{"procedure":{"code_type":"CPT","code":"27538","lay_name":"Nonsurgical repair of a knee fracture at the shin bone top","blurb":"Treatment of a break involving the bony spine or bump on the top of the shin bone at the knee without opening the skin, with or without manually repositioning the bone.","slug":"cpt-27538-nonsurgical-repair-of-a-knee-fracture-at-the-shin-bone-top","description":"Cltx Intercondylar Spi&/Tubrst Fx Kne W/WO Man","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":"2024-01-27","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:07:09.005325Z","checked_through":"2026-09-25T01:13:17.896106Z","n_priced_setters":3956,"n_filed":1020,"n_usable":944,"n_not_usable":1,"n_labelled":44,"n_no_cash":31,"n_estimated":0,"n_states":49,"cash_p10":246.0,"cash_p20":318.0,"cash_p25":371.49,"cash_p50":585.9,"cash_p75":952.0,"cash_p80":1016.73,"cash_p90":1535.85,"cash_mean_trimmed":622.18,"gross_p50":893.0,"cash_to_gross_p50":0.65,"medicare_rate":252.01,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":2.3249,"by_state":[{"state":"AK","n":7,"p20":null,"p50":null,"p80":null},{"state":"AL","n":8,"p20":null,"p50":null,"p80":null},{"state":"AR","n":6,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":11,"p20":569.0,"p50":569.0,"p80":569.0},{"state":"CA","n":92,"p20":448.8,"p50":754.0,"p80":991.2},{"state":"CO","n":11,"p20":998.1,"p50":1241.93,"p80":1241.93},{"state":"CT","n":7,"p20":null,"p50":null,"p80":null},{"state":"FL","n":37,"p20":420.0,"p50":734.8,"p80":1625.19},{"state":"GA","n":24,"p20":690.0,"p50":806.13,"p80":5252.0},{"state":"HI","n":9,"p20":null,"p50":null,"p80":null},{"state":"IA","n":26,"p20":737.0,"p50":1143.7,"p80":1170.4},{"state":"ID","n":8,"p20":null,"p50":null,"p80":null},{"state":"IL","n":25,"p20":270.0,"p50":510.3,"p80":1054.51},{"state":"IN","n":17,"p20":510.3,"p50":538.2,"p80":1130.64},{"state":"KS","n":8,"p20":null,"p50":null,"p80":null},{"state":"KY","n":16,"p20":212.09,"p50":319.8,"p80":510.3},{"state":"LA","n":13,"p20":120.64,"p50":178.74,"p80":791.0},{"state":"MA","n":14,"p20":405.0,"p50":1245.79,"p80":2500.0},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":10,"p20":261.63,"p50":353.8,"p80":585.45},{"state":"MI","n":47,"p20":328.55,"p50":560.95,"p80":645.0},{"state":"MN","n":31,"p20":491.92,"p50":669.92,"p80":814.5},{"state":"MO","n":15,"p20":351.6,"p50":682.0,"p80":743.2},{"state":"MS","n":13,"p20":127.39,"p50":210.8,"p80":383.67},{"state":"MT","n":5,"p20":null,"p50":null,"p80":null},{"state":"NC","n":8,"p20":null,"p50":null,"p80":null},{"state":"ND","n":3,"p20":null,"p50":null,"p80":null},{"state":"NE","n":11,"p20":463.2,"p50":741.0,"p80":995.0},{"state":"NH","n":9,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":34,"p20":265.74,"p50":2558.52,"p80":6311.0},{"state":"NM","n":3,"p20":null,"p50":null,"p80":null},{"state":"NV","n":4,"p20":null,"p50":null,"p80":null},{"state":"NY","n":51,"p20":283.86,"p50":545.0,"p80":926.0},{"state":"OH","n":43,"p20":585.9,"p50":657.5,"p80":716.95},{"state":"OK","n":23,"p20":197.49,"p50":711.72,"p80":751.1},{"state":"OR","n":28,"p20":550.5,"p50":762.72,"p80":1640.0},{"state":"PA","n":35,"p20":281.26,"p50":372.45,"p80":1080.0},{"state":"RI","n":5,"p20":null,"p50":null,"p80":null},{"state":"SC","n":28,"p20":365.95,"p50":365.95,"p80":1083.98},{"state":"SD","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":9,"p20":null,"p50":null,"p80":null},{"state":"TX","n":57,"p20":275.94,"p50":493.94,"p80":1296.0},{"state":"UT","n":23,"p20":362.75,"p50":440.66,"p80":466.22},{"state":"VA","n":21,"p20":401.0,"p50":401.0,"p80":684.5},{"state":"VT","n":7,"p20":null,"p50":null,"p80":null},{"state":"WA","n":25,"p20":416.16,"p50":626.4,"p80":1088.0},{"state":"WI","n":32,"p20":501.26,"p50":560.95,"p80":627.37},{"state":"WV","n":19,"p20":298.19,"p50":494.5,"p80":731.0},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":720,"p20":298.08,"p50":593.3,"p80":991.2},{"key":"childrens","n":43,"p20":441.7,"p50":976.16,"p80":1342.67},{"key":"critical_access","n":180,"p20":404.04,"p50":560.95,"p80":1041.3}],"ownership":[{"key":"for_profit","n":81,"p20":415.52,"p50":651.2,"p80":1296.0},{"key":"government","n":134,"p20":278.5,"p50":561.0,"p80":1086.4},{"key":"nonprofit","n":728,"p20":336.96,"p50":580.0,"p80":991.2}],"affiliation":[{"key":"affiliated","n":785,"p20":340.0,"p50":593.25,"p80":991.2},{"key":"independent","n":159,"p20":252.11,"p50":580.55,"p80":1254.68}]},"histogram":[{"lo":178.7,"hi":233.69,"n":38},{"lo":233.69,"hi":305.6,"n":90},{"lo":305.6,"hi":399.63,"n":85},{"lo":399.63,"hi":522.6,"n":149},{"lo":522.6,"hi":683.41,"n":137},{"lo":683.41,"hi":893.7,"n":139},{"lo":893.7,"hi":1168.7,"n":103},{"lo":1168.7,"hi":1528.33,"n":61},{"lo":1528.33,"hi":1998.61,"n":33},{"lo":1998.61,"hi":2613.6,"n":16}],"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":"2024-01-27","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:07:09.005325Z","checked_through":"2026-09-25T01:13:17.896106Z","n_priced_setters":3956,"n_filed":762,"n_usable":703,"n_not_usable":0,"n_labelled":28,"n_no_cash":31,"n_estimated":0,"n_states":49,"cash_p10":247.0,"cash_p20":367.4,"cash_p25":405.0,"cash_p50":617.25,"cash_p75":919.96,"cash_p80":991.2,"cash_p90":1514.0,"cash_mean_trimmed":632.52,"gross_p50":868.0,"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":4,"p20":null,"p50":null,"p80":null},{"state":"AL","n":6,"p20":null,"p50":null,"p80":null},{"state":"AR","n":4,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":9,"p20":null,"p50":null,"p80":null},{"state":"CA","n":85,"p20":419.73,"p50":754.0,"p80":991.2},{"state":"CO","n":8,"p20":null,"p50":null,"p80":null},{"state":"CT","n":5,"p20":null,"p50":null,"p80":null},{"state":"FL","n":29,"p20":420.0,"p50":734.8,"p80":1906.44},{"state":"GA","n":21,"p20":734.16,"p50":806.13,"p80":5252.0},{"state":"HI","n":5,"p20":null,"p50":null,"p80":null},{"state":"IA","n":16,"p20":576.8,"p50":1170.4,"p80":1170.4},{"state":"ID","n":7,"p20":null,"p50":null,"p80":null},{"state":"IL","n":25,"p20":272.64,"p50":510.3,"p80":2569.68},{"state":"IN","n":17,"p20":504.0,"p50":535.57,"p80":747.0},{"state":"KS","n":5,"p20":null,"p50":null,"p80":null},{"state":"KY","n":13,"p20":172.8,"p50":319.8,"p80":510.3},{"state":"LA","n":4,"p20":null,"p50":null,"p80":null},{"state":"MA","n":13,"p20":405.0,"p50":1675.8,"p80":2500.0},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":9,"p20":null,"p50":null,"p80":null},{"state":"MI","n":35,"p20":299.15,"p50":560.95,"p80":893.0},{"state":"MN","n":26,"p20":491.92,"p50":669.6,"p80":712.58},{"state":"MO","n":9,"p20":null,"p50":null,"p80":null},{"state":"MS","n":13,"p20":150.14,"p50":371.49,"p80":454.96},{"state":"MT","n":4,"p20":null,"p50":null,"p80":null},{"state":"NC","n":5,"p20":null,"p50":null,"p80":null},{"state":"ND","n":3,"p20":null,"p50":null,"p80":null},{"state":"NE","n":5,"p20":null,"p50":null,"p80":null},{"state":"NH","n":7,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":2,"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":31,"p20":352.8,"p50":775.0,"p80":1000.0},{"state":"OH","n":37,"p20":593.25,"p50":642.0,"p80":716.95},{"state":"OK","n":19,"p20":197.49,"p50":751.1,"p80":751.1},{"state":"OR","n":19,"p20":513.75,"p50":617.25,"p80":919.1},{"state":"PA","n":19,"p20":405.5,"p50":838.8,"p80":1742.4},{"state":"RI","n":3,"p20":null,"p50":null,"p80":null},{"state":"SC","n":21,"p20":365.95,"p50":365.95,"p80":4025.7},{"state":"SD","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":7,"p20":null,"p50":null,"p80":null},{"state":"TX","n":51,"p20":291.9,"p50":493.94,"p80":1296.0},{"state":"UT","n":23,"p20":362.75,"p50":440.66,"p80":466.22},{"state":"VA","n":20,"p20":401.0,"p50":401.0,"p80":684.5},{"state":"VT","n":6,"p20":null,"p50":null,"p80":null},{"state":"WA","n":17,"p20":467.5,"p50":706.02,"p80":1239.7},{"state":"WI","n":23,"p20":512.4,"p50":560.95,"p80":627.37},{"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":561,"p20":365.95,"p50":642.0,"p80":991.2},{"key":"childrens","n":23,"p20":409.5,"p50":906.0,"p80":1901.4},{"key":"critical_access","n":118,"p20":393.65,"p50":535.7,"p80":863.17}],"ownership":[{"key":"for_profit","n":66,"p20":436.8,"p50":642.0,"p80":1296.0},{"key":"government","n":78,"p20":291.18,"p50":561.0,"p80":1068.62},{"key":"nonprofit","n":558,"p20":365.95,"p50":617.25,"p80":991.2}],"affiliation":[{"key":"affiliated","n":598,"p20":381.15,"p50":617.25,"p80":991.2},{"key":"independent","n":105,"p20":249.6,"p50":559.0,"p80":1254.68}]},"histogram":[{"lo":189.01,"hi":247.68,"n":36},{"lo":247.68,"hi":324.57,"n":36},{"lo":324.57,"hi":425.33,"n":94},{"lo":425.33,"hi":557.36,"n":101},{"lo":557.36,"hi":730.38,"n":132},{"lo":730.38,"hi":957.11,"n":99},{"lo":957.11,"hi":1254.22,"n":75},{"lo":1254.22,"hi":1643.56,"n":32},{"lo":1643.56,"hi":2153.76,"n":21},{"lo":2153.76,"hi":2822.35,"n":9}],"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"}]}