash_p25":338.25,"cash_p50":555.84,"cash_p75":855.2,"cash_p80":954.0,"cash_p90":1388.0,"cash_mean_trimmed":578.07,"gross_p50":883.0,"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":511.37,"p50":648.5,"p80":1627.97},{"state":"AL","n":14,"p20":285.76,"p50":358.0,"p80":733.0},{"state":"AR","n":11,"p20":226.63,"p50":251.9,"p80":290.0},{"state":"AZ","n":19,"p20":350.0,"p50":350.0,"p80":1102.5},{"state":"CA","n":123,"p20":520.32,"p50":878.8,"p80":1412.0},{"state":"CO","n":36,"p20":417.6,"p50":731.85,"p80":1064.0},{"state":"CT","n":12,"p20":437.0,"p50":1040.0,"p80":1298.0},{"state":"DE","n":4,"p20":null,"p50":null,"p80":null},{"state":"FL","n":78,"p20":578.0,"p50":992.95,"p80":1699.31},{"state":"GA","n":53,"p20":343.5,"p50":619.8,"p80":897.0},{"state":"HI","n":11,"p20":386.1,"p50":954.0,"p80":1059.0},{"state":"IA","n":60,"p20":293.94,"p50":396.6,"p80":602.08},{"state":"ID","n":16,"p20":281.96,"p50":362.52,"p80":1117.0},{"state":"IL","n":104,"p20":349.51,"p50":586.6,"p80":939.6},{"state":"IN","n":32,"p20":256.85,"p50":445.9,"p80":901.6},{"state":"KS","n":53,"p20":269.49,"p50":689.4,"p80":1506.6},{"state":"KY","n":43,"p20":276.6,"p50":376.2,"p80":734.5},{"state":"LA","n":30,"p20":182.79,"p50":298.6,"p80":538.16},{"state":"MA","n":41,"p20":478.1,"p50":683.0,"p80":1212.0},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":19,"p20":197.67,"p50":323.34,"p80":475.5},{"state":"MI","n":60,"p20":330.2,"p50":433.6,"p80":681.7},{"state":"MN","n":66,"p20":354.67,"p50":526.4,"p80":690.8},{"state":"MO","n":28,"p20":269.5,"p50":557.4,"p80":945.7},{"state":"MS","n":31,"p20":144.32,"p50":248.04,"p80":473.04},{"state":"MT","n":23,"p20":297.05,"p50":468.0,"p80":566.2},{"state":"NC","n":32,"p20":288.04,"p50":454.65,"p80":510.75},{"state":"ND","n":17,"p20":407.54,"p50":512.0,"p80":782.4},{"state":"NE","n":27,"p20":369.6,"p50":549.02,"p80":713.7},{"state":"NH","n":17,"p20":141.96,"p50":331.89,"p80":624.19},{"state":"NJ","n":21,"p20":530.28,"p50":1158.0,"p80":1895.7},{"state":"NM","n":19,"p20":350.0,"p50":583.5,"p80":757.8},{"state":"NV","n":6,"p20":null,"p50":null,"p80":null},{"state":"NY","n":63,"p20":298.0,"p50":706.0,"p80":1180.0},{"state":"OH","n":97,"p20":357.26,"p50":676.0,"p80":837.0},{"state":"OK","n":46,"p20":215.62,"p50":326.4,"p80":547.8},{"state":"OR","n":35,"p20":423.21,"p50":617.6,"p80":791.25},{"state":"PA","n":104,"p20":399.25,"p50":749.4,"p80":1160.0},{"state":"RI","n":3,"p20":null,"p50":null,"p80":null},{"state":"SC","n":38,"p20":316.71,"p50":555.22,"p80":1279.85},{"state":"SD","n":24,"p20":531.56,"p50":646.0,"p80":801.22},{"state":"TN","n":37,"p20":150.9,"p50":227.07,"p80":357.9},{"state":"TX","n":132,"p20":312.9,"p50":503.03,"p80":849.23},{"state":"UT","n":24,"p20":327.52,"p50":693.65,"p80":730.16},{"state":"VA","n":49,"p20":159.6,"p50":524.0,"p80":720.5},{"state":"VT","n":8,"p20":null,"p50":null,"p80":null},{"state":"WA","n":51,"p20":464.52,"p50":669.94,"p80":848.8},{"state":"WI","n":67,"p20":330.2,"p50":511.1,"p80":621.0},{"state":"WV","n":16,"p20":304.8,"p50":387.98,"p80":557.2},{"state":"WY","n":11,"p20":244.39,"p50":621.6,"p80":900.9}],"by_segment":{"hospital_type":[{"key":"acute","n":1320,"p20":312.9,"p50":586.2,"p80":1026.0},{"key":"childrens","n":33,"p20":358.0,"p50":665.25,"p80":1766.0},{"key":"critical_access","n":562,"p20":293.94,"p50":498.86,"p80":787.0}],"ownership":[{"key":"for_profit","n":158,"p20":300.0,"p50":579.75,"p80":1257.6},{"key":"government","n":363,"p20":315.0,"p50":493.6,"p80":848.8},{"key":"nonprofit","n":1394,"p20":311.0,"p50":567.29,"p80":965.8}],"affiliation":[{"key":"affiliated","n":1550,"p20":319.15,"p50":568.0,"p80":968.8},{"key":"independent","n":372,"p20":263.31,"p50":488.4,"p80":875.0}]},"histogram":[{"lo":171.2,"hi":217.74,"n":78},{"lo":217.74,"hi":276.92,"n":132},{"lo":276.92,"hi":352.2,"n":209},{"lo":352.2,"hi":447.93,"n":193},{"lo":447.93,"hi":569.69,"n":287},{"lo":569.69,"hi":724.54,"n":256},{"lo":724.54,"hi":921.49,"n":266},{"lo":921.49,"hi":1171.97,"n":162},{"lo":1171.97,"hi":1490.54,"n":85},{"lo":1490.54,"hi":1895.7,"n":62}],"previous":null}},"related":[{"code_type":"CPT","code":"12001","lay_name":"Simple wound stitching on trunk or limbs, up to 2.5 cm","slug":"cpt-12001-simple-wound-stitching-on-trunk-or-limbs-up-to-2-5-cm"},{"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":"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"}]}