{"procedure":{"code_type":"CPT","code":"12052","lay_name":"Layered stitch repair of face or mouth wound, 2.6-5 cm","blurb":"Intermediate repair, using more than one layer of stitches, of a cut on the face, ear, eyelid, nose, lip or inside the mouth, with a total repaired length of 2.6 to 5.0 cm.","slug":"cpt-12052-layered-stitch-repair-of-face-or-mouth-wound-2-6-5-cm","description":"Repair Intermediate F/E/E/N/L&/Muc 2.6-5.0 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":2772,"n_usable":2576,"n_not_usable":0,"n_labelled":84,"n_no_cash":104,"n_estimated":8,"n_states":50,"cash_p10":223.02,"cash_p20":304.92,"cash_p25":346.0,"cash_p50":531.56,"cash_p75":820.8,"cash_p80":951.0,"cash_p90":1407.0,"cash_mean_trimmed":560.69,"gross_p50":862.0,"cash_to_gross_p50":0.65,"medicare_rate":415.32,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":1.2799,"by_state":[{"state":"AK","n":16,"p20":526.5,"p50":790.0,"p80":1627.97},{"state":"AL","n":29,"p20":227.4,"p50":381.82,"p80":791.13},{"state":"AR","n":29,"p20":228.53,"p50":448.0,"p80":518.7},{"state":"AZ","n":26,"p20":427.0,"p50":769.5,"p80":1630.2},{"state":"CA","n":135,"p20":520.0,"p50":784.0,"p80":1412.0},{"state":"CO","n":48,"p20":375.2,"p50":542.4,"p80":963.9},{"state":"CT","n":20,"p20":417.2,"p50":847.0,"p80":1129.0},{"state":"DE","n":5,"p20":null,"p50":null,"p80":null},{"state":"FL","n":94,"p20":554.83,"p50":1024.4,"p80":3086.38},{"state":"GA","n":73,"p20":326.7,"p50":589.0,"p80":1148.0},{"state":"HI","n":16,"p20":450.76,"p50":766.35,"p80":1085.7},{"state":"IA","n":79,"p20":260.0,"p50":438.91,"p80":607.87},{"state":"ID","n":21,"p20":281.96,"p50":386.0,"p80":1117.0},{"state":"IL","n":115,"p20":301.13,"p50":571.35,"p80":939.6},{"state":"IN","n":56,"p20":327.62,"p50":503.03,"p80":890.0},{"state":"KS","n":79,"p20":264.6,"p50":407.48,"p80":740.8},{"state":"KY","n":48,"p20":276.6,"p50":307.61,"p80":589.55},{"state":"LA","n":47,"p20":176.12,"p50":312.2,"p80":499.72},{"state":"MA","n":46,"p20":413.0,"p50":725.0,"p80":1164.8},{"state":"MD","n":3,"p20":null,"p50":null,"p80":null},{"state":"ME","n":21,"p20":278.0,"p50":372.59,"p80":497.75},{"state":"MI","n":75,"p20":208.84,"p50":403.65,"p80":703.95},{"state":"MN","n":92,"p20":336.98,"p50":495.3,"p80":656.97},{"state":"MO","n":54,"p20":284.8,"p50":477.1,"p80":1287.0},{"state":"MS","n":52,"p20":187.36,"p50":260.4,"p80":540.94},{"state":"MT","n":32,"p20":242.4,"p50":407.0,"p80":631.0},{"state":"NC","n":46,"p20":295.11,"p50":396.63,"p80":529.8},{"state":"ND","n":27,"p20":426.51,"p50":574.0,"p80":677.0},{"state":"NE","n":72,"p20":423.9,"p50":559.0,"p80":691.0},{"state":"NH","n":18,"p20":165.6,"p50":282.1,"p80":540.68},{"state":"NJ","n":48,"p20":470.51,"p50":1048.18,"p80":4350.0},{"state":"NM","n":25,"p20":312.6,"p50":592.9,"p80":908.7},{"state":"NV","n":17,"p20":442.0,"p50":725.9,"p80":995.2},{"state":"NY","n":100,"p20":338.5,"p50":581.76,"p80":1140.0},{"state":"OH","n":86,"p20":356.4,"p50":657.5,"p80":1087.75},{"state":"OK","n":66,"p20":176.95,"p50":387.2,"p80":783.75},{"state":"OR","n":50,"p20":414.0,"p50":572.65,"p80":950.25},{"state":"PA","n":116,"p20":355.8,"p50":539.4,"p80":1160.0},{"state":"RI","n":8,"p20":null,"p50":null,"p80":null},{"state":"SC","n":45,"p20":260.4,"p50":587.88,"p80":1279.85},{"state":"SD","n":32,"p20":432.9,"p50":638.4,"p80":876.8},{"state":"TN","n":42,"p20":174.9,"p50":241.18,"p80":445.5},{"state":"TX","n":171,"p20":312.9,"p50":595.0,"p80":943.42},{"state":"UT","n":28,"p20":506.91,"p50":693.65,"p80":830.92},{"state":"VA","n":53,"p20":175.2,"p50":494.5,"p80":699.5},{"state":"VT","n":12,"p20":291.27,"p50":404.02,"p80":1201.15},{"state":"WA","n":68,"p20":421.78,"p50":640.0,"p80":977.2},{"state":"WI","n":85,"p20":367.9,"p50":552.6,"p80":703.95},{"state":"WV","n":36,"p20":389.5,"p50":467.5,"p80":645.0},{"state":"WY","n":14,"p20":254.39,"p50":343.98,"p80":807.0}],"by_segment":{"hospital_type":[{"key":"acute","n":1702,"p20":312.9,"p50":568.4,"p80":1098.04},{"key":"childrens","n":48,"p20":291.72,"p50":584.13,"p80":1217.41},{"key":"critical_access","n":822,"p20":281.4,"p50":490.0,"p80":719.16}],"ownership":[{"key":"for_profit","n":269,"p20":326.5,"p50":644.0,"p80":1745.76},{"key":"government","n":535,"p20":280.0,"p50":472.79,"p80":731.0},{"key":"nonprofit","n":1768,"p20":308.4,"p50":549.6,"p80":965.85}],"affiliation":[{"key":"affiliated","n":2028,"p20":312.9,"p50":560.0,"p80":1012.2},{"key":"independent","n":548,"p20":265.5,"p50":451.2,"p80":765.52}]},"histogram":[{"lo":174.9,"hi":226.58,"n":139},{"lo":226.58,"hi":293.52,"n":204},{"lo":293.52,"hi":380.24,"n":264},{"lo":380.24,"hi":492.59,"n":423},{"lo":492.59,"hi":638.13,"n":409},{"lo":638.13,"hi":826.67,"n":373},{"lo":826.67,"hi":1070.92,"n":209},{"lo":1070.92,"hi":1387.33,"n":168},{"lo":1387.33,"hi":1797.23,"n":66},{"lo":1797.23,"hi":2328.24,"n":65}],"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":2014,"n_usable":1871,"n_not_usable":0,"n_labelled":52,"n_no_cash":91,"n_estimated":0,"n_states":50,"cash_p10":239.25,"cash_p20":312.9,"cash_p25":364.0,"cash_p50":570.74,"cash_p75":865.08,"cash_p80":968.8,"cash_p90":1307.4,"cash_mean_trimmed":591.62,"gross_p50":899.0,"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":11,"p20":567.84,"p50":790.0,"p80":1560.0},{"state":"AL","n":13,"p20":285.76,"p50":411.4,"p80":737.0},{"state":"AR","n":11,"p20":228.53,"p50":237.37,"p80":399.6},{"state":"AZ","n":17,"p20":427.0,"p50":427.0,"p80":1034.15},{"state":"CA","n":119,"p20":581.22,"p50":895.0,"p80":1585.5},{"state":"CO","n":35,"p20":406.5,"p50":745.2,"p80":1101.0},{"state":"CT","n":13,"p20":790.0,"p50":1060.0,"p80":1145.0},{"state":"DE","n":4,"p20":null,"p50":null,"p80":null},{"state":"FL","n":76,"p20":600.0,"p50":1024.4,"p80":1699.31},{"state":"GA","n":53,"p20":326.7,"p50":600.0,"p80":1148.0},{"state":"HI","n":11,"p20":450.76,"p50":766.35,"p80":954.0},{"state":"IA","n":57,"p20":294.32,"p50":449.6,"p80":607.87},{"state":"ID","n":15,"p20":281.96,"p50":506.54,"p80":1117.0},{"state":"IL","n":100,"p20":324.0,"p50":571.35,"p80":919.8},{"state":"IN","n":32,"p20":277.55,"p50":476.0,"p80":872.2},{"state":"KS","n":58,"p20":375.0,"p50":609.3,"p80":1116.8},{"state":"KY","n":39,"p20":276.6,"p50":333.45,"p80":822.0},{"state":"LA","n":29,"p20":195.75,"p50":328.46,"p80":538.16},{"state":"MA","n":40,"p20":431.4,"p50":725.0,"p80":1164.8},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":19,"p20":274.2,"p50":372.59,"p80":503.5},{"state":"MI","n":55,"p20":252.76,"p50":427.0,"p80":703.95},{"state":"MN","n":70,"p20":336.98,"p50":459.36,"p80":638.0},{"state":"MO","n":27,"p20":292.0,"p50":656.55,"p80":1287.0},{"state":"MS","n":34,"p20":161.72,"p50":237.12,"p80":489.06},{"state":"MT","n":22,"p20":301.6,"p50":462.15,"p80":606.1},{"state":"NC","n":32,"p20":295.11,"p50":396.63,"p80":510.75},{"state":"ND","n":17,"p20":410.4,"p50":519.0,"p80":846.4},{"state":"NE","n":27,"p20":441.84,"p50":553.5,"p80":724.0},{"state":"NH","n":15,"p20":165.6,"p50":324.97,"p80":540.68},{"state":"NJ","n":21,"p20":532.09,"p50":1204.0,"p80":1923.0},{"state":"NM","n":18,"p20":330.4,"p50":546.7,"p80":891.6},{"state":"NV","n":8,"p20":null,"p50":null,"p80":null},{"state":"NY","n":61,"p20":338.5,"p50":865.0,"p80":1153.8},{"state":"OH","n":74,"p20":392.0,"p50":719.25,"p80":1105.2},{"state":"OK","n":45,"p20":176.95,"p50":333.91,"p80":549.6},{"state":"OR","n":35,"p20":461.05,"p50":654.85,"p80":962.4},{"state":"PA","n":101,"p20":415.1,"p50":639.5,"p80":1461.46},{"state":"RI","n":3,"p20":null,"p50":null,"p80":null},{"state":"SC","n":38,"p20":315.0,"p50":587.88,"p80":1279.85},{"state":"SD","n":24,"p20":432.9,"p50":600.0,"p80":747.2},{"state":"TN","n":35,"p20":171.58,"p50":239.25,"p80":393.0},{"state":"TX","n":132,"p20":312.9,"p50":597.0,"p80":965.85},{"state":"UT","n":24,"p20":506.91,"p50":693.65,"p80":730.16},{"state":"VA","n":48,"p20":175.2,"p50":494.5,"p80":699.5},{"state":"VT","n":9,"p20":null,"p50":null,"p80":null},{"state":"WA","n":50,"p20":421.78,"p50":687.75,"p80":949.6},{"state":"WI","n":68,"p20":311.49,"p50":521.55,"p80":703.95},{"state":"WV","n":14,"p20":290.53,"p50":476.55,"p80":796.95},{"state":"WY","n":11,"p20":254.39,"p50":686.4,"p80":808.0}],"by_segment":{"hospital_type":[{"key":"acute","n":1287,"p20":312.9,"p50":592.9,"p80":1092.0},{"key":"childrens","n":33,"p20":358.0,"p50":831.75,"p80":1766.0},{"key":"critical_access","n":547,"p20":306.35,"p50":521.55,"p80":770.0}],"ownership":[{"key":"for_profit","n":157,"p20":312.9,"p50":680.4,"p80":1225.93},{"key":"government","n":356,"p20":329.7,"p50":526.5,"p80":830.0},{"key":"nonprofit","n":1354,"p20":312.2,"p50":575.0,"p80":986.4}],"affiliation":[{"key":"affiliated","n":1506,"p20":323.2,"p50":584.13,"p80":1017.63},{"key":"independent","n":365,"p20":278.97,"p50":494.0,"p80":844.0}]},"histogram":[{"lo":182.33,"hi":231.29,"n":81},{"lo":231.29,"hi":293.4,"n":137},{"lo":293.4,"hi":372.18,"n":166},{"lo":372.18,"hi":472.13,"n":247},{"lo":472.13,"hi":598.91,"n":284},{"lo":598.91,"hi":759.73,"n":253},{"lo":759.73,"hi":963.74,"n":223},{"lo":963.74,"hi":1222.53,"n":163},{"lo":1222.53,"hi":1550.81,"n":88},{"lo":1550.81,"hi":1967.25,"n":49}],"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":"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":"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"}]}