{"procedure":{"code_type":"CPT","code":"42961","lay_name":"Complicated control of mouth or throat bleeding","blurb":"More involved treatment to stop bleeding at the back of the mouth or throat, of a severity that requires hospital admission.","slug":"cpt-42961-complicated-control-of-mouth-or-throat-bleeding","description":"Ctrl Oropharyngeal Hemorrhage Comp Req Hospitj","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":"2026-09-23T22:20:23.317834Z","filing_date_min":"2023-03-09","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-23T22:20:46.661226Z","n_priced_setters":3956,"n_filed":359,"n_usable":309,"n_not_usable":1,"n_labelled":34,"n_no_cash":14,"n_estimated":1,"n_states":43,"cash_p10":432.6,"cash_p20":632.7,"cash_p25":682.37,"cash_p50":1057.8,"cash_p75":2133.3,"cash_p80":2299.99,"cash_p90":4881.0,"cash_mean_trimmed":1199.35,"gross_p50":1393.0,"cash_to_gross_p50":0.7,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":3,"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":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":5,"p20":null,"p50":null,"p80":null},{"state":"CO","n":4,"p20":null,"p50":null,"p80":null},{"state":"FL","n":2,"p20":null,"p50":null,"p80":null},{"state":"GA","n":3,"p20":null,"p50":null,"p80":null},{"state":"HI","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":22,"p20":876.2,"p50":1031.2,"p80":1202.0},{"state":"ID","n":9,"p20":null,"p50":null,"p80":null},{"state":"IL","n":16,"p20":432.6,"p50":732.0,"p80":1324.0},{"state":"IN","n":6,"p20":null,"p50":null,"p80":null},{"state":"KS","n":5,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"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":"ME","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":25,"p20":532.74,"p50":836.0,"p80":3088.05},{"state":"MN","n":16,"p20":1024.1,"p50":1225.84,"p80":1225.84},{"state":"MO","n":4,"p20":null,"p50":null,"p80":null},{"state":"MT","n":2,"p20":null,"p50":null,"p80":null},{"state":"NC","n":2,"p20":null,"p50":null,"p80":null},{"state":"ND","n":7,"p20":null,"p50":null,"p80":null},{"state":"NE","n":7,"p20":null,"p50":null,"p80":null},{"state":"NH","n":5,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":17,"p20":1857.0,"p50":4881.0,"p80":5855.0},{"state":"NM","n":2,"p20":null,"p50":null,"p80":null},{"state":"NV","n":3,"p20":null,"p50":null,"p80":null},{"state":"NY","n":12,"p20":494.09,"p50":1038.0,"p80":1549.98},{"state":"OH","n":12,"p20":632.7,"p50":1057.8,"p80":1500.2},{"state":"OK","n":10,"p20":693.0,"p50":693.0,"p80":693.0},{"state":"OR","n":16,"p20":534.33,"p50":773.5,"p80":974.87},{"state":"PA","n":16,"p20":76.28,"p50":97.36,"p80":2373.78},{"state":"SC","n":2,"p20":null,"p50":null,"p80":null},{"state":"TN","n":1,"p20":null,"p50":null,"p80":null},{"state":"TX","n":6,"p20":null,"p50":null,"p80":null},{"state":"VA","n":4,"p20":null,"p50":null,"p80":null},{"state":"VT","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":4,"p20":null,"p50":null,"p80":null},{"state":"WI","n":22,"p20":2133.3,"p50":2133.3,"p80":12136.82},{"state":"WV","n":8,"p20":null,"p50":null,"p80":null},{"state":"WY","n":5,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":214,"p20":585.8,"p50":1031.2,"p80":2887.5},{"key":"childrens","n":9,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":85,"p20":761.62,"p50":1225.84,"p80":2133.3}],"ownership":[{"key":"for_profit","n":28,"p20":504.0,"p50":1779.0,"p80":9263.26},{"key":"government","n":57,"p20":679.2,"p50":965.3,"p80":1616.0},{"key":"nonprofit","n":223,"p20":626.0,"p50":1057.8,"p80":2186.72}],"affiliation":[{"key":"affiliated","n":233,"p20":596.64,"p50":1044.75,"p80":2299.99},{"key":"independent","n":76,"p20":668.8,"p50":1099.0,"p80":2245.0}]},"histogram":[{"lo":356.75,"hi":494.09,"n":26},{"lo":494.09,"hi":684.3,"n":38},{"lo":684.3,"hi":947.73,"n":48},{"lo":947.73,"hi":1312.57,"n":62},{"lo":1312.57,"hi":1817.87,"n":34},{"lo":1817.87,"hi":2517.7,"n":29},{"lo":2517.7,"hi":3486.94,"n":14},{"lo":3486.94,"hi":4829.3,"n":12},{"lo":4829.3,"hi":6688.43,"n":11},{"lo":6688.43,"hi":9263.26,"n":5}],"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":"2026-09-01","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-23T22:20:46.661226Z","n_priced_setters":3956,"n_filed":227,"n_usable":206,"n_not_usable":0,"n_labelled":15,"n_no_cash":6,"n_estimated":0,"n_states":41,"cash_p10":411.51,"cash_p20":524.4,"cash_p25":603.18,"cash_p50":1021.54,"cash_p75":1779.0,"cash_p80":2133.3,"cash_p90":2948.8,"cash_mean_trimmed":1146.77,"gross_p50":1289.0,"cash_to_gross_p50":0.7,"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":1,"p20":null,"p50":null,"p80":null},{"state":"CO","n":2,"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":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":17,"p20":1031.2,"p50":1031.2,"p80":1332.1},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":13,"p20":432.6,"p50":789.69,"p80":1200.0},{"state":"IN","n":11,"p20":432.6,"p50":453.6,"p80":603.18},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"LA","n":2,"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":20,"p20":642.4,"p50":2133.3,"p80":3088.05},{"state":"MN","n":4,"p20":null,"p50":null,"p80":null},{"state":"MO","n":3,"p20":null,"p50":null,"p80":null},{"state":"MT","n":2,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":5,"p20":null,"p50":null,"p80":null},{"state":"NE","n":3,"p20":null,"p50":null,"p80":null},{"state":"NH","n":5,"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":8,"p20":null,"p50":null,"p80":null},{"state":"OH","n":6,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":693.0,"p50":693.0,"p80":693.0},{"state":"OR","n":12,"p20":167.2,"p50":773.5,"p80":974.87},{"state":"PA","n":15,"p20":72.97,"p50":97.36,"p80":2373.78},{"state":"SC","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":4,"p20":null,"p50":null,"p80":null},{"state":"VA","n":4,"p20":null,"p50":null,"p80":null},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":3,"p20":null,"p50":null,"p80":null},{"state":"WI","n":14,"p20":2133.3,"p50":2133.3,"p80":2133.3},{"state":"WV","n":5,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":149,"p20":453.6,"p50":876.0,"p80":1807.08},{"key":"childrens","n":5,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":51,"p20":642.4,"p50":1265.6,"p80":2133.3}],"ownership":[{"key":"for_profit","n":21,"p20":432.6,"p50":642.4,"p80":1807.08},{"key":"government","n":30,"p20":642.4,"p50":1099.0,"p80":1616.0},{"key":"nonprofit","n":154,"p20":524.4,"p50":1031.2,"p80":2133.3}],"affiliation":[{"key":"affiliated","n":160,"p20":451.2,"p50":1031.2,"p80":2133.3},{"key":"independent","n":46,"p20":581.25,"p50":843.0,"p80":1395.0}]},"histogram":[{"lo":167.2,"hi":225.53,"n":3},{"lo":225.53,"hi":304.22,"n":2},{"lo":304.22,"hi":410.36,"n":4},{"lo":410.36,"hi":553.53,"n":27},{"lo":553.53,"hi":746.66,"n":28},{"lo":746.66,"hi":1007.16,"n":29},{"lo":1007.16,"hi":1358.55,"n":41},{"lo":1358.55,"hi":1832.54,"n":18},{"lo":1832.54,"hi":2471.9,"n":21},{"lo":2471.9,"hi":3334.32,"n":14}],"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"}]}