{"procedure":{"code_type":"CPT","code":"32650","lay_name":"Chest scope surgery to seal the lung lining","blurb":"Through small chest incisions with a camera, a chemical or mechanical method is used to scar the lung lining to the chest wall so fluid or air does not collect.","slug":"cpt-32650-chest-scope-surgery-to-seal-the-lung-lining","description":"Thoracoscopy W/Pleurodesis","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"42","label":"Other OR therapeutic procedures on respiratory system","surgery_flag":"narrow"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T22:20:23.317834Z","filing_date_min":"2023-03-09","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.006185Z","checked_through":"2026-09-25T01:09:24.241146Z","n_priced_setters":3956,"n_filed":502,"n_usable":433,"n_not_usable":1,"n_labelled":43,"n_no_cash":25,"n_estimated":0,"n_states":46,"cash_p10":636.02,"cash_p20":996.1,"cash_p25":1089.9,"cash_p50":1793.0,"cash_p75":3421.6,"cash_p80":3968.64,"cash_p90":5987.15,"cash_mean_trimmed":2056.22,"gross_p50":2536.0,"cash_to_gross_p50":0.6,"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":4,"p20":null,"p50":null,"p80":null},{"state":"AR","n":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":4,"p20":null,"p50":null,"p80":null},{"state":"CA","n":49,"p20":1668.8,"p50":2251.6,"p80":3421.6},{"state":"CO","n":6,"p20":null,"p50":null,"p80":null},{"state":"CT","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":11,"p20":813.56,"p50":2815.8,"p80":10784.95},{"state":"GA","n":10,"p20":418.47,"p50":418.47,"p80":418.47},{"state":"HI","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":18,"p20":1455.48,"p50":1622.4,"p80":1622.4},{"state":"ID","n":2,"p20":null,"p50":null,"p80":null},{"state":"IL","n":18,"p20":996.1,"p50":1317.6,"p80":3855.6},{"state":"IN","n":8,"p20":null,"p50":null,"p80":null},{"state":"KS","n":7,"p20":null,"p50":null,"p80":null},{"state":"KY","n":4,"p20":null,"p50":null,"p80":null},{"state":"LA","n":7,"p20":null,"p50":null,"p80":null},{"state":"MA","n":3,"p20":null,"p50":null,"p80":null},{"state":"MD","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":31,"p20":968.14,"p50":1268.0,"p80":2607.2},{"state":"MN","n":7,"p20":null,"p50":null,"p80":null},{"state":"MO","n":9,"p20":null,"p50":null,"p80":null},{"state":"MS","n":7,"p20":null,"p50":null,"p80":null},{"state":"MT","n":3,"p20":null,"p50":null,"p80":null},{"state":"NC","n":4,"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":21,"p20":4094.84,"p50":4709.06,"p80":5741.0},{"state":"NM","n":3,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":27,"p20":793.73,"p50":1633.2,"p80":3409.02},{"state":"OH","n":22,"p20":1642.55,"p50":2815.8,"p80":10769.6},{"state":"OK","n":11,"p20":1089.9,"p50":1089.9,"p80":1089.9},{"state":"OR","n":13,"p20":1214.2,"p50":1221.6,"p80":1221.6},{"state":"PA","n":17,"p20":409.42,"p50":483.86,"p80":2295.14},{"state":"SC","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":1,"p20":null,"p50":null,"p80":null},{"state":"TX","n":33,"p20":1344.6,"p50":2629.76,"p80":3968.64},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":6,"p20":null,"p50":null,"p80":null},{"state":"WI","n":27,"p20":3093.05,"p50":5987.15,"p80":6972.3},{"state":"WV","n":5,"p20":null,"p50":null,"p80":null},{"state":"WY","n":3,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":346,"p20":996.1,"p50":1881.0,"p80":3968.64},{"key":"childrens","n":9,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":77,"p20":996.1,"p50":1685.47,"p80":5665.68}],"ownership":[{"key":"for_profit","n":26,"p20":996.1,"p50":1344.6,"p80":3779.65},{"key":"government","n":64,"p20":932.0,"p50":1556.52,"p80":2394.0},{"key":"nonprofit","n":342,"p20":996.1,"p50":2041.0,"p80":4709.06}],"affiliation":[{"key":"affiliated","n":349,"p20":996.1,"p50":2251.6,"p80":4709.06},{"key":"independent","n":84,"p20":1031.56,"p50":1548.0,"p80":2394.45}]},"histogram":[{"lo":353.59,"hi":491.69,"n":17},{"lo":491.69,"hi":683.72,"n":17},{"lo":683.72,"hi":950.75,"n":19},{"lo":950.75,"hi":1322.07,"n":87},{"lo":1322.07,"hi":1838.42,"n":57},{"lo":1838.42,"hi":2556.43,"n":54},{"lo":2556.43,"hi":3554.86,"n":59},{"lo":3554.86,"hi":4943.24,"n":32},{"lo":4943.24,"hi":6873.86,"n":34},{"lo":6873.86,"hi":9558.5,"n":15}],"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":"2026-09-25T01:09:24.241146Z","n_priced_setters":3956,"n_filed":334,"n_usable":298,"n_not_usable":0,"n_labelled":19,"n_no_cash":17,"n_estimated":0,"n_states":44,"cash_p10":647.28,"cash_p20":996.1,"cash_p25":1081.2,"cash_p50":1657.5,"cash_p75":3421.6,"cash_p80":3505.0,"cash_p90":5987.15,"cash_mean_trimmed":1941.51,"gross_p50":2525.0,"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":5,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":41,"p20":2251.6,"p50":3421.6,"p80":3421.6},{"state":"CO","n":4,"p20":null,"p50":null,"p80":null},{"state":"CT","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":3,"p20":null,"p50":null,"p80":null},{"state":"GA","n":10,"p20":418.47,"p50":418.47,"p80":418.47},{"state":"HI","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":16,"p20":1622.4,"p50":1622.4,"p80":1622.4},{"state":"ID","n":2,"p20":null,"p50":null,"p80":null},{"state":"IL","n":15,"p20":996.1,"p50":1291.8,"p80":1338.4},{"state":"IN","n":11,"p20":984.75,"p50":996.1,"p80":1388.75},{"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":"MA","n":3,"p20":null,"p50":null,"p80":null},{"state":"ME","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":15,"p20":230.72,"p50":1339.6,"p80":2607.2},{"state":"MN","n":4,"p20":null,"p50":null,"p80":null},{"state":"MO","n":6,"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":3,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":1,"p20":null,"p50":null,"p80":null},{"state":"NH","n":4,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":2,"p20":null,"p50":null,"p80":null},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":22,"p20":793.73,"p50":1633.2,"p80":3409.02},{"state":"OH","n":18,"p20":1020.6,"p50":7382.4,"p80":10769.6},{"state":"OK","n":10,"p20":1089.9,"p50":1089.9,"p80":1089.9},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":13,"p20":893.75,"p50":1891.37,"p80":2491.48},{"state":"SC","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":33,"p20":1344.6,"p50":2629.76,"p80":3968.64},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":3,"p20":null,"p50":null,"p80":null},{"state":"WI","n":13,"p20":5987.15,"p50":5987.15,"p80":5987.15},{"state":"WV","n":3,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":249,"p20":993.0,"p50":1657.5,"p80":3421.6},{"key":"childrens","n":4,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":44,"p20":996.1,"p50":1668.8,"p80":5987.15}],"ownership":[{"key":"for_profit","n":25,"p20":996.1,"p50":1388.75,"p80":2607.2},{"key":"government","n":38,"p20":960.75,"p50":1602.75,"p80":2465.62},{"key":"nonprofit","n":234,"p20":993.0,"p50":1685.47,"p80":3779.65}],"affiliation":[{"key":"affiliated","n":244,"p20":993.0,"p50":1871.0,"p80":3779.65},{"key":"independent","n":54,"p20":1014.0,"p50":1500.75,"p80":2465.62}]},"histogram":[{"lo":269.77,"hi":385.43,"n":3},{"lo":385.43,"hi":550.69,"n":12},{"lo":550.69,"hi":786.79,"n":16},{"lo":786.79,"hi":1124.13,"n":45},{"lo":1124.13,"hi":1606.09,"n":41},{"lo":1606.09,"hi":2294.7,"n":53},{"lo":2294.7,"hi":3278.55,"n":30},{"lo":3278.55,"hi":4684.22,"n":43},{"lo":4684.22,"hi":6692.57,"n":20},{"lo":6692.57,"hi":9562.0,"n":7}],"previous":null}},"related":[{"code_type":"CPT","code":"31645","lay_name":"Bronchoscopy to suction out the airways, first session","slug":"cpt-31645-bronchoscopy-to-suction-out-the-airways-first-session"},{"code_type":"CPT","code":"31530","lay_name":"Removal of a stuck object from the voice box","slug":"cpt-31530-removal-of-a-stuck-object-from-the-voice-box"},{"code_type":"CPT","code":"32998","lay_name":"Heat ablation of lung tumors through the skin, one side","slug":"cpt-32998-heat-ablation-of-lung-tumors-through-the-skin-one-side"},{"code_type":"CPT","code":"32994","lay_name":"Freezing of lung tumors through the skin, one side","slug":"cpt-32994-freezing-of-lung-tumors-through-the-skin-one-side"},{"code_type":"CPT","code":"31641","lay_name":"Bronchoscopy to destroy an airway tumor or open a narrowing","slug":"cpt-31641-bronchoscopy-to-destroy-an-airway-tumor-or-open-a-narrowing"},{"code_type":"CPT","code":"31646","lay_name":"Repeat bronchoscopy to suction out the airways","slug":"cpt-31646-repeat-bronchoscopy-to-suction-out-the-airways"},{"code_type":"CPT","code":"31630","lay_name":"Lung airway scope exam with widening of a narrowed airway","slug":"cpt-31630-lung-airway-scope-exam-with-widening-of-a-narrowed-airway"},{"code_type":"CPT","code":"31631","lay_name":"Lung airway scope exam with windpipe stent placement","slug":"cpt-31631-lung-airway-scope-exam-with-windpipe-stent-placement"},{"code_type":"CPT","code":"31541","lay_name":"Laryngoscopy with vocal cord tumor removal, microscope","slug":"cpt-31541-laryngoscopy-with-vocal-cord-tumor-removal-microscope"},{"code_type":"CPT","code":"31640","lay_name":"Lung airway scope exam with removal of an airway tumor","slug":"cpt-31640-lung-airway-scope-exam-with-removal-of-an-airway-tumor"},{"code_type":"CPT","code":"31636","lay_name":"Lung airway scope exam with stent placement in one airway","slug":"cpt-31636-lung-airway-scope-exam-with-stent-placement-in-one-airway"},{"code_type":"CPT","code":"31571","lay_name":"Vocal cord injection through a rigid scope, with microscope","slug":"cpt-31571-vocal-cord-injection-through-a-rigid-scope-with-microscope"}]}