{"procedure":{"code_type":"CPT","code":"38243","lay_name":"Extra stem cell infusion after a transplant","blurb":"An additional dose of previously collected blood-forming stem cells is infused to support marrow recovery after an earlier transplant.","slug":"cpt-38243-extra-stem-cell-infusion-after-a-transplant","description":"PR Trnsplj Hematopoietic Cell Boost","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"64","label":"Bone marrow transplant","surgery_flag":"neither"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T21:06:03.273485Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T10:45:50.833230Z","checked_through":"2026-09-23T21:50:21.175320Z","n_priced_setters":3956,"n_filed":398,"n_usable":354,"n_not_usable":1,"n_labelled":27,"n_no_cash":16,"n_estimated":0,"n_states":40,"cash_p10":310.4,"cash_p20":655.63,"cash_p25":1160.0,"cash_p50":2141.53,"cash_p75":3987.75,"cash_p80":4579.0,"cash_p90":5755.7,"cash_mean_trimmed":2343.78,"gross_p50":3658.0,"cash_to_gross_p50":0.6,"medicare_rate":1591.16,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":1.3459,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AR","n":4,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":10,"p20":1911.19,"p50":5449.0,"p80":5449.0},{"state":"CA","n":38,"p20":2834.0,"p50":2834.0,"p80":5801.6},{"state":"CO","n":4,"p20":null,"p50":null,"p80":null},{"state":"CT","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":28,"p20":1628.74,"p50":2587.6,"p80":3061.3},{"state":"GA","n":11,"p20":4061.25,"p50":4832.0,"p80":4832.0},{"state":"IA","n":13,"p20":310.4,"p50":310.4,"p80":310.4},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":18,"p20":212.4,"p50":2030.0,"p80":2987.6},{"state":"IN","n":16,"p20":483.48,"p50":531.0,"p80":761.92},{"state":"KS","n":2,"p20":null,"p50":null,"p80":null},{"state":"KY","n":2,"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":"MI","n":9,"p20":null,"p50":null,"p80":null},{"state":"MN","n":4,"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":"NC","n":14,"p20":675.0,"p50":2667.2,"p80":2667.2},{"state":"NE","n":2,"p20":null,"p50":null,"p80":null},{"state":"NH","n":3,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":24,"p20":1814.45,"p50":3986.0,"p80":5855.0},{"state":"NM","n":2,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":27,"p20":1709.62,"p50":1939.86,"p80":5129.0},{"state":"OH","n":16,"p20":1710.9,"p50":2748.6,"p80":4717.7},{"state":"OK","n":12,"p20":203.7,"p50":203.7,"p80":203.7},{"state":"OR","n":1,"p20":null,"p50":null,"p80":null},{"state":"PA","n":14,"p20":1437.0,"p50":1922.04,"p80":3353.13},{"state":"SC","n":12,"p20":2448.06,"p50":2663.7,"p80":2663.7},{"state":"TN","n":8,"p20":null,"p50":null,"p80":null},{"state":"TX","n":23,"p20":1600.42,"p50":1770.28,"p80":5415.0},{"state":"UT","n":2,"p20":null,"p50":null,"p80":null},{"state":"VA","n":9,"p20":null,"p50":null,"p80":null},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":4,"p20":null,"p50":null,"p80":null},{"state":"WI","n":3,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":316,"p20":733.2,"p50":2227.61,"p80":4528.3},{"key":"childrens","n":17,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":17,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":28,"p20":655.63,"p50":2448.06,"p80":5449.0},{"key":"government","n":50,"p20":761.92,"p50":1939.86,"p80":2667.2},{"key":"nonprofit","n":272,"p20":649.62,"p50":2303.16,"p80":4579.0}],"affiliation":[{"key":"affiliated","n":317,"p20":735.54,"p50":2510.5,"p80":4717.7},{"key":"independent","n":37,"p20":224.0,"p50":1549.8,"p80":2815.5}]},"histogram":[{"lo":203.7,"hi":284.74,"n":18},{"lo":284.74,"hi":398.02,"n":20},{"lo":398.02,"hi":556.36,"n":12},{"lo":556.36,"hi":777.7,"n":17},{"lo":777.7,"hi":1087.1,"n":7},{"lo":1087.1,"hi":1519.59,"n":16},{"lo":1519.59,"hi":2124.13,"n":70},{"lo":2124.13,"hi":2969.18,"n":68},{"lo":2969.18,"hi":4150.42,"n":33},{"lo":4150.42,"hi":5801.6,"n":64}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T18:18:13.425760Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-15","checked_from":"2026-09-05T11:47:11.200275Z","checked_through":"2026-09-23T21:50:21.175320Z","n_priced_setters":3956,"n_filed":271,"n_usable":244,"n_not_usable":0,"n_labelled":14,"n_no_cash":13,"n_estimated":0,"n_states":34,"cash_p10":310.4,"cash_p20":633.09,"cash_p25":882.0,"cash_p50":2587.6,"cash_p75":4086.6,"cash_p80":4717.7,"cash_p90":5755.7,"cash_mean_trimmed":2478.83,"gross_p50":4458.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":9,"p20":null,"p50":null,"p80":null},{"state":"CA","n":37,"p20":2834.0,"p50":5801.6,"p80":5801.6},{"state":"CO","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":13,"p20":2587.6,"p50":2587.6,"p80":3061.3},{"state":"GA","n":11,"p20":4061.25,"p50":4832.0,"p80":4832.0},{"state":"IA","n":13,"p20":310.4,"p50":310.4,"p80":310.4},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":6,"p20":null,"p50":null,"p80":null},{"state":"IN","n":3,"p20":null,"p50":null,"p80":null},{"state":"KS","n":2,"p20":null,"p50":null,"p80":null},{"state":"KY","n":1,"p20":null,"p50":null,"p80":null},{"state":"MA","n":3,"p20":null,"p50":null,"p80":null},{"state":"MI","n":5,"p20":null,"p50":null,"p80":null},{"state":"MN","n":4,"p20":null,"p50":null,"p80":null},{"state":"MO","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":13,"p20":675.0,"p50":2667.2,"p80":2667.2},{"state":"NH","n":3,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":1,"p20":null,"p50":null,"p80":null},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":1,"p20":null,"p50":null,"p80":null},{"state":"NY","n":10,"p20":394.14,"p50":5129.0,"p80":7004.0},{"state":"OH","n":14,"p20":1710.9,"p50":2748.6,"p80":4717.7},{"state":"OK","n":10,"p20":203.7,"p50":203.7,"p80":203.7},{"state":"PA","n":20,"p20":605.56,"p50":743.19,"p80":2771.37},{"state":"SC","n":9,"p20":null,"p50":null,"p80":null},{"state":"TN","n":5,"p20":null,"p50":null,"p80":null},{"state":"TX","n":20,"p20":1600.42,"p50":1770.28,"p80":1901.0},{"state":"UT","n":2,"p20":null,"p50":null,"p80":null},{"state":"VA","n":9,"p20":null,"p50":null,"p80":null},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":4,"p20":null,"p50":null,"p80":null},{"state":"WI","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":220,"p20":633.09,"p50":2587.6,"p80":4717.7},{"key":"childrens","n":12,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":8,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":16,"p20":null,"p50":null,"p80":null},{"key":"government","n":27,"p20":1365.0,"p50":2667.2,"p80":2667.2},{"key":"nonprofit","n":197,"p20":605.56,"p50":2587.6,"p80":4717.7}],"affiliation":[{"key":"affiliated","n":223,"p20":689.76,"p50":2652.0,"p80":4717.7},{"key":"independent","n":21,"p20":217.76,"p50":1664.0,"p80":3047.76}]},"histogram":[{"lo":203.7,"hi":284.74,"n":16},{"lo":284.74,"hi":398.02,"n":17},{"lo":398.02,"hi":556.36,"n":5},{"lo":556.36,"hi":777.7,"n":15},{"lo":777.7,"hi":1087.1,"n":7},{"lo":1087.1,"hi":1519.59,"n":8},{"lo":1519.59,"hi":2124.13,"n":33},{"lo":2124.13,"hi":2969.18,"n":58},{"lo":2969.18,"hi":4150.42,"n":18},{"lo":4150.42,"hi":5801.6,"n":56}],"previous":null}},"related":[{"code_type":"CPT","code":"38241","lay_name":"Stem cell transplant using the patient's own cells","slug":"cpt-38241-stem-cell-transplant-using-the-patient-s-own-cells"},{"code_type":"CPT","code":"38206","lay_name":"Collecting a patient's own blood stem cells","slug":"cpt-38206-collecting-a-patient-s-own-blood-stem-cells"},{"code_type":"CPT","code":"38207","lay_name":"Freezing and storing collected stem cells","slug":"cpt-38207-freezing-and-storing-collected-stem-cells"},{"code_type":"CPT","code":"38208","lay_name":"Thawing stored stem cells before transplant","slug":"cpt-38208-thawing-stored-stem-cells-before-transplant"},{"code_type":"CPT","code":"38242","lay_name":"Donor lymphocyte infusion","slug":"cpt-38242-donor-lymphocyte-infusion"},{"code_type":"CPT","code":"38240","lay_name":"Stem cell transplant from a donor","slug":"cpt-38240-stem-cell-transplant-from-a-donor"},{"code_type":"CPT","code":"38214","lay_name":"Plasma removal from stem cells before transplant","slug":"cpt-38214-plasma-removal-from-stem-cells-before-transplant"},{"code_type":"CPT","code":"38205","lay_name":"Collecting blood stem cells from a donor","slug":"cpt-38205-collecting-blood-stem-cells-from-a-donor"},{"code_type":"CPT","code":"38212","lay_name":"Removing red blood cells from collected stem cells","slug":"cpt-38212-removing-red-blood-cells-from-collected-stem-cells"},{"code_type":"CPT","code":"38215","lay_name":"Concentrating stem cells before transplant","slug":"cpt-38215-concentrating-stem-cells-before-transplant"},{"code_type":"CPT","code":"38210","lay_name":"Removing T-cells from collected stem cells","slug":"cpt-38210-removing-t-cells-from-collected-stem-cells"},{"code_type":"CPT","code":"38209","lay_name":"Thawing and washing stored stem cells before transplant","slug":"cpt-38209-thawing-and-washing-stored-stem-cells-before-transplant"}]}