{"procedure":{"code_type":"CPT","code":"20250","lay_name":"Open biopsy of a spine bone in the mid back","blurb":"Through a surgical incision, a tissue sample is taken from a thoracic vertebra for laboratory examination.","slug":"cpt-20250-open-biopsy-of-a-spine-bone-in-the-mid-back","description":"Biopsy Vertebral Body Open Thoracic","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"159","label":"Other diagnostic procedures on musculoskeletal system","surgery_flag":"broad"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T22:20:23.317834Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-23T22:20:23.317834Z","n_priced_setters":3956,"n_filed":352,"n_usable":328,"n_not_usable":1,"n_labelled":19,"n_no_cash":4,"n_estimated":0,"n_states":44,"cash_p10":476.51,"cash_p20":682.5,"cash_p25":831.72,"cash_p50":2848.88,"cash_p75":4914.0,"cash_p80":5339.0,"cash_p90":9105.6,"cash_mean_trimmed":2847.64,"gross_p50":2838.0,"cash_to_gross_p50":0.627,"medicare_rate":3342.87,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.8522,"by_state":[{"state":"AK","n":2,"p20":null,"p50":null,"p80":null},{"state":"AL","n":3,"p20":null,"p50":null,"p80":null},{"state":"AR","n":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":44,"p20":4914.0,"p50":9105.6,"p80":9105.6},{"state":"CO","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":13,"p20":1349.4,"p50":9495.85,"p80":16550.04},{"state":"GA","n":6,"p20":null,"p50":null,"p80":null},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":14,"p20":951.2,"p50":951.2,"p80":951.2},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":14,"p20":305.55,"p50":792.4,"p80":5116.0},{"state":"IN","n":1,"p20":null,"p50":null,"p80":null},{"state":"KS","n":4,"p20":null,"p50":null,"p80":null},{"state":"KY","n":2,"p20":null,"p50":null,"p80":null},{"state":"LA","n":3,"p20":null,"p50":null,"p80":null},{"state":"MA","n":4,"p20":null,"p50":null,"p80":null},{"state":"ME","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":14,"p20":661.6,"p50":757.0,"p80":4499.12},{"state":"MN","n":6,"p20":null,"p50":null,"p80":null},{"state":"MO","n":4,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":2,"p20":null,"p50":null,"p80":null},{"state":"ND","n":3,"p20":null,"p50":null,"p80":null},{"state":"NE","n":3,"p20":null,"p50":null,"p80":null},{"state":"NH","n":3,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":29,"p20":3594.44,"p50":4329.5,"p80":5741.0},{"state":"NM","n":2,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":21,"p20":1190.0,"p50":3839.54,"p80":3839.54},{"state":"OH","n":8,"p20":null,"p50":null,"p80":null},{"state":"OK","n":12,"p20":641.2,"p50":641.2,"p80":641.2},{"state":"OR","n":11,"p20":726.05,"p50":989.0,"p80":1272.8},{"state":"PA","n":19,"p20":243.1,"p50":1876.47,"p80":5485.51},{"state":"SC","n":3,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":7,"p20":null,"p50":null,"p80":null},{"state":"TX","n":22,"p20":2653.2,"p50":4592.3,"p80":4959.68},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":3,"p20":null,"p50":null,"p80":null},{"state":"WI","n":19,"p20":1844.7,"p50":1844.7,"p80":1884.51},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":280,"p20":682.5,"p50":3591.33,"p80":5485.51},{"key":"childrens","n":6,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":41,"p20":661.6,"p50":1844.7,"p80":4592.3}],"ownership":[{"key":"for_profit","n":36,"p20":655.63,"p50":2975.12,"p80":8157.63},{"key":"government","n":41,"p20":701.1,"p50":2960.1,"p80":4015.22},{"key":"nonprofit","n":250,"p20":688.56,"p50":2346.84,"p80":5339.0}],"affiliation":[{"key":"affiliated","n":273,"p20":726.05,"p50":3594.44,"p80":6307.0},{"key":"independent","n":55,"p20":640.8,"p50":1162.28,"p80":3553.2}]},"histogram":[{"lo":305.55,"hi":430.49,"n":15},{"lo":430.49,"hi":606.5,"n":8},{"lo":606.5,"hi":854.49,"n":45},{"lo":854.49,"hi":1203.89,"n":26},{"lo":1203.89,"hi":1696.14,"n":19},{"lo":1696.14,"hi":2389.66,"n":33},{"lo":2389.66,"hi":3366.76,"n":13},{"lo":3366.76,"hi":4743.38,"n":59},{"lo":4743.38,"hi":6682.88,"n":46},{"lo":6682.88,"hi":9415.42,"n":34}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T22:20:23.317834Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-16","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-23T22:20:23.317834Z","n_priced_setters":3956,"n_filed":222,"n_usable":206,"n_not_usable":0,"n_labelled":13,"n_no_cash":3,"n_estimated":0,"n_states":40,"cash_p10":466.15,"cash_p20":661.6,"cash_p25":726.05,"cash_p50":2064.3,"cash_p75":5485.51,"cash_p80":6730.4,"cash_p90":9105.6,"cash_mean_trimmed":2896.81,"gross_p50":2838.0,"cash_to_gross_p50":0.65,"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":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":41,"p20":4914.0,"p50":9105.6,"p80":9105.6},{"state":"CO","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":4,"p20":null,"p50":null,"p80":null},{"state":"GA","n":6,"p20":null,"p50":null,"p80":null},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":13,"p20":951.2,"p50":951.2,"p80":951.2},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":11,"p20":305.55,"p50":951.2,"p80":5116.0},{"state":"IN","n":1,"p20":null,"p50":null,"p80":null},{"state":"KS","n":2,"p20":null,"p50":null,"p80":null},{"state":"KY","n":2,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MA","n":4,"p20":null,"p50":null,"p80":null},{"state":"ME","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":10,"p20":661.6,"p50":661.6,"p80":1844.7},{"state":"MN","n":5,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":2,"p20":null,"p50":null,"p80":null},{"state":"ND","n":3,"p20":null,"p50":null,"p80":null},{"state":"NE","n":1,"p20":null,"p50":null,"p80":null},{"state":"NH","n":3,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":1,"p20":null,"p50":null,"p80":null},{"state":"NM","n":2,"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":3,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":641.2,"p50":641.2,"p80":641.2},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":8,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":6,"p20":null,"p50":null,"p80":null},{"state":"TX","n":19,"p20":1894.2,"p50":4592.3,"p80":4959.68},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":2,"p20":null,"p50":null,"p80":null},{"state":"WI","n":12,"p20":1844.7,"p50":1844.7,"p80":1844.7},{"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":175,"p20":661.6,"p50":2565.74,"p80":6730.4},{"key":"childrens","n":2,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":28,"p20":661.6,"p50":1844.7,"p80":5813.6}],"ownership":[{"key":"for_profit","n":25,"p20":354.96,"p50":2884.23,"p80":7321.24},{"key":"government","n":16,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":164,"p20":684.8,"p50":2224.57,"p80":8372.0}],"affiliation":[{"key":"affiliated","n":173,"p20":661.6,"p50":3640.73,"p80":8372.0},{"key":"independent","n":33,"p20":642.72,"p50":1099.2,"p80":2716.47}]},"histogram":[{"lo":327.3,"hi":458.36,"n":11},{"lo":458.36,"hi":641.89,"n":16},{"lo":641.89,"hi":898.92,"n":21},{"lo":898.92,"hi":1258.87,"n":21},{"lo":1258.87,"hi":1762.95,"n":7},{"lo":1762.95,"hi":2468.87,"n":22},{"lo":2468.87,"hi":3457.46,"n":6},{"lo":3457.46,"hi":4841.91,"n":17},{"lo":4841.91,"hi":6780.71,"n":35},{"lo":6780.71,"hi":9495.85,"n":32}],"previous":null}},"related":[{"code_type":"CPT","code":"20220","lay_name":"Needle biopsy of bone near the surface","slug":"cpt-20220-needle-biopsy-of-bone-near-the-surface"},{"code_type":"CPT","code":"20206","lay_name":"Needle biopsy of muscle","slug":"cpt-20206-needle-biopsy-of-muscle"},{"code_type":"CPT","code":"20225","lay_name":"Needle biopsy of deep bone","slug":"cpt-20225-needle-biopsy-of-deep-bone"},{"code_type":"CPT","code":"20501","lay_name":"Contrast injection into a draining tract for X-ray study","slug":"cpt-20501-contrast-injection-into-a-draining-tract-for-x-ray-study"},{"code_type":"CPT","code":"21550","lay_name":"Biopsy of soft tissue in the neck or chest wall","slug":"cpt-21550-biopsy-of-soft-tissue-in-the-neck-or-chest-wall"},{"code_type":"CPT","code":"20240","lay_name":"Open biopsy of bone near the surface","slug":"cpt-20240-open-biopsy-of-bone-near-the-surface"},{"code_type":"CPT","code":"20950","lay_name":"Pressure monitoring inside a muscle compartment","slug":"cpt-20950-pressure-monitoring-inside-a-muscle-compartment"},{"code_type":"CPT","code":"20205","lay_name":"Biopsy of deep muscle","slug":"cpt-20205-biopsy-of-deep-muscle"},{"code_type":"CPT","code":"27040","lay_name":"Biopsy of shallow soft tissue of the hip or pelvis","slug":"cpt-27040-biopsy-of-shallow-soft-tissue-of-the-hip-or-pelvis"},{"code_type":"CPT","code":"20245","lay_name":"Open biopsy of deep bone","slug":"cpt-20245-open-biopsy-of-deep-bone"},{"code_type":"CPT","code":"27323","lay_name":"Biopsy of shallow soft tissue of the thigh or knee","slug":"cpt-27323-biopsy-of-shallow-soft-tissue-of-the-thigh-or-knee"},{"code_type":"CPT","code":"21920","lay_name":"Biopsy of soft tissue of the back or flank, surface level","slug":"cpt-21920-biopsy-of-soft-tissue-of-the-back-or-flank-surface-level"}]}