{"procedure":{"code_type":"CPT","code":"19316","lay_name":"Breast lift","blurb":"Surgery to raise and reshape a sagging breast by tightening the skin and repositioning the breast tissue and nipple.","slug":"cpt-19316-breast-lift","description":"Mastopexy","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"175","label":"Other OR therapeutic procedures on skin and breast","surgery_flag":"narrow"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2023-03-09","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":634,"n_usable":575,"n_not_usable":0,"n_labelled":40,"n_no_cash":13,"n_estimated":6,"n_states":48,"cash_p10":972.8,"cash_p20":1540.0,"cash_p25":1657.28,"cash_p50":4460.28,"cash_p75":8575.44,"cash_p80":11025.38,"cash_p90":24014.93,"cash_mean_trimmed":4818.29,"gross_p50":4784.0,"cash_to_gross_p50":0.6,"medicare_rate":6783.99,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.6575,"by_state":[{"state":"AK","n":3,"p20":null,"p50":null,"p80":null},{"state":"AL","n":7,"p20":null,"p50":null,"p80":null},{"state":"AR","n":4,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":6,"p20":null,"p50":null,"p80":null},{"state":"CA","n":51,"p20":2953.6,"p50":7849.68,"p80":8360.8},{"state":"CO","n":8,"p20":null,"p50":null,"p80":null},{"state":"CT","n":3,"p20":null,"p50":null,"p80":null},{"state":"DE","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":10,"p20":3172.0,"p50":16971.06,"p80":17479.8},{"state":"GA","n":11,"p20":3700.0,"p50":9791.0,"p80":9791.0},{"state":"HI","n":5,"p20":null,"p50":null,"p80":null},{"state":"IA","n":19,"p20":1910.4,"p50":1910.4,"p80":5163.9},{"state":"ID","n":10,"p20":3132.8,"p50":17300.0,"p80":17300.0},{"state":"IL","n":16,"p20":1496.38,"p50":1540.0,"p80":3248.0},{"state":"IN","n":11,"p20":1540.0,"p50":2203.0,"p80":15251.96},{"state":"KS","n":7,"p20":null,"p50":null,"p80":null},{"state":"KY","n":5,"p20":null,"p50":null,"p80":null},{"state":"LA","n":7,"p20":null,"p50":null,"p80":null},{"state":"MA","n":9,"p20":null,"p50":null,"p80":null},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":35,"p20":1491.0,"p50":1708.0,"p80":9130.48},{"state":"MN","n":21,"p20":1603.12,"p50":4910.88,"p80":5315.2},{"state":"MO","n":11,"p20":1166.2,"p50":4460.28,"p80":6688.34},{"state":"MS","n":4,"p20":null,"p50":null,"p80":null},{"state":"MT","n":4,"p20":null,"p50":null,"p80":null},{"state":"NC","n":8,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":6,"p20":null,"p50":null,"p80":null},{"state":"NH","n":6,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":31,"p20":4881.0,"p50":7127.17,"p80":8591.27},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":3,"p20":null,"p50":null,"p80":null},{"state":"NY","n":48,"p20":1803.0,"p50":7717.23,"p80":26035.0},{"state":"OH","n":29,"p20":1542.84,"p50":19188.0,"p80":36620.24},{"state":"OK","n":13,"p20":1657.28,"p50":1657.28,"p80":6679.2},{"state":"OR","n":14,"p20":1462.5,"p50":1904.0,"p80":2404.0},{"state":"PA","n":24,"p20":512.9,"p50":4489.81,"p80":13339.82},{"state":"SC","n":8,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":9,"p20":null,"p50":null,"p80":null},{"state":"TX","n":30,"p20":3816.75,"p50":5494.31,"p80":6637.0},{"state":"VA","n":13,"p20":530.31,"p50":3793.8,"p80":27074.59},{"state":"VT","n":4,"p20":null,"p50":null,"p80":null},{"state":"WA","n":9,"p20":null,"p50":null,"p80":null},{"state":"WI","n":33,"p20":650.0,"p50":2745.57,"p80":7801.2},{"state":"WV","n":11,"p20":2140.0,"p50":2810.5,"p80":13509.5},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":489,"p20":1593.0,"p50":5315.2,"p80":12882.65},{"key":"childrens","n":9,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":75,"p20":1109.35,"p50":1904.0,"p80":5315.2}],"ownership":[{"key":"for_profit","n":63,"p20":1596.8,"p50":7145.9,"p80":17300.0},{"key":"government","n":77,"p20":1436.1,"p50":4016.52,"p80":10559.0},{"key":"nonprofit","n":433,"p20":1540.0,"p50":4239.55,"p80":9791.0}],"affiliation":[{"key":"affiliated","n":459,"p20":1569.21,"p50":5315.2,"p80":13339.82},{"key":"independent","n":116,"p20":1443.45,"p50":2542.0,"p80":8222.25}]},"histogram":[{"lo":650.0,"hi":956.16,"n":35},{"lo":956.16,"hi":1406.52,"n":37},{"lo":1406.52,"hi":2069.02,"n":108},{"lo":2069.02,"hi":3043.55,"n":48},{"lo":3043.55,"hi":4477.11,"n":40},{"lo":4477.11,"hi":6585.89,"n":58},{"lo":6585.89,"hi":9687.94,"n":96},{"lo":9687.94,"hi":14251.1,"n":34},{"lo":14251.1,"hi":20963.58,"n":27},{"lo":20963.58,"hi":30837.72,"n":43}],"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":"2024-07-01","filing_date_max":"2026-09-02","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":315,"n_usable":287,"n_not_usable":0,"n_labelled":17,"n_no_cash":11,"n_estimated":0,"n_states":42,"cash_p10":650.0,"cash_p20":1109.35,"cash_p25":1382.5,"cash_p50":1910.4,"cash_p75":5774.26,"cash_p80":7849.68,"cash_p90":9791.0,"cash_mean_trimmed":2951.04,"gross_p50":2928.0,"cash_to_gross_p50":0.6192,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":3,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":43,"p20":2953.6,"p50":7849.68,"p80":8360.8},{"state":"CO","n":3,"p20":null,"p50":null,"p80":null},{"state":"CT","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":3,"p20":null,"p50":null,"p80":null},{"state":"GA","n":9,"p20":null,"p50":null,"p80":null},{"state":"HI","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":17,"p20":1756.8,"p50":1910.4,"p80":1910.4},{"state":"ID","n":7,"p20":null,"p50":null,"p80":null},{"state":"IL","n":14,"p20":1444.8,"p50":1540.0,"p80":2542.0},{"state":"IN","n":8,"p20":null,"p50":null,"p80":null},{"state":"KS","n":4,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MA","n":5,"p20":null,"p50":null,"p80":null},{"state":"ME","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":18,"p20":286.56,"p50":1400.0,"p80":1596.8},{"state":"MN","n":9,"p20":null,"p50":null,"p80":null},{"state":"MO","n":6,"p20":null,"p50":null,"p80":null},{"state":"MT","n":2,"p20":null,"p50":null,"p80":null},{"state":"NC","n":2,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":2,"p20":null,"p50":null,"p80":null},{"state":"NH","n":5,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":14,"p20":939.26,"p50":1622.57,"p80":9800.19},{"state":"OH","n":8,"p20":null,"p50":null,"p80":null},{"state":"OK","n":12,"p20":1657.28,"p50":1657.28,"p80":1657.28},{"state":"OR","n":6,"p20":null,"p50":null,"p80":null},{"state":"PA","n":8,"p20":null,"p50":null,"p80":null},{"state":"SC","n":2,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":21,"p20":5494.31,"p50":5494.31,"p80":5774.26},{"state":"VA","n":7,"p20":null,"p50":null,"p80":null},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":5,"p20":null,"p50":null,"p80":null},{"state":"WI","n":15,"p20":650.0,"p50":650.0,"p80":650.0},{"state":"WV","n":4,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":243,"p20":1255.5,"p50":2289.62,"p80":8360.8},{"key":"childrens","n":4,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":38,"p20":650.0,"p50":1540.0,"p80":2542.0}],"ownership":[{"key":"for_profit","n":27,"p20":1540.0,"p50":2140.0,"p80":9791.0},{"key":"government","n":38,"p20":1399.0,"p50":2180.0,"p80":6894.25},{"key":"nonprofit","n":220,"p20":939.26,"p50":1910.4,"p80":7514.93}],"affiliation":[{"key":"affiliated","n":226,"p20":840.0,"p50":1910.4,"p80":8360.8},{"key":"independent","n":61,"p20":1394.44,"p50":2203.0,"p80":5095.8}]},"histogram":[{"lo":373.85,"hi":537.25,"n":8},{"lo":537.25,"hi":772.06,"n":18},{"lo":772.06,"hi":1109.51,"n":20},{"lo":1109.51,"hi":1594.44,"n":46},{"lo":1594.44,"hi":2291.32,"n":51},{"lo":2291.32,"hi":3292.79,"n":27},{"lo":3292.79,"hi":4731.97,"n":13},{"lo":4731.97,"hi":6800.16,"n":27},{"lo":6800.16,"hi":9772.3,"n":32},{"lo":9772.3,"hi":14043.48,"n":18}],"previous":null}},"related":[{"code_type":"CPT","code":"28190","lay_name":"Removal of a foreign object just under the skin of the foot","slug":"cpt-28190-removal-of-a-foreign-object-just-under-the-skin-of-the-foot"},{"code_type":"CPT","code":"11760","lay_name":"Repair of an injured nail bed","slug":"cpt-11760-repair-of-an-injured-nail-bed"},{"code_type":"CPT","code":"20103","lay_name":"Surgical exploration of a penetrating wound of an arm or leg","slug":"cpt-20103-surgical-exploration-of-a-penetrating-wound-of-an-arm-or-leg"},{"code_type":"CPT","code":"19020","lay_name":"Surgical opening and drainage of a deep breast abscess","slug":"cpt-19020-surgical-opening-and-drainage-of-a-deep-breast-abscess"},{"code_type":"CPT","code":"11770","lay_name":"Simple removal of a pilonidal cyst near the tailbone","slug":"cpt-11770-simple-removal-of-a-pilonidal-cyst-near-the-tailbone"},{"code_type":"CPT","code":"11771","lay_name":"Extensive removal of a pilonidal cyst near the tailbone","slug":"cpt-11771-extensive-removal-of-a-pilonidal-cyst-near-the-tailbone"},{"code_type":"CPT","code":"20102","lay_name":"Exploration of penetrating wound of abdomen, flank, or back","slug":"cpt-20102-exploration-of-penetrating-wound-of-abdomen-flank-or-back"},{"code_type":"CPT","code":"11772","lay_name":"Complicated removal of a pilonidal cyst near the tailbone","slug":"cpt-11772-complicated-removal-of-a-pilonidal-cyst-near-the-tailbone"},{"code_type":"CPT","code":"16035","lay_name":"Incision of burn scar to relieve pressure","slug":"cpt-16035-incision-of-burn-scar-to-relieve-pressure"},{"code_type":"CPT","code":"20100","lay_name":"Surgical exploration of a penetrating wound of the neck","slug":"cpt-20100-surgical-exploration-of-a-penetrating-wound-of-the-neck"},{"code_type":"CPT","code":"20101","lay_name":"Surgical exploration of a penetrating wound of the chest","slug":"cpt-20101-surgical-exploration-of-a-penetrating-wound-of-the-chest"},{"code_type":"CPT","code":"15839","lay_name":"Removal of excess skin and fat from another body area","slug":"cpt-15839-removal-of-excess-skin-and-fat-from-another-body-area"}]}