{"procedure":{"code_type":"CPT","code":"33946","lay_name":"Starting ECMO life support, vein-to-vein","blurb":"Setting up and starting an external machine that adds oxygen to the blood, with blood drawn from and returned to a vein; covers the initiation only, not daily upkeep.","slug":"cpt-33946-starting-ecmo-life-support-vein-to-vein","description":"Ecmo/Ecls Initiation Veno-Venous","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"50","label":"Extracorporeal circulation auxiliary to open heart procedures","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":"2024-02-19","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.006185Z","checked_through":"2026-09-25T01:13:19.715392Z","n_priced_setters":3956,"n_filed":888,"n_usable":810,"n_not_usable":1,"n_labelled":40,"n_no_cash":37,"n_estimated":0,"n_states":49,"cash_p10":553.15,"cash_p20":868.56,"cash_p25":1472.9,"cash_p50":3572.07,"cash_p75":7919.26,"cash_p80":9270.0,"cash_p90":17528.88,"cash_mean_trimmed":4116.46,"gross_p50":5780.45,"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":2,"p20":null,"p50":null,"p80":null},{"state":"AL","n":6,"p20":null,"p50":null,"p80":null},{"state":"AR","n":8,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":17,"p20":553.76,"p50":5516.55,"p80":9270.0},{"state":"CA","n":66,"p20":767.2,"p50":2457.12,"p80":14047.07},{"state":"CO","n":17,"p20":898.9,"p50":3015.55,"p80":6741.3},{"state":"CT","n":9,"p20":null,"p50":null,"p80":null},{"state":"DE","n":4,"p20":null,"p50":null,"p80":null},{"state":"FL","n":38,"p20":2835.3,"p50":9233.4,"p80":31077.0},{"state":"GA","n":38,"p20":2176.2,"p50":2410.98,"p80":9119.37},{"state":"IA","n":15,"p20":761.6,"p50":945.79,"p80":6110.9},{"state":"ID","n":5,"p20":null,"p50":null,"p80":null},{"state":"IL","n":31,"p20":609.69,"p50":2922.5,"p80":5518.4},{"state":"IN","n":18,"p20":537.25,"p50":9080.37,"p80":13684.14},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":10,"p20":315.84,"p50":850.5,"p80":850.5},{"state":"LA","n":11,"p20":771.2,"p50":1722.38,"p80":6684.16},{"state":"MA","n":3,"p20":null,"p50":null,"p80":null},{"state":"MD","n":5,"p20":null,"p50":null,"p80":null},{"state":"ME","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":37,"p20":423.6,"p50":1571.7,"p80":5991.0},{"state":"MN","n":26,"p20":2395.63,"p50":3037.58,"p80":3911.6},{"state":"MO","n":13,"p20":908.7,"p50":3988.6,"p80":5729.4},{"state":"MS","n":5,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":15,"p20":2890.35,"p50":17528.88,"p80":17528.88},{"state":"ND","n":3,"p20":null,"p50":null,"p80":null},{"state":"NE","n":10,"p20":498.23,"p50":5693.94,"p80":5693.94},{"state":"NH","n":4,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":21,"p20":1964.8,"p50":4627.0,"p80":5741.0},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":6,"p20":null,"p50":null,"p80":null},{"state":"NY","n":25,"p20":640.1,"p50":969.5,"p80":5512.53},{"state":"OH","n":55,"p20":1621.75,"p50":4324.5,"p80":25317.5},{"state":"OK","n":17,"p20":7326.4,"p50":7326.4,"p80":11400.0},{"state":"OR","n":12,"p20":553.15,"p50":17180.25,"p80":17180.25},{"state":"PA","n":30,"p20":222.04,"p50":3867.5,"p80":6190.8},{"state":"RI","n":1,"p20":null,"p50":null,"p80":null},{"state":"SC","n":14,"p20":4378.4,"p50":4378.4,"p80":11654.5},{"state":"SD","n":6,"p20":null,"p50":null,"p80":null},{"state":"TN","n":25,"p20":257.1,"p50":2088.16,"p80":2579.4},{"state":"TX","n":60,"p20":2780.4,"p50":4536.87,"p80":9649.0},{"state":"UT","n":22,"p20":2948.5,"p50":2948.5,"p80":3276.11},{"state":"VA","n":28,"p20":688.5,"p50":1469.49,"p80":20142.18},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":17,"p20":2642.5,"p50":7784.0,"p80":7784.0},{"state":"WI","n":46,"p20":1571.7,"p50":1733.31,"p80":40574.5},{"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":700,"p20":836.92,"p50":3867.5,"p80":9239.2},{"key":"childrens","n":34,"p20":1224.51,"p50":7784.0,"p80":24756.0},{"key":"critical_access","n":72,"p20":1500.0,"p50":2579.4,"p80":5194.0}],"ownership":[{"key":"for_profit","n":69,"p20":1112.21,"p50":3468.27,"p80":9270.0},{"key":"government","n":72,"p20":1338.75,"p50":4000.0,"p80":17118.4},{"key":"nonprofit","n":665,"p20":836.92,"p50":3564.0,"p80":9203.52}],"affiliation":[{"key":"affiliated","n":742,"p20":1030.0,"p50":3911.6,"p80":9270.0},{"key":"independent","n":68,"p20":573.0,"p50":1500.67,"p80":8978.0}]},"histogram":[{"lo":369.08,"hi":577.5,"n":50},{"lo":577.5,"hi":903.6,"n":74},{"lo":903.6,"hi":1413.85,"n":33},{"lo":1413.85,"hi":2212.24,"n":95},{"lo":2212.24,"hi":3461.47,"n":99},{"lo":3461.47,"hi":5416.12,"n":117},{"lo":5416.12,"hi":8474.55,"n":109},{"lo":8474.55,"hi":13260.03,"n":73},{"lo":13260.03,"hi":20747.83,"n":54},{"lo":20747.83,"hi":32463.9,"n":27}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:05:50.973703Z","filing_date_min":"2024-02-19","filing_date_max":"2026-09-16","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:13:19.715392Z","n_priced_setters":3956,"n_filed":738,"n_usable":694,"n_not_usable":0,"n_labelled":20,"n_no_cash":24,"n_estimated":0,"n_states":49,"cash_p10":553.15,"cash_p20":771.2,"cash_p25":1292.25,"cash_p50":3468.27,"cash_p75":7784.0,"cash_p80":9270.0,"cash_p90":17180.25,"cash_mean_trimmed":4038.55,"gross_p50":5900.0,"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":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":5,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":15,"p20":553.76,"p50":9270.0,"p80":9270.0},{"state":"CA","n":64,"p20":767.2,"p50":3188.25,"p80":14047.07},{"state":"CO","n":16,"p20":3015.55,"p50":3015.55,"p80":6741.3},{"state":"CT","n":5,"p20":null,"p50":null,"p80":null},{"state":"DE","n":4,"p20":null,"p50":null,"p80":null},{"state":"FL","n":26,"p20":2865.61,"p50":8080.0,"p80":15990.1},{"state":"GA","n":35,"p20":2176.2,"p50":2410.98,"p80":9119.37},{"state":"IA","n":17,"p20":761.6,"p50":761.6,"p80":6110.9},{"state":"ID","n":5,"p20":null,"p50":null,"p80":null},{"state":"IL","n":22,"p20":537.25,"p50":761.6,"p80":6415.5},{"state":"IN","n":10,"p20":358.65,"p50":439.02,"p80":537.25},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":10,"p20":315.84,"p50":850.5,"p80":850.5},{"state":"LA","n":6,"p20":null,"p50":null,"p80":null},{"state":"MA","n":2,"p20":null,"p50":null,"p80":null},{"state":"MD","n":5,"p20":null,"p50":null,"p80":null},{"state":"ME","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":29,"p20":700.4,"p50":5194.0,"p80":5991.0},{"state":"MN","n":25,"p20":2395.63,"p50":3037.58,"p80":3911.6},{"state":"MO","n":10,"p20":442.8,"p50":3988.6,"p80":3988.6},{"state":"MS","n":2,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":14,"p20":7919.26,"p50":17528.88,"p80":17528.88},{"state":"ND","n":4,"p20":null,"p50":null,"p80":null},{"state":"NE","n":7,"p20":null,"p50":null,"p80":null},{"state":"NH","n":4,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":3,"p20":null,"p50":null,"p80":null},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":6,"p20":null,"p50":null,"p80":null},{"state":"NY","n":23,"p20":640.1,"p50":919.0,"p80":5512.53},{"state":"OH","n":53,"p20":1621.75,"p50":4324.5,"p80":25327.2},{"state":"OK","n":17,"p20":7326.4,"p50":7326.4,"p80":11400.0},{"state":"OR","n":10,"p20":553.15,"p50":553.15,"p80":17180.25},{"state":"PA","n":27,"p20":1510.56,"p50":3867.5,"p80":6190.8},{"state":"RI","n":1,"p20":null,"p50":null,"p80":null},{"state":"SC","n":14,"p20":4378.4,"p50":4378.4,"p80":11654.5},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":24,"p20":257.1,"p50":287.39,"p80":2579.4},{"state":"TX","n":56,"p20":2780.4,"p50":4536.87,"p80":9649.0},{"state":"UT","n":22,"p20":2948.5,"p50":2948.5,"p80":3276.11},{"state":"VA","n":29,"p20":688.5,"p50":1469.49,"p80":20142.18},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":18,"p20":1152.09,"p50":7409.2,"p80":7784.0},{"state":"WI","n":38,"p20":1571.7,"p50":1571.7,"p80":40574.5},{"state":"WV","n":1,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":609,"p20":771.0,"p50":3474.75,"p80":9270.0},{"key":"childrens","n":26,"p20":3519.51,"p50":11230.8,"p80":24756.0},{"key":"critical_access","n":56,"p20":1338.75,"p50":2579.4,"p80":4707.9}],"ownership":[{"key":"for_profit","n":64,"p20":798.0,"p50":2890.35,"p80":9270.0},{"key":"government","n":59,"p20":1292.25,"p50":4137.06,"p80":17528.88},{"key":"nonprofit","n":568,"p20":771.0,"p50":3468.27,"p80":9119.37}],"affiliation":[{"key":"affiliated","n":638,"p20":868.56,"p50":3775.75,"p80":9270.0},{"key":"independent","n":56,"p20":477.0,"p50":1224.51,"p80":6196.4}]},"histogram":[{"lo":359.9,"hi":554.22,"n":41},{"lo":554.22,"hi":853.46,"n":75},{"lo":853.46,"hi":1314.27,"n":24},{"lo":1314.27,"hi":2023.88,"n":66},{"lo":2023.88,"hi":3116.64,"n":85},{"lo":3116.64,"hi":4799.41,"n":97},{"lo":4799.41,"hi":7390.75,"n":89},{"lo":7390.75,"hi":11381.24,"n":74},{"lo":11381.24,"hi":17526.32,"n":42},{"lo":17526.32,"hi":26989.3,"n":34}],"previous":null}},"related":[{"code_type":"CPT","code":"33990","lay_name":"Heart pump placed through the skin, artery access only","slug":"cpt-33990-heart-pump-placed-through-the-skin-artery-access-only"},{"code_type":"CPT","code":"33992","lay_name":"Removal of a skin-puncture heart pump at a later visit","slug":"cpt-33992-removal-of-a-skin-puncture-heart-pump-at-a-later-visit"},{"code_type":"CPT","code":"33993","lay_name":"Repositioning a skin-puncture heart pump at a later visit","slug":"cpt-33993-repositioning-a-skin-puncture-heart-pump-at-a-later-visit"},{"code_type":"CPT","code":"33995","lay_name":"Right heart pump placed through the skin, vein access","slug":"cpt-33995-right-heart-pump-placed-through-the-skin-vein-access"},{"code_type":"CPT","code":"33952","lay_name":"Placing ECMO life-support tubes in a vessel, age 6 and older","slug":"cpt-33952-placing-ecmo-life-support-tubes-in-a-vessel-age-6-and-older"},{"code_type":"CPT","code":"33947","lay_name":"Starting ECMO life support, vein-to-artery","slug":"cpt-33947-starting-ecmo-life-support-vein-to-artery"},{"code_type":"CPT","code":"33948","lay_name":"Daily management of vein-to-vein ECMO support, per day","slug":"cpt-33948-daily-management-of-vein-to-vein-ecmo-support-per-day"},{"code_type":"CPT","code":"33997","lay_name":"Removal of a right heart pump at a later visit","slug":"cpt-33997-removal-of-a-right-heart-pump-at-a-later-visit"},{"code_type":"CPT","code":"33949","lay_name":"Daily management of vein-to-artery ECMO support, per day","slug":"cpt-33949-daily-management-of-vein-to-artery-ecmo-support-per-day"},{"code_type":"CPT","code":"33991","lay_name":"Heart pump placed through the skin, artery and vein access","slug":"cpt-33991-heart-pump-placed-through-the-skin-artery-and-vein-access"},{"code_type":"CPT","code":"33966","lay_name":"Removal of ECMO cannula through the skin, age 6 and older","slug":"cpt-33966-removal-of-ecmo-cannula-through-the-skin-age-6-and-older"},{"code_type":"CPT","code":"33958","lay_name":"Repositioning ECMO tubes without surgery, age 6 and older","slug":"cpt-33958-repositioning-ecmo-tubes-without-surgery-age-6-and-older"}]}