{"procedure":{"code_type":"CPT","code":"12055","lay_name":"Layered stitch repair of face or mouth wound, 12.6-20 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 12.6 to 20.0 cm.","slug":"cpt-12055-layered-stitch-repair-of-face-or-mouth-wound-12-6-20-cm","description":"Repair Intermediate F/E/E/N/L&/Muc 12.6-20.0cm","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":"2023-04-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T01:13:55.396173Z","n_priced_setters":3956,"n_filed":2069,"n_usable":1920,"n_not_usable":0,"n_labelled":66,"n_no_cash":81,"n_estimated":2,"n_states":50,"cash_p10":299.85,"cash_p20":387.1,"cash_p25":438.0,"cash_p50":707.2,"cash_p75":1092.25,"cash_p80":1225.93,"cash_p90":1699.31,"cash_mean_trimmed":727.57,"gross_p50":1170.0,"cash_to_gross_p50":0.65,"medicare_rate":415.32,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":1.7028,"by_state":[{"state":"AK","n":12,"p20":755.82,"p50":1171.0,"p80":2471.0},{"state":"AL","n":22,"p20":304.4,"p50":360.0,"p80":703.45},{"state":"AR","n":19,"p20":228.53,"p50":532.6,"p80":873.6},{"state":"AZ","n":19,"p20":678.0,"p50":678.0,"p80":1320.0},{"state":"CA","n":119,"p20":555.0,"p50":1268.55,"p80":1948.8},{"state":"CO","n":40,"p20":518.5,"p50":865.5,"p80":1269.9},{"state":"CT","n":11,"p20":387.29,"p50":634.73,"p80":1129.0},{"state":"DE","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":71,"p20":501.9,"p50":968.8,"p80":2052.6},{"state":"GA","n":56,"p20":363.3,"p50":720.75,"p80":1499.0},{"state":"HI","n":11,"p20":954.0,"p50":963.9,"p80":1703.8},{"state":"IA","n":52,"p20":376.54,"p50":540.0,"p80":1008.02},{"state":"ID","n":16,"p20":460.0,"p50":1022.0,"p80":1117.0},{"state":"IL","n":88,"p20":431.28,"p50":800.0,"p80":1320.18},{"state":"IN","n":38,"p20":414.64,"p50":554.74,"p80":1038.0},{"state":"KS","n":44,"p20":382.0,"p50":652.0,"p80":1514.4},{"state":"KY","n":26,"p20":314.52,"p50":567.0,"p80":1390.2},{"state":"LA","n":35,"p20":146.25,"p50":328.46,"p80":594.76},{"state":"MA","n":36,"p20":421.0,"p50":945.0,"p80":1411.11},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":18,"p20":273.6,"p50":401.0,"p80":560.49},{"state":"MI","n":53,"p20":405.25,"p50":649.0,"p80":933.6},{"state":"MN","n":61,"p20":427.47,"p50":557.38,"p80":770.4},{"state":"MO","n":35,"p20":313.2,"p50":652.5,"p80":1515.8},{"state":"MS","n":34,"p20":139.93,"p50":315.02,"p80":596.97},{"state":"MT","n":23,"p20":385.6,"p50":653.78,"p80":1012.05},{"state":"NC","n":37,"p20":339.9,"p50":406.4,"p80":693.0},{"state":"ND","n":20,"p20":439.81,"p50":636.35,"p80":927.0},{"state":"NE","n":42,"p20":428.82,"p50":684.0,"p80":1047.2},{"state":"NH","n":13,"p20":250.61,"p50":443.5,"p80":667.28},{"state":"NJ","n":40,"p20":470.51,"p50":1355.0,"p80":4881.0},{"state":"NM","n":16,"p20":385.0,"p50":684.6,"p80":1210.2},{"state":"NV","n":13,"p20":442.0,"p50":713.94,"p80":1496.95},{"state":"NY","n":76,"p20":472.79,"p50":787.0,"p80":1420.0},{"state":"OH","n":74,"p20":433.8,"p50":648.0,"p80":794.25},{"state":"OK","n":44,"p20":316.0,"p50":375.6,"p80":885.3},{"state":"OR","n":42,"p20":769.92,"p50":1052.25,"p80":1535.96},{"state":"PA","n":82,"p20":418.2,"p50":825.6,"p80":1829.4},{"state":"RI","n":8,"p20":null,"p50":null,"p80":null},{"state":"SC","n":39,"p20":678.5,"p50":913.0,"p80":1481.35},{"state":"SD","n":18,"p20":703.0,"p50":834.0,"p80":1329.6},{"state":"TN","n":33,"p20":294.17,"p50":335.82,"p80":583.31},{"state":"TX","n":136,"p20":312.9,"p50":766.36,"p80":1061.92},{"state":"UT","n":26,"p20":446.96,"p50":530.55,"p80":657.15},{"state":"VA","n":50,"p20":299.85,"p50":528.0,"p80":1035.6},{"state":"VT","n":9,"p20":null,"p50":null,"p80":null},{"state":"WA","n":59,"p20":495.01,"p50":782.4,"p80":1404.5},{"state":"WI","n":58,"p20":634.48,"p50":865.26,"p80":936.65},{"state":"WV","n":30,"p20":333.5,"p50":553.0,"p80":796.95},{"state":"WY","n":12,"p20":383.74,"p50":763.6,"p80":1263.95}],"by_segment":{"hospital_type":[{"key":"acute","n":1337,"p20":384.3,"p50":711.9,"p80":1322.0},{"key":"childrens","n":33,"p20":448.0,"p50":995.0,"p80":2354.88},{"key":"critical_access","n":547,"p20":388.87,"p50":681.0,"p80":1098.0}],"ownership":[{"key":"for_profit","n":176,"p20":415.0,"p50":730.73,"p80":1445.5},{"key":"government","n":378,"p20":349.84,"p50":639.0,"p80":1119.6},{"key":"nonprofit","n":1363,"p20":399.6,"p50":725.4,"p80":1236.8}],"affiliation":[{"key":"affiliated","n":1512,"p20":406.0,"p50":725.4,"p80":1237.6},{"key":"independent","n":408,"p20":363.3,"p50":631.2,"p80":1130.5}]},"histogram":[{"lo":222.18,"hi":280.54,"n":62},{"lo":280.54,"hi":354.22,"n":152},{"lo":354.22,"hi":447.26,"n":192},{"lo":447.26,"hi":564.73,"n":245},{"lo":564.73,"hi":713.06,"n":228},{"lo":713.06,"hi":900.35,"n":266},{"lo":900.35,"hi":1136.83,"n":245},{"lo":1136.83,"hi":1435.42,"n":143},{"lo":1435.42,"hi":1812.44,"n":120},{"lo":1812.44,"hi":2288.48,"n":77}],"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":"2023-04-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:13:55.396173Z","n_priced_setters":3956,"n_filed":1551,"n_usable":1439,"n_not_usable":0,"n_labelled":38,"n_no_cash":74,"n_estimated":0,"n_states":49,"cash_p10":308.44,"cash_p20":388.87,"cash_p25":442.22,"cash_p50":741.0,"cash_p75":1117.0,"cash_p80":1322.0,"cash_p90":1826.82,"cash_mean_trimmed":765.37,"gross_p50":1199.0,"cash_to_gross_p50":0.63,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":9,"p20":null,"p50":null,"p80":null},{"state":"AL","n":11,"p20":358.0,"p50":500.78,"p80":703.45},{"state":"AR","n":10,"p20":206.41,"p50":228.98,"p80":547.56},{"state":"AZ","n":15,"p20":469.8,"p50":678.0,"p80":739.13},{"state":"CA","n":106,"p20":627.83,"p50":1290.22,"p80":1948.8},{"state":"CO","n":30,"p20":681.0,"p50":944.3,"p80":2045.57},{"state":"CT","n":6,"p20":null,"p50":null,"p80":null},{"state":"DE","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":62,"p20":559.0,"p50":995.0,"p80":2052.6},{"state":"GA","n":40,"p20":466.4,"p50":741.0,"p80":1615.0},{"state":"HI","n":7,"p20":null,"p50":null,"p80":null},{"state":"IA","n":36,"p20":358.13,"p50":475.2,"p80":843.6},{"state":"ID","n":11,"p20":460.0,"p50":1117.0,"p80":1117.0},{"state":"IL","n":77,"p20":460.25,"p50":800.0,"p80":1264.0},{"state":"IN","n":24,"p20":399.2,"p50":478.35,"p80":1038.0},{"state":"KS","n":30,"p20":420.8,"p50":1058.89,"p80":1840.5},{"state":"KY","n":21,"p20":314.52,"p50":567.0,"p80":1390.2},{"state":"LA","n":22,"p20":207.68,"p50":338.8,"p80":595.0},{"state":"MA","n":30,"p20":379.75,"p50":945.0,"p80":1411.11},{"state":"ME","n":15,"p20":259.4,"p50":434.34,"p80":560.49},{"state":"MI","n":41,"p20":421.35,"p50":649.0,"p80":1322.0},{"state":"MN","n":46,"p20":427.47,"p50":715.14,"p80":784.08},{"state":"MO","n":20,"p20":313.2,"p50":775.2,"p80":1515.8},{"state":"MS","n":27,"p20":108.5,"p50":268.99,"p80":561.33},{"state":"MT","n":18,"p20":385.6,"p50":538.69,"p80":739.33},{"state":"NC","n":26,"p20":339.9,"p50":341.5,"p80":614.38},{"state":"ND","n":14,"p20":410.4,"p50":512.0,"p80":967.2},{"state":"NE","n":21,"p20":428.82,"p50":913.91,"p80":1035.84},{"state":"NH","n":10,"p20":171.9,"p50":384.6,"p80":481.26},{"state":"NJ","n":13,"p20":1065.0,"p50":1380.0,"p80":2453.0},{"state":"NM","n":14,"p20":387.1,"p50":711.9,"p80":1229.9},{"state":"NV","n":5,"p20":null,"p50":null,"p80":null},{"state":"NY","n":46,"p20":567.35,"p50":999.0,"p80":1550.0},{"state":"OH","n":63,"p20":433.8,"p50":711.9,"p80":785.0},{"state":"OK","n":32,"p20":236.25,"p50":324.52,"p80":697.04},{"state":"OR","n":28,"p20":757.24,"p50":1052.25,"p80":1563.2},{"state":"PA","n":72,"p20":620.42,"p50":993.0,"p80":2535.5},{"state":"RI","n":3,"p20":null,"p50":null,"p80":null},{"state":"SC","n":33,"p20":728.16,"p50":1123.8,"p80":1481.35},{"state":"SD","n":11,"p20":677.7,"p50":737.0,"p80":834.0},{"state":"TN","n":31,"p20":294.17,"p50":299.85,"p80":408.9},{"state":"TX","n":114,"p20":312.9,"p50":784.57,"p80":1061.92},{"state":"UT","n":24,"p20":446.96,"p50":563.24,"p80":693.65},{"state":"VA","n":48,"p20":308.44,"p50":528.0,"p80":1035.6},{"state":"VT","n":7,"p20":null,"p50":null,"p80":null},{"state":"WA","n":43,"p20":439.62,"p50":720.0,"p80":1243.07},{"state":"WI","n":46,"p20":634.48,"p50":865.26,"p80":936.65},{"state":"WV","n":11,"p20":507.78,"p50":577.73,"p80":841.44},{"state":"WY","n":8,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":1059,"p20":397.1,"p50":772.2,"p80":1404.52},{"key":"childrens","n":25,"p20":448.0,"p50":1130.5,"p80":2354.88},{"key":"critical_access","n":352,"p20":384.6,"p50":675.0,"p80":1092.25}],"ownership":[{"key":"for_profit","n":126,"p20":414.57,"p50":831.0,"p80":1593.9},{"key":"government","n":246,"p20":353.13,"p50":639.0,"p80":1145.4},{"key":"nonprofit","n":1064,"p20":405.25,"p50":766.36,"p80":1322.0}],"affiliation":[{"key":"affiliated","n":1170,"p20":408.9,"p50":770.4,"p80":1324.8},{"key":"independent","n":269,"p20":354.57,"p50":638.4,"p80":1209.0}]},"histogram":[{"lo":236.25,"hi":296.57,"n":54},{"lo":296.57,"hi":372.29,"n":135},{"lo":372.29,"hi":467.35,"n":128},{"lo":467.35,"hi":586.68,"n":165},{"lo":586.68,"hi":736.47,"n":158},{"lo":736.47,"hi":924.52,"n":208},{"lo":924.52,"hi":1160.57,"n":187},{"lo":1160.57,"hi":1456.9,"n":92},{"lo":1456.9,"hi":1828.88,"n":99},{"lo":1828.88,"hi":2295.85,"n":72}],"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":"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"}]}