{"procedure":{"code_type":"CPT","code":"38520","lay_name":"Open removal of deep neck nodes with scalene fat pad","blurb":"Through a neck incision, deep neck lymph nodes are removed along with the nearby scalene fat pad tissue.","slug":"cpt-38520-open-removal-of-deep-neck-nodes-with-scalene-fat-pad","description":"Bx/Exc Lymph Node Opn Dp Crv Node W/Exc Fat Pad","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"67","label":"Other therapeutic procedures, hemic and lymphatic 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":"2026-09-23T22:20:23.317834Z","n_priced_setters":3956,"n_filed":419,"n_usable":374,"n_not_usable":0,"n_labelled":38,"n_no_cash":6,"n_estimated":1,"n_states":46,"cash_p10":622.79,"cash_p20":808.8,"cash_p25":893.16,"cash_p50":1869.4,"cash_p75":4895.48,"cash_p80":5109.67,"cash_p90":9738.4,"cash_mean_trimmed":2629.85,"gross_p50":1858.71,"cash_to_gross_p50":0.6,"medicare_rate":4000.24,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.4673,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":3,"p20":null,"p50":null,"p80":null},{"state":"AR","n":3,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":42,"p20":2394.93,"p50":4992.0,"p80":9738.4},{"state":"CO","n":5,"p20":null,"p50":null,"p80":null},{"state":"CT","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":6,"p20":null,"p50":null,"p80":null},{"state":"GA","n":3,"p20":null,"p50":null,"p80":null},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":18,"p20":883.23,"p50":1142.4,"p80":1142.4},{"state":"ID","n":9,"p20":null,"p50":null,"p80":null},{"state":"IL","n":14,"p20":630.35,"p50":856.2,"p80":1304.8},{"state":"IN","n":8,"p20":null,"p50":null,"p80":null},{"state":"KS","n":5,"p20":null,"p50":null,"p80":null},{"state":"KY","n":7,"p20":null,"p50":null,"p80":null},{"state":"LA","n":5,"p20":null,"p50":null,"p80":null},{"state":"MA","n":2,"p20":null,"p50":null,"p80":null},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":16,"p20":1521.6,"p50":1869.4,"p80":5383.86},{"state":"MN","n":2,"p20":null,"p50":null,"p80":null},{"state":"MO","n":6,"p20":null,"p50":null,"p80":null},{"state":"MT","n":3,"p20":null,"p50":null,"p80":null},{"state":"NC","n":2,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":10,"p20":808.8,"p50":985.15,"p80":1067.64},{"state":"NH","n":3,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":30,"p20":4238.48,"p50":4881.0,"p80":5419.0},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":29,"p20":754.5,"p50":4531.42,"p80":4647.56},{"state":"OH","n":14,"p20":776.25,"p50":1827.8,"p80":3120.0},{"state":"OK","n":13,"p20":901.6,"p50":901.6,"p80":6463.6},{"state":"OR","n":8,"p20":null,"p50":null,"p80":null},{"state":"PA","n":18,"p20":291.06,"p50":357.21,"p80":6473.89},{"state":"SC","n":4,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":6,"p20":null,"p50":null,"p80":null},{"state":"TX","n":22,"p20":4803.34,"p50":4803.34,"p80":4803.34},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VT","n":4,"p20":null,"p50":null,"p80":null},{"state":"WA","n":8,"p20":null,"p50":null,"p80":null},{"state":"WI","n":21,"p20":1869.4,"p50":1869.4,"p80":3378.2},{"state":"WV","n":9,"p20":null,"p50":null,"p80":null},{"state":"WY","n":3,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":292,"p20":856.2,"p50":2928.8,"p80":5383.86},{"key":"childrens","n":8,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":73,"p20":630.35,"p50":1142.4,"p80":3378.2}],"ownership":[{"key":"for_profit","n":38,"p20":655.63,"p50":2394.93,"p80":7112.67},{"key":"government","n":56,"p20":787.0,"p50":1209.0,"p80":4146.8},{"key":"nonprofit","n":279,"p20":865.8,"p50":1926.9,"p80":5339.0}],"affiliation":[{"key":"affiliated","n":295,"p20":865.8,"p50":2394.93,"p80":5110.0},{"key":"independent","n":79,"p20":756.54,"p50":1209.0,"p80":3843.75}]},"histogram":[{"lo":472.35,"hi":641.89,"n":30},{"lo":641.89,"hi":872.28,"n":41},{"lo":872.28,"hi":1185.37,"n":54},{"lo":1185.37,"hi":1610.83,"n":19},{"lo":1610.83,"hi":2188.99,"n":34},{"lo":2188.99,"hi":2974.68,"n":17},{"lo":2974.68,"hi":4042.38,"n":19},{"lo":4042.38,"hi":5493.29,"n":79},{"lo":5493.29,"hi":7464.99,"n":14},{"lo":7464.99,"hi":10144.37,"n":31}],"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":"2026-09-05T02:25:43.484337Z","checked_through":"2026-09-23T22:20:23.317834Z","n_priced_setters":3956,"n_filed":250,"n_usable":226,"n_not_usable":0,"n_labelled":18,"n_no_cash":6,"n_estimated":0,"n_states":41,"cash_p10":538.2,"cash_p20":685.0,"cash_p25":826.0,"cash_p50":1360.8,"cash_p75":4803.34,"cash_p80":4992.0,"cash_p90":9738.4,"cash_mean_trimmed":2116.07,"gross_p50":1801.0,"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":3,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":37,"p20":4992.0,"p50":9738.4,"p80":9738.4},{"state":"CO","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":1,"p20":null,"p50":null,"p80":null},{"state":"GA","n":1,"p20":null,"p50":null,"p80":null},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":17,"p20":885.6,"p50":1142.4,"p80":1142.4},{"state":"ID","n":7,"p20":null,"p50":null,"p80":null},{"state":"IL","n":11,"p20":630.35,"p50":885.6,"p80":893.16},{"state":"IN","n":9,"p20":null,"p50":null,"p80":null},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":4,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MA","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":10,"p20":906.0,"p50":1521.6,"p80":1869.4},{"state":"MN","n":1,"p20":null,"p50":null,"p80":null},{"state":"MO","n":2,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":5,"p20":null,"p50":null,"p80":null},{"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":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":10,"p20":528.87,"p50":1115.0,"p80":2848.17},{"state":"OH","n":8,"p20":null,"p50":null,"p80":null},{"state":"OK","n":11,"p20":901.6,"p50":901.6,"p80":901.6},{"state":"OR","n":6,"p20":null,"p50":null,"p80":null},{"state":"PA","n":16,"p20":334.76,"p50":392.98,"p80":6473.89},{"state":"SC","n":1,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":19,"p20":4803.34,"p50":4803.34,"p80":4803.34},{"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":1869.4,"p50":1869.4,"p80":1869.4},{"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":178,"p20":736.0,"p50":1395.0,"p80":4992.0},{"key":"childrens","n":4,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":43,"p20":630.35,"p50":1142.4,"p80":2631.0}],"ownership":[{"key":"for_profit","n":25,"p20":630.35,"p50":901.6,"p80":3075.18},{"key":"government","n":21,"p20":787.0,"p50":905.0,"p80":2027.25},{"key":"nonprofit","n":179,"p20":754.5,"p50":1514.7,"p80":4992.0}],"affiliation":[{"key":"affiliated","n":184,"p20":747.74,"p50":1521.6,"p80":4992.0},{"key":"independent","n":42,"p20":600.0,"p50":893.16,"p80":2027.25}]},"histogram":[{"lo":443.1,"hi":603.53,"n":19},{"lo":603.53,"hi":822.05,"n":27},{"lo":822.05,"hi":1119.69,"n":40},{"lo":1119.69,"hi":1525.09,"n":27},{"lo":1525.09,"hi":2077.28,"n":21},{"lo":2077.28,"hi":2829.39,"n":10},{"lo":2829.39,"hi":3853.82,"n":6},{"lo":3853.82,"hi":5249.17,"n":30},{"lo":5249.17,"hi":7149.72,"n":5},{"lo":7149.72,"hi":9738.4,"n":26}],"previous":null}},"related":[{"code_type":"CPT","code":"38505","lay_name":"Needle biopsy of a lymph node","slug":"cpt-38505-needle-biopsy-of-a-lymph-node"},{"code_type":"CPT","code":"36680","lay_name":"Needle placed into bone for fluids or medicine","slug":"cpt-36680-needle-placed-into-bone-for-fluids-or-medicine"},{"code_type":"CPT","code":"38500","lay_name":"Open biopsy or removal of a surface lymph node","slug":"cpt-38500-open-biopsy-or-removal-of-a-surface-lymph-node"},{"code_type":"CPT","code":"38525","lay_name":"Open biopsy or removal of deep armpit lymph nodes","slug":"cpt-38525-open-biopsy-or-removal-of-deep-armpit-lymph-nodes"},{"code_type":"CPT","code":"38510","lay_name":"Open biopsy or removal of deep neck lymph nodes","slug":"cpt-38510-open-biopsy-or-removal-of-deep-neck-lymph-nodes"},{"code_type":"CPT","code":"38531","lay_name":"Open biopsy or removal of groin lymph nodes","slug":"cpt-38531-open-biopsy-or-removal-of-groin-lymph-nodes"},{"code_type":"CPT","code":"38999","lay_name":"Unlisted procedure on the blood or lymph system","slug":"cpt-38999-unlisted-procedure-on-the-blood-or-lymph-system"},{"code_type":"CPT","code":"38900","lay_name":"Dye injection during surgery to find the sentinel lymph node","slug":"cpt-38900-dye-injection-during-surgery-to-find-the-sentinel-lymph-node"},{"code_type":"CPT","code":"38300","lay_name":"Drainage of an infected lymph node, simple","slug":"cpt-38300-drainage-of-an-infected-lymph-node-simple"},{"code_type":"CPT","code":"38570","lay_name":"Keyhole sampling of lymph nodes behind the abdomen","slug":"cpt-38570-keyhole-sampling-of-lymph-nodes-behind-the-abdomen"},{"code_type":"CPT","code":"38745","lay_name":"Complete removal of the armpit lymph nodes","slug":"cpt-38745-complete-removal-of-the-armpit-lymph-nodes"},{"code_type":"CPT","code":"38571","lay_name":"Keyhole removal of pelvic lymph nodes on both sides","slug":"cpt-38571-keyhole-removal-of-pelvic-lymph-nodes-on-both-sides"}]}