{"procedure":{"code_type":"CPT","code":"27520","lay_name":"Kneecap fracture treated without setting","blurb":"Nonsurgical care of a broken kneecap, managed without repositioning the bone and without an incision.","slug":"cpt-27520-kneecap-fracture-treated-without-setting","description":"PR Closed Rx Patella Fx","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"147","label":"Treatment, fracture or dislocation of lower extremity (other than hip or femur)","surgery_flag":"neither"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:07:09.005325Z","checked_through":"2026-09-25T01:13:55.396173Z","n_priced_setters":3956,"n_filed":1710,"n_usable":1587,"n_not_usable":1,"n_labelled":64,"n_no_cash":58,"n_estimated":0,"n_states":50,"cash_p10":187.1,"cash_p20":252.0,"cash_p25":280.0,"cash_p50":455.0,"cash_p75":716.95,"cash_p80":796.0,"cash_p90":1125.6,"cash_mean_trimmed":474.4,"gross_p50":745.0,"cash_to_gross_p50":0.65,"medicare_rate":252.01,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":1.8055,"by_state":[{"state":"AK","n":12,"p20":402.8,"p50":586.3,"p80":1299.48},{"state":"AL","n":12,"p20":164.35,"p50":373.2,"p80":569.0},{"state":"AR","n":11,"p20":194.71,"p50":393.12,"p80":520.0},{"state":"AZ","n":18,"p20":388.0,"p50":388.0,"p80":1220.05},{"state":"CA","n":105,"p20":382.95,"p50":610.0,"p80":1125.6},{"state":"CO","n":32,"p20":304.8,"p50":582.0,"p80":948.6},{"state":"CT","n":12,"p20":238.19,"p50":406.2,"p80":1690.0},{"state":"DE","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":36,"p20":420.0,"p50":471.82,"p80":969.0},{"state":"GA","n":37,"p20":255.5,"p50":431.0,"p80":4862.0},{"state":"HI","n":10,"p20":573.0,"p50":576.55,"p80":765.1},{"state":"IA","n":55,"p20":258.24,"p50":474.73,"p80":810.0},{"state":"ID","n":16,"p20":251.64,"p50":620.0,"p80":670.0},{"state":"IL","n":57,"p20":229.35,"p50":397.6,"p80":834.29},{"state":"IN","n":35,"p20":222.58,"p50":345.45,"p80":692.0},{"state":"KS","n":36,"p20":340.85,"p50":465.0,"p80":744.1},{"state":"KY","n":19,"p20":216.45,"p50":262.6,"p80":553.8},{"state":"LA","n":26,"p20":127.36,"p50":216.64,"p80":320.5},{"state":"MA","n":38,"p20":414.0,"p50":947.7,"p80":1852.0},{"state":"MD","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":14,"p20":194.18,"p50":455.0,"p80":695.66},{"state":"MI","n":52,"p20":248.4,"p50":340.0,"p80":745.45},{"state":"MN","n":51,"p20":262.23,"p50":496.8,"p80":686.4},{"state":"MO","n":29,"p20":190.28,"p50":484.5,"p80":677.05},{"state":"MS","n":31,"p20":88.94,"p50":190.2,"p80":335.0},{"state":"MT","n":16,"p20":303.71,"p50":502.0,"p80":785.0},{"state":"NC","n":29,"p20":125.01,"p50":398.5,"p80":435.78},{"state":"ND","n":15,"p20":246.4,"p50":471.9,"p80":687.2},{"state":"NE","n":37,"p20":323.82,"p50":497.17,"p80":770.25},{"state":"NH","n":13,"p20":81.6,"p50":363.82,"p80":523.72},{"state":"NJ","n":32,"p20":265.74,"p50":1288.35,"p80":5339.0},{"state":"NM","n":11,"p20":286.0,"p50":381.5,"p80":462.0},{"state":"NV","n":9,"p20":null,"p50":null,"p80":null},{"state":"NY","n":70,"p20":283.86,"p50":390.0,"p80":763.42},{"state":"OH","n":61,"p20":324.1,"p50":416.0,"p80":716.95},{"state":"OK","n":32,"p20":247.0,"p50":506.1,"p80":566.8},{"state":"OR","n":36,"p20":252.11,"p50":547.2,"p80":870.75},{"state":"PA","n":66,"p20":252.0,"p50":408.17,"p80":759.0},{"state":"RI","n":3,"p20":null,"p50":null,"p80":null},{"state":"SC","n":38,"p20":248.95,"p50":489.45,"p80":679.47},{"state":"SD","n":18,"p20":384.12,"p50":677.6,"p80":774.0},{"state":"TN","n":25,"p20":106.95,"p50":109.2,"p80":305.08},{"state":"TX","n":104,"p20":232.0,"p50":421.24,"p80":797.5},{"state":"UT","n":30,"p20":315.85,"p50":412.89,"p80":441.69},{"state":"VA","n":36,"p20":109.2,"p50":380.0,"p80":487.9},{"state":"VT","n":9,"p20":null,"p50":null,"p80":null},{"state":"WA","n":49,"p20":478.4,"p50":587.2,"p80":706.8},{"state":"WI","n":63,"p20":380.6,"p50":872.1,"p80":1002.3},{"state":"WV","n":26,"p20":284.0,"p50":318.63,"p80":487.9},{"state":"WY","n":10,"p20":369.58,"p50":568.86,"p80":825.0}],"by_segment":{"hospital_type":[{"key":"acute","n":1098,"p20":246.0,"p50":435.78,"p80":784.09},{"key":"childrens","n":41,"p20":279.0,"p50":885.9,"p80":1108.33},{"key":"critical_access","n":446,"p20":299.6,"p50":487.5,"p80":761.0}],"ownership":[{"key":"for_profit","n":129,"p20":252.0,"p50":500.28,"p80":969.95},{"key":"government","n":295,"p20":243.2,"p50":454.5,"p80":783.0},{"key":"nonprofit","n":1161,"p20":252.11,"p50":449.6,"p80":784.09}],"affiliation":[{"key":"affiliated","n":1263,"p20":249.6,"p50":451.95,"p80":792.0},{"key":"independent","n":324,"p20":260.25,"p50":462.6,"p80":801.0}]},"histogram":[{"lo":128.1,"hi":164.68,"n":48},{"lo":164.68,"hi":211.69,"n":75},{"lo":211.69,"hi":272.14,"n":182},{"lo":272.14,"hi":349.84,"n":180},{"lo":349.84,"hi":449.73,"n":222},{"lo":449.73,"hi":578.14,"n":221},{"lo":578.14,"hi":743.21,"n":211},{"lo":743.21,"hi":955.41,"n":146},{"lo":955.41,"hi":1228.21,"n":99},{"lo":1228.21,"hi":1578.89,"n":45}],"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":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:07:09.005325Z","checked_through":"2026-09-25T01:13:55.396173Z","n_priced_setters":3956,"n_filed":1247,"n_usable":1163,"n_not_usable":0,"n_labelled":36,"n_no_cash":48,"n_estimated":0,"n_states":49,"cash_p10":193.45,"cash_p20":259.2,"cash_p25":291.43,"cash_p50":479.95,"cash_p75":728.1,"cash_p80":801.0,"cash_p90":1125.6,"cash_mean_trimmed":492.76,"gross_p50":750.0,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":8,"p20":null,"p50":null,"p80":null},{"state":"AL","n":7,"p20":null,"p50":null,"p80":null},{"state":"AR","n":8,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":13,"p20":388.0,"p50":388.0,"p80":422.5},{"state":"CA","n":96,"p20":382.95,"p50":610.0,"p80":1125.6},{"state":"CO","n":21,"p20":432.0,"p50":728.1,"p80":1241.93},{"state":"CT","n":7,"p20":null,"p50":null,"p80":null},{"state":"DE","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":28,"p20":420.0,"p50":463.0,"p80":1844.88},{"state":"GA","n":26,"p20":262.86,"p50":432.5,"p80":4862.0},{"state":"HI","n":5,"p20":null,"p50":null,"p80":null},{"state":"IA","n":36,"p20":263.62,"p50":416.49,"p80":789.6},{"state":"ID","n":11,"p20":236.84,"p50":472.8,"p80":670.0},{"state":"IL","n":56,"p20":236.0,"p50":451.2,"p80":741.0},{"state":"IN","n":19,"p20":345.15,"p50":412.02,"p80":747.0},{"state":"KS","n":21,"p20":347.48,"p50":600.0,"p80":1758.24},{"state":"KY","n":13,"p20":212.09,"p50":301.5,"p80":345.45},{"state":"LA","n":8,"p20":null,"p50":null,"p80":null},{"state":"MA","n":31,"p20":702.0,"p50":1011.0,"p80":1886.0},{"state":"MD","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":13,"p20":194.18,"p50":342.72,"p80":599.3},{"state":"MI","n":39,"p20":286.65,"p50":414.0,"p80":893.0},{"state":"MN","n":44,"p20":266.34,"p50":496.8,"p80":749.55},{"state":"MO","n":19,"p20":229.2,"p50":484.5,"p80":677.05},{"state":"MS","n":22,"p20":78.5,"p50":174.14,"p80":342.21},{"state":"MT","n":11,"p20":303.71,"p50":495.46,"p80":585.15},{"state":"NC","n":22,"p20":125.01,"p50":435.78,"p80":435.78},{"state":"ND","n":10,"p20":246.4,"p50":402.6,"p80":507.2},{"state":"NE","n":20,"p20":323.82,"p50":393.6,"p80":520.5},{"state":"NH","n":10,"p20":81.6,"p50":283.79,"p80":523.72},{"state":"NJ","n":7,"p20":null,"p50":null,"p80":null},{"state":"NM","n":10,"p20":267.12,"p50":381.5,"p80":462.0},{"state":"NV","n":3,"p20":null,"p50":null,"p80":null},{"state":"NY","n":44,"p20":269.22,"p50":568.4,"p80":850.5},{"state":"OH","n":50,"p20":304.33,"p50":373.5,"p80":716.95},{"state":"OK","n":25,"p20":197.4,"p50":506.1,"p80":506.1},{"state":"OR","n":23,"p20":294.4,"p50":627.25,"p80":870.75},{"state":"PA","n":56,"p20":245.0,"p50":431.9,"p80":759.0},{"state":"SC","n":31,"p20":248.95,"p50":489.45,"p80":679.47},{"state":"SD","n":11,"p20":376.36,"p50":444.0,"p80":774.0},{"state":"TN","n":23,"p20":106.95,"p50":109.2,"p80":305.08},{"state":"TX","n":88,"p20":232.0,"p50":421.24,"p80":797.5},{"state":"UT","n":28,"p20":326.48,"p50":415.52,"p80":466.22},{"state":"VA","n":35,"p20":109.2,"p50":380.0,"p80":487.9},{"state":"VT","n":8,"p20":null,"p50":null,"p80":null},{"state":"WA","n":30,"p20":478.4,"p50":567.12,"p80":705.6},{"state":"WI","n":50,"p20":294.56,"p50":662.25,"p80":1002.3},{"state":"WV","n":8,"p20":null,"p50":null,"p80":null},{"state":"WY","n":5,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":863,"p20":252.11,"p50":470.21,"p80":797.5},{"key":"childrens","n":21,"p20":279.0,"p50":686.4,"p80":1143.0},{"key":"critical_access","n":277,"p20":304.8,"p50":487.9,"p80":798.75}],"ownership":[{"key":"for_profit","n":95,"p20":262.86,"p50":436.5,"p80":871.0},{"key":"government","n":171,"p20":256.66,"p50":492.0,"p80":798.75},{"key":"nonprofit","n":895,"p20":258.24,"p50":478.4,"p80":797.5}],"affiliation":[{"key":"affiliated","n":966,"p20":258.24,"p50":484.5,"p80":797.5},{"key":"independent","n":197,"p20":261.0,"p50":470.21,"p80":906.0}]},"histogram":[{"lo":128.1,"hi":165.56,"n":36},{"lo":165.56,"hi":213.98,"n":49},{"lo":213.98,"hi":276.56,"n":127},{"lo":276.56,"hi":357.44,"n":109},{"lo":357.44,"hi":461.97,"n":182},{"lo":461.97,"hi":597.07,"n":172},{"lo":597.07,"hi":771.68,"n":173},{"lo":771.68,"hi":997.36,"n":102},{"lo":997.36,"hi":1289.03,"n":78},{"lo":1289.03,"hi":1666.0,"n":23}],"previous":null}},"related":[{"code_type":"CPT","code":"27560","lay_name":"Resetting a dislocated kneecap without anesthesia","slug":"cpt-27560-resetting-a-dislocated-kneecap-without-anesthesia"},{"code_type":"CPT","code":"27818","lay_name":"Setting a three-part ankle fracture without surgery","slug":"cpt-27818-setting-a-three-part-ankle-fracture-without-surgery"},{"code_type":"CPT","code":"28515","lay_name":"Setting a broken toe without surgery","slug":"cpt-28515-setting-a-broken-toe-without-surgery"},{"code_type":"CPT","code":"27810","lay_name":"Setting a two-part ankle fracture without surgery","slug":"cpt-27810-setting-a-two-part-ankle-fracture-without-surgery"},{"code_type":"CPT","code":"27788","lay_name":"Setting an outer ankle bone fracture without surgery","slug":"cpt-27788-setting-an-outer-ankle-bone-fracture-without-surgery"},{"code_type":"CPT","code":"27840","lay_name":"Resetting a dislocated ankle without anesthesia","slug":"cpt-27840-resetting-a-dislocated-ankle-without-anesthesia"},{"code_type":"CPT","code":"28660","lay_name":"Setting a dislocated toe joint without anesthesia","slug":"cpt-28660-setting-a-dislocated-toe-joint-without-anesthesia"},{"code_type":"CPT","code":"27786","lay_name":"Nonsurgical care of outer ankle bone fracture, no resetting","slug":"cpt-27786-nonsurgical-care-of-outer-ankle-bone-fracture-no-resetting"},{"code_type":"CPT","code":"28630","lay_name":"Setting a dislocated toe knuckle joint without anesthesia","slug":"cpt-28630-setting-a-dislocated-toe-knuckle-joint-without-anesthesia"},{"code_type":"CPT","code":"27550","lay_name":"Putting a dislocated knee back in place without anesthesia","slug":"cpt-27550-putting-a-dislocated-knee-back-in-place-without-anesthesia"},{"code_type":"CPT","code":"28470","lay_name":"Treatment of a broken foot bone without realignment","slug":"cpt-28470-treatment-of-a-broken-foot-bone-without-realignment"},{"code_type":"CPT","code":"28495","lay_name":"Setting a broken big toe without surgery","slug":"cpt-28495-setting-a-broken-big-toe-without-surgery"}]}