{"procedure":{"code_type":"CPT","code":"40700","lay_name":"Cleft lip repair, one side, first operation","blurb":"Plastic surgery to close a cleft of the lip and reshape the related nose deformity on one side, done as the initial repair.","slug":"cpt-40700-cleft-lip-repair-one-side-first-operation","description":"Plstc Rpr Cl Lip/Nsl Dfrm Prim Prtl/Compl Uni","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"33","label":"Other OR therapeutic procedures on nose, mouth and pharynx","surgery_flag":"narrow"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T21:50:31.523775Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.006185Z","checked_through":"2026-09-23T21:50:31.523775Z","n_priced_setters":3956,"n_filed":281,"n_usable":247,"n_not_usable":2,"n_labelled":25,"n_no_cash":5,"n_estimated":2,"n_states":41,"cash_p10":1432.32,"cash_p20":1732.86,"cash_p25":1895.78,"cash_p50":5289.89,"cash_p75":8139.99,"cash_p80":9266.96,"cash_p90":11933.6,"cash_mean_trimmed":5139.04,"gross_p50":4211.6,"cash_to_gross_p50":0.6,"medicare_rate":6048.05,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.8746,"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":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":24,"p20":11933.6,"p50":11933.6,"p80":11933.6},{"state":"CO","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":5,"p20":null,"p50":null,"p80":null},{"state":"GA","n":2,"p20":null,"p50":null,"p80":null},{"state":"HI","n":2,"p20":null,"p50":null,"p80":null},{"state":"IA","n":16,"p20":2503.2,"p50":2503.2,"p80":2503.2},{"state":"ID","n":8,"p20":null,"p50":null,"p80":null},{"state":"IL","n":12,"p20":778.4,"p50":1486.02,"p80":2503.2},{"state":"KS","n":3,"p20":null,"p50":null,"p80":null},{"state":"KY","n":2,"p20":null,"p50":null,"p80":null},{"state":"LA","n":5,"p20":null,"p50":null,"p80":null},{"state":"MA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":7,"p20":null,"p50":null,"p80":null},{"state":"MN","n":4,"p20":null,"p50":null,"p80":null},{"state":"MO","n":2,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":2,"p20":null,"p50":null,"p80":null},{"state":"NH","n":4,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":31,"p20":5110.0,"p50":6547.81,"p80":7893.67},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":21,"p20":6048.05,"p50":7000.36,"p80":7026.75},{"state":"OH","n":8,"p20":null,"p50":null,"p80":null},{"state":"OK","n":13,"p20":1650.6,"p50":1650.6,"p80":8221.4},{"state":"OR","n":6,"p20":null,"p50":null,"p80":null},{"state":"PA","n":9,"p20":null,"p50":null,"p80":null},{"state":"SC","n":3,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":7,"p20":null,"p50":null,"p80":null},{"state":"TX","n":19,"p20":5289.89,"p50":5289.89,"p80":5289.89},{"state":"VA","n":5,"p20":null,"p50":null,"p80":null},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":4,"p20":null,"p50":null,"p80":null},{"state":"WV","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":214,"p20":1693.97,"p50":5289.89,"p80":9266.96},{"key":"childrens","n":17,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":16,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":26,"p20":930.61,"p50":5289.89,"p80":9422.15},{"key":"government","n":38,"p20":1867.16,"p50":3369.28,"p80":7474.9},{"key":"nonprofit","n":183,"p20":1693.97,"p50":5289.89,"p80":10877.33}],"affiliation":[{"key":"affiliated","n":200,"p20":1693.97,"p50":5419.0,"p80":10077.18},{"key":"independent","n":47,"p20":1756.8,"p50":3276.0,"p80":7474.9}]},"histogram":[{"lo":908.1,"hi":1206.16,"n":11},{"lo":1206.16,"hi":1602.06,"n":12},{"lo":1602.06,"hi":2127.91,"n":32},{"lo":2127.91,"hi":2826.35,"n":19},{"lo":2826.35,"hi":3754.04,"n":15},{"lo":3754.04,"hi":4986.22,"n":11},{"lo":4986.22,"hi":6622.85,"n":40},{"lo":6622.85,"hi":8796.66,"n":37},{"lo":8796.66,"hi":11683.98,"n":17},{"lo":11683.98,"hi":15519.0,"n":31}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T17:10:10.717090Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-01","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-23T21:34:27.277317Z","n_priced_setters":3956,"n_filed":159,"n_usable":133,"n_not_usable":0,"n_labelled":18,"n_no_cash":8,"n_estimated":0,"n_states":31,"cash_p10":930.61,"cash_p20":1650.6,"cash_p25":1650.6,"cash_p50":2864.0,"cash_p75":6547.81,"cash_p80":11933.6,"cash_p90":11933.6,"cash_mean_trimmed":5267.93,"gross_p50":3209.0,"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":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":20,"p20":11933.6,"p50":11933.6,"p80":11933.6},{"state":"GA","n":2,"p20":null,"p50":null,"p80":null},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":14,"p20":2503.2,"p50":2503.2,"p80":3214.4},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":8,"p20":null,"p50":null,"p80":null},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":1,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":3,"p20":null,"p50":null,"p80":null},{"state":"MN","n":1,"p20":null,"p50":null,"p80":null},{"state":"MO","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","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":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":4,"p20":null,"p50":null,"p80":null},{"state":"OH","n":3,"p20":null,"p50":null,"p80":null},{"state":"OK","n":11,"p20":1650.6,"p50":1650.6,"p80":1650.6},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":8,"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":17,"p20":5289.89,"p50":5289.89,"p80":5289.89},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":2,"p20":null,"p50":null,"p80":null},{"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":116,"p20":1650.6,"p50":2784.0,"p80":11147.23},{"key":"childrens","n":5,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":12,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":15,"p20":null,"p50":null,"p80":null},{"key":"government","n":12,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":106,"p20":1650.6,"p50":2503.2,"p80":11933.6}],"affiliation":[{"key":"affiliated","n":110,"p20":1650.6,"p50":3214.4,"p80":11933.6},{"key":"independent","n":23,"p20":1446.55,"p50":2098.8,"p80":3440.94}]},"histogram":[{"lo":778.4,"hi":1029.43,"n":14},{"lo":1029.43,"hi":1361.41,"n":3},{"lo":1361.41,"hi":1800.46,"n":17},{"lo":1800.46,"hi":2381.1,"n":13},{"lo":2381.1,"hi":3148.99,"n":19},{"lo":3148.99,"hi":4164.52,"n":10},{"lo":4164.52,"hi":5507.56,"n":16},{"lo":5507.56,"hi":7283.71,"n":4},{"lo":7283.71,"hi":9632.67,"n":4},{"lo":9632.67,"hi":12739.15,"n":23}],"previous":null}},"related":[{"code_type":"CPT","code":"42700","lay_name":"Draining an abscess beside the tonsil","slug":"cpt-42700-draining-an-abscess-beside-the-tonsil"},{"code_type":"CPT","code":"40800","lay_name":"Simple drainage of abscess or blood pocket in the mouth","slug":"cpt-40800-simple-drainage-of-abscess-or-blood-pocket-in-the-mouth"},{"code_type":"CPT","code":"40650","lay_name":"Full-thickness lip repair, red border only","slug":"cpt-40650-full-thickness-lip-repair-red-border-only"},{"code_type":"CPT","code":"40652","lay_name":"Full-thickness lip repair, up to half the lip height","slug":"cpt-40652-full-thickness-lip-repair-up-to-half-the-lip-height"},{"code_type":"CPT","code":"40654","lay_name":"Full-thickness lip repair, more than half the lip height","slug":"cpt-40654-full-thickness-lip-repair-more-than-half-the-lip-height"},{"code_type":"CPT","code":"30000","lay_name":"Drainage of an abscess or blood collection inside the nose","slug":"cpt-30000-drainage-of-an-abscess-or-blood-collection-inside-the-nose"},{"code_type":"CPT","code":"41008","lay_name":"Draining an abscess under the jaw, inside the mouth","slug":"cpt-41008-draining-an-abscess-under-the-jaw-inside-the-mouth"},{"code_type":"CPT","code":"40812","lay_name":"Removal of a mouth lining growth with simple repair","slug":"cpt-40812-removal-of-a-mouth-lining-growth-with-simple-repair"},{"code_type":"CPT","code":"42330","lay_name":"Removal of salivary stone through the mouth, simple","slug":"cpt-42330-removal-of-salivary-stone-through-the-mouth-simple"},{"code_type":"CPT","code":"41000","lay_name":"Drainage of tongue abscess from inside the mouth","slug":"cpt-41000-drainage-of-tongue-abscess-from-inside-the-mouth"},{"code_type":"CPT","code":"40801","lay_name":"Complicated drainage of abscess or cyst in the mouth","slug":"cpt-40801-complicated-drainage-of-abscess-or-cyst-in-the-mouth"},{"code_type":"CPT","code":"30140","lay_name":"Turbinate reduction from beneath the lining","slug":"cpt-30140-turbinate-reduction-from-beneath-the-lining"}]}