{"procedure":{"code_type":"CPT","code":"22220","lay_name":"Neck vertebra bone cutting with disc removal, front approach","blurb":"Surgery through the front of the neck that removes a disc and cuts and reshapes one neck vertebra to correct spinal alignment; covers a single vertebral segment.","slug":"cpt-22220-neck-vertebra-bone-cutting-with-disc-removal-front-approach","description":"Osteotomy Spine W/Dsc Ant Appr 1 Vrt Sgm Crv","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"142","label":"Partial excision bone","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":"2026-09-05","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:09:05.284216Z","n_priced_setters":3956,"n_filed":211,"n_usable":179,"n_not_usable":0,"n_labelled":28,"n_no_cash":4,"n_estimated":0,"n_states":39,"cash_p10":1445.4,"cash_p20":2411.85,"cash_p25":2662.1,"cash_p50":3925.6,"cash_p75":7413.38,"cash_p80":7755.78,"cash_p90":9977.57,"cash_mean_trimmed":4335.15,"gross_p50":4907.0,"cash_to_gross_p50":0.7,"medicare_rate":7413.38,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.5295,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":2,"p20":null,"p50":null,"p80":null},{"state":"AR","n":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":5,"p20":null,"p50":null,"p80":null},{"state":"CO","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":2,"p20":null,"p50":null,"p80":null},{"state":"GA","n":2,"p20":null,"p50":null,"p80":null},{"state":"HI","n":2,"p20":null,"p50":null,"p80":null},{"state":"IA","n":14,"p20":3925.6,"p50":3925.6,"p80":3925.6},{"state":"ID","n":1,"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":2,"p20":null,"p50":null,"p80":null},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":12,"p20":2711.2,"p50":2711.2,"p80":9977.57},{"state":"MN","n":3,"p20":null,"p50":null,"p80":null},{"state":"MO","n":2,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":3,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"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":14,"p20":3986.0,"p50":5110.0,"p80":6311.0},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":15,"p20":2588.5,"p50":7413.38,"p80":9057.82},{"state":"OH","n":10,"p20":2537.63,"p50":5964.4,"p80":5964.4},{"state":"OK","n":11,"p20":2662.1,"p50":2662.1,"p80":2662.1},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":16,"p20":1012.88,"p50":1197.04,"p80":12525.38},{"state":"SC","n":4,"p20":null,"p50":null,"p80":null},{"state":"TN","n":3,"p20":null,"p50":null,"p80":null},{"state":"TX","n":6,"p20":null,"p50":null,"p80":null},{"state":"VT","n":2,"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":146,"p20":2411.85,"p50":3925.6,"p80":8532.8},{"key":"childrens","n":7,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":25,"p20":2411.85,"p50":3925.6,"p80":7755.78}],"ownership":[{"key":"for_profit","n":23,"p20":2411.85,"p50":3630.75,"p80":10641.89},{"key":"government","n":22,"p20":2795.4,"p50":3312.6,"p80":7413.38},{"key":"nonprofit","n":133,"p20":2411.85,"p50":3925.6,"p80":7755.78}],"affiliation":[{"key":"affiliated","n":139,"p20":2411.85,"p50":3925.6,"p80":7755.78},{"key":"independent","n":40,"p20":2481.3,"p50":3312.6,"p80":8904.43}]},"histogram":[{"lo":1012.88,"hi":1303.72,"n":7},{"lo":1303.72,"hi":1678.06,"n":5},{"lo":1678.06,"hi":2159.9,"n":6},{"lo":2159.9,"hi":2780.09,"n":34},{"lo":2780.09,"hi":3578.36,"n":15},{"lo":3578.36,"hi":4605.84,"n":25},{"lo":4605.84,"hi":5928.35,"n":23},{"lo":5928.35,"hi":7630.61,"n":16},{"lo":7630.61,"hi":9821.65,"n":20},{"lo":9821.65,"hi":12641.82,"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":"2026-09-01","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:09:05.284216Z","n_priced_setters":3956,"n_filed":119,"n_usable":100,"n_not_usable":0,"n_labelled":14,"n_no_cash":5,"n_estimated":0,"n_states":32,"cash_p10":1841.0,"cash_p20":2411.85,"cash_p25":2411.85,"cash_p50":3020.0,"cash_p75":4111.02,"cash_p80":4770.75,"cash_p90":7213.17,"cash_mean_trimmed":3237.03,"gross_p50":4907.0,"cash_to_gross_p50":0.7,"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":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":1,"p20":null,"p50":null,"p80":null},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":13,"p20":3925.6,"p50":3925.6,"p80":3925.6},{"state":"ID","n":1,"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":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":7,"p20":null,"p50":null,"p80":null},{"state":"MN","n":2,"p20":null,"p50":null,"p80":null},{"state":"MO","n":1,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":2,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"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":"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":2662.1,"p50":2662.1,"p80":2662.1},{"state":"PA","n":6,"p20":null,"p50":null,"p80":null},{"state":"SC","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":6,"p20":null,"p50":null,"p80":null},{"state":"TX","n":4,"p20":null,"p50":null,"p80":null},{"state":"VT","n":2,"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":84,"p20":2411.85,"p50":3145.11,"p80":4778.0},{"key":"childrens","n":4,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":11,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":13,"p20":null,"p50":null,"p80":null},{"key":"government","n":13,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":73,"p20":2312.16,"p50":3020.0,"p80":4778.0}],"affiliation":[{"key":"affiliated","n":72,"p20":2411.85,"p50":2711.2,"p80":4778.0},{"key":"independent","n":28,"p20":2481.3,"p50":3145.11,"p80":4770.75}]},"histogram":[{"lo":1445.4,"hi":1793.78,"n":6},{"lo":1793.78,"hi":2226.12,"n":6},{"lo":2226.12,"hi":2762.67,"n":30},{"lo":2762.67,"hi":3428.54,"n":10},{"lo":3428.54,"hi":4254.9,"n":20},{"lo":4254.9,"hi":5280.44,"n":9},{"lo":5280.44,"hi":6553.15,"n":4},{"lo":6553.15,"hi":8132.62,"n":3},{"lo":8132.62,"hi":10092.78,"n":1},{"lo":10092.78,"hi":12525.38,"n":3}],"previous":null}},"related":[{"code_type":"CPT","code":"28124","lay_name":"Removal of diseased bone from a toe bone","slug":"cpt-28124-removal-of-diseased-bone-from-a-toe-bone"},{"code_type":"CPT","code":"26236","lay_name":"Partial removal of bone in fingertip","slug":"cpt-26236-partial-removal-of-bone-in-fingertip"},{"code_type":"CPT","code":"28122","lay_name":"Removal of diseased bone from a midfoot or forefoot bone","slug":"cpt-28122-removal-of-diseased-bone-from-a-midfoot-or-forefoot-bone"},{"code_type":"CPT","code":"29824","lay_name":"Shoulder scope removal of the collarbone end","slug":"cpt-29824-shoulder-scope-removal-of-the-collarbone-end"},{"code_type":"CPT","code":"28120","lay_name":"Removal of diseased bone from the ankle or heel bone","slug":"cpt-28120-removal-of-diseased-bone-from-the-ankle-or-heel-bone"},{"code_type":"CPT","code":"28118","lay_name":"Removal of part of the heel bone","slug":"cpt-28118-removal-of-part-of-the-heel-bone"},{"code_type":"CPT","code":"28110","lay_name":"Shaving of the bony bump at the base of the little toe","slug":"cpt-28110-shaving-of-the-bony-bump-at-the-base-of-the-little-toe"},{"code_type":"CPT","code":"23120","lay_name":"Partial removal of the collarbone","slug":"cpt-23120-partial-removal-of-the-collarbone"},{"code_type":"CPT","code":"28119","lay_name":"Heel spur removal, with or without fascia release","slug":"cpt-28119-heel-spur-removal-with-or-without-fascia-release"},{"code_type":"CPT","code":"28288","lay_name":"Partial removal of a metatarsal head, one bone","slug":"cpt-28288-partial-removal-of-a-metatarsal-head-one-bone"},{"code_type":"CPT","code":"28113","lay_name":"Removal of the fifth metatarsal head in the foot","slug":"cpt-28113-removal-of-the-fifth-metatarsal-head-in-the-foot"},{"code_type":"CPT","code":"28112","lay_name":"Removal of a middle metatarsal head in the foot","slug":"cpt-28112-removal-of-a-middle-metatarsal-head-in-the-foot"}]}