{"procedure":{"code_type":"CPT","code":"19364","lay_name":"Breast reconstruction with a free tissue flap","blurb":"Rebuilding a breast using tissue detached from another part of the body and reconnected to chest blood vessels under a microscope.","slug":"cpt-19364-breast-reconstruction-with-a-free-tissue-flap","description":"Breast Reconstruction W/Free Flap","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":"2026-09-23T21:50:31.523775Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-21","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-23T21:50:31.523775Z","n_priced_setters":3956,"n_filed":232,"n_usable":190,"n_not_usable":1,"n_labelled":27,"n_no_cash":13,"n_estimated":1,"n_states":40,"cash_p10":1979.9,"cash_p20":3230.83,"cash_p25":3986.0,"cash_p50":5109.67,"cash_p75":9569.0,"cash_p80":12177.75,"cash_p90":31390.9,"cash_mean_trimmed":6051.77,"gross_p50":8564.57,"cash_to_gross_p50":0.6202,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":3,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":13,"p20":978.78,"p50":7740.0,"p80":34566.63},{"state":"CO","n":2,"p20":null,"p50":null,"p80":null},{"state":"CT","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":2,"p20":null,"p50":null,"p80":null},{"state":"HI","n":3,"p20":null,"p50":null,"p80":null},{"state":"IA","n":3,"p20":null,"p50":null,"p80":null},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":8,"p20":null,"p50":null,"p80":null},{"state":"IN","n":4,"p20":null,"p50":null,"p80":null},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":4,"p20":null,"p50":null,"p80":null},{"state":"LA","n":5,"p20":null,"p50":null,"p80":null},{"state":"MI","n":9,"p20":null,"p50":null,"p80":null},{"state":"MN","n":4,"p20":null,"p50":null,"p80":null},{"state":"MO","n":3,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":3,"p20":null,"p50":null,"p80":null},{"state":"NH","n":4,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":20,"p20":4350.0,"p50":5109.67,"p80":5855.0},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":7,"p20":null,"p50":null,"p80":null},{"state":"OH","n":13,"p20":4627.27,"p50":12177.75,"p80":12242.7},{"state":"OK","n":10,"p20":4450.6,"p50":4450.6,"p80":4450.6},{"state":"OR","n":10,"p20":4975.75,"p50":4975.75,"p80":6508.8},{"state":"PA","n":15,"p20":1675.3,"p50":1979.9,"p80":6679.11},{"state":"TN","n":1,"p20":null,"p50":null,"p80":null},{"state":"TX","n":7,"p20":null,"p50":null,"p80":null},{"state":"VA","n":5,"p20":null,"p50":null,"p80":null},{"state":"VT","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":1,"p20":null,"p50":null,"p80":null},{"state":"WI","n":7,"p20":null,"p50":null,"p80":null},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":159,"p20":3230.83,"p50":4975.75,"p80":12177.75},{"key":"childrens","n":7,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":23,"p20":2820.0,"p50":6508.8,"p80":14443.0}],"ownership":[{"key":"for_profit","n":21,"p20":4515.0,"p50":7677.0,"p80":22082.95},{"key":"government","n":22,"p20":3099.89,"p50":5683.0,"p80":8142.89},{"key":"nonprofit","n":146,"p20":3190.26,"p50":4975.75,"p80":12177.75}],"affiliation":[{"key":"affiliated","n":149,"p20":3230.83,"p50":4975.75,"p80":12177.75},{"key":"independent","n":41,"p20":4144.5,"p50":5725.8,"p80":12124.5}]},"histogram":[{"lo":1675.3,"hi":2279.25,"n":13},{"lo":2279.25,"hi":3100.93,"n":14},{"lo":3100.93,"hi":4218.84,"n":15},{"lo":4218.84,"hi":5739.75,"n":55},{"lo":5739.75,"hi":7808.95,"n":25},{"lo":7808.95,"hi":10624.12,"n":14},{"lo":10624.12,"hi":14454.16,"n":17},{"lo":14454.16,"hi":19664.95,"n":5},{"lo":19664.95,"hi":26754.26,"n":2},{"lo":26754.26,"hi":36399.29,"n":12}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T17:10:10.717090Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-11","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-23T21:34:27.277317Z","n_priced_setters":3956,"n_filed":123,"n_usable":106,"n_not_usable":0,"n_labelled":12,"n_no_cash":5,"n_estimated":0,"n_states":34,"cash_p10":2683.5,"cash_p20":3408.08,"cash_p25":4370.0,"cash_p50":4960.2,"cash_p75":8081.18,"cash_p80":9569.0,"cash_p90":14749.89,"cash_mean_trimmed":5545.91,"gross_p50":7670.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":8,"p20":null,"p50":null,"p80":null},{"state":"CT","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":1,"p20":null,"p50":null,"p80":null},{"state":"HI","n":3,"p20":null,"p50":null,"p80":null},{"state":"IA","n":3,"p20":null,"p50":null,"p80":null},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":8,"p20":null,"p50":null,"p80":null},{"state":"IN","n":4,"p20":null,"p50":null,"p80":null},{"state":"KS","n":1,"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":"MI","n":4,"p20":null,"p50":null,"p80":null},{"state":"MN","n":1,"p20":null,"p50":null,"p80":null},{"state":"MO","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NH","n":4,"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":5,"p20":null,"p50":null,"p80":null},{"state":"OH","n":4,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":4450.6,"p50":4450.6,"p80":4450.6},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":6,"p20":null,"p50":null,"p80":null},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":5,"p20":null,"p50":null,"p80":null},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":1,"p20":null,"p50":null,"p80":null},{"state":"WI","n":1,"p20":null,"p50":null,"p80":null},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":87,"p20":3456.32,"p50":4975.75,"p80":8530.34},{"key":"childrens","n":4,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":14,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":14,"p20":null,"p50":null,"p80":null},{"key":"government","n":14,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":77,"p20":3046.12,"p50":4701.2,"p80":9753.6}],"affiliation":[{"key":"affiliated","n":79,"p20":3408.08,"p50":4975.75,"p80":10933.0},{"key":"independent","n":27,"p20":3190.26,"p50":4960.2,"p80":8142.89}]},"histogram":[{"lo":1791.57,"hi":2372.39,"n":3},{"lo":2372.39,"hi":3141.51,"n":12},{"lo":3141.51,"hi":4159.97,"n":6},{"lo":4159.97,"hi":5508.62,"n":36},{"lo":5508.62,"hi":7294.49,"n":9},{"lo":7294.49,"hi":9659.34,"n":14},{"lo":9659.34,"hi":12790.86,"n":4},{"lo":12790.86,"hi":16937.6,"n":10},{"lo":16937.6,"hi":22428.7,"n":1},{"lo":22428.7,"hi":29700.0,"n":1}],"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"}]}