{"procedure":{"code_type":"CPT","code":"43130","lay_name":"Removal of a throat pouch through a neck incision","blurb":"Open operation through the neck to cut out a pouch (diverticulum) of the lower throat or upper esophagus, which may include cutting the swallowing muscle.","slug":"cpt-43130-removal-of-a-throat-pouch-through-a-neck-incision","description":"Diverticulectomy Hypopharynx/Esoph Crv Appr","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"94","label":"Other OR upper GI therapeutic procedures","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":"2024-01-27","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":385,"n_usable":349,"n_not_usable":1,"n_labelled":27,"n_no_cash":8,"n_estimated":0,"n_states":44,"cash_p10":826.2,"cash_p20":1126.56,"cash_p25":1420.8,"cash_p50":3136.8,"cash_p75":7348.2,"cash_p80":7893.67,"cash_p90":14319.2,"cash_mean_trimmed":3898.92,"gross_p50":2933.0,"cash_to_gross_p50":0.6,"medicare_rate":6048.05,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.5186,"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":4,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":3,"p20":null,"p50":null,"p80":null},{"state":"CA","n":27,"p20":4628.41,"p50":14319.2,"p80":14319.2},{"state":"CO","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":10,"p20":3583.45,"p50":5938.02,"p80":17878.77},{"state":"GA","n":1,"p20":null,"p50":null,"p80":null},{"state":"HI","n":5,"p20":null,"p50":null,"p80":null},{"state":"IA","n":16,"p20":1943.2,"p50":1943.2,"p80":1943.2},{"state":"ID","n":8,"p20":null,"p50":null,"p80":null},{"state":"IL","n":17,"p20":1113.35,"p50":1429.8,"p80":39636.31},{"state":"IN","n":6,"p20":null,"p50":null,"p80":null},{"state":"KS","n":4,"p20":null,"p50":null,"p80":null},{"state":"KY","n":5,"p20":null,"p50":null,"p80":null},{"state":"LA","n":3,"p20":null,"p50":null,"p80":null},{"state":"MD","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":25,"p20":1541.0,"p50":2057.7,"p80":2057.7},{"state":"MN","n":3,"p20":null,"p50":null,"p80":null},{"state":"MO","n":3,"p20":null,"p50":null,"p80":null},{"state":"MS","n":2,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":3,"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":5,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":30,"p20":4881.0,"p50":6547.81,"p80":7659.27},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":3,"p20":null,"p50":null,"p80":null},{"state":"NY","n":27,"p20":1739.53,"p50":7000.36,"p80":7000.36},{"state":"OH","n":12,"p20":1526.51,"p50":2067.0,"p80":3583.45},{"state":"OK","n":12,"p20":1085.0,"p50":1085.0,"p80":1085.0},{"state":"OR","n":11,"p20":1455.35,"p50":1455.35,"p80":2207.2},{"state":"PA","n":19,"p20":490.16,"p50":3907.82,"p80":11147.23},{"state":"SC","n":4,"p20":null,"p50":null,"p80":null},{"state":"TN","n":7,"p20":null,"p50":null,"p80":null},{"state":"TX","n":20,"p20":5657.4,"p50":5817.32,"p80":7348.2},{"state":"VA","n":4,"p20":null,"p50":null,"p80":null},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":6,"p20":null,"p50":null,"p80":null},{"state":"WI","n":15,"p20":5087.04,"p50":5087.04,"p80":7542.0},{"state":"WV","n":5,"p20":null,"p50":null,"p80":null},{"state":"WY","n":3,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":288,"p20":1191.6,"p50":3583.45,"p80":8139.99},{"key":"childrens","n":6,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":54,"p20":1113.35,"p50":2057.7,"p80":7348.2}],"ownership":[{"key":"for_profit","n":27,"p20":1113.35,"p50":4730.61,"p80":9422.15},{"key":"government","n":55,"p20":1297.6,"p50":2231.0,"p80":7000.36},{"key":"nonprofit","n":266,"p20":1126.56,"p50":3299.0,"p80":7893.67}],"affiliation":[{"key":"affiliated","n":288,"p20":1126.56,"p50":3986.0,"p80":8139.99},{"key":"independent","n":61,"p20":1032.0,"p50":1816.12,"p80":5038.0}]},"histogram":[{"lo":612.5,"hi":853.22,"n":22},{"lo":853.22,"hi":1188.54,"n":33},{"lo":1188.54,"hi":1655.64,"n":38},{"lo":1655.64,"hi":2306.33,"n":52},{"lo":2306.33,"hi":3212.73,"n":14},{"lo":3212.73,"hi":4475.36,"n":19},{"lo":4475.36,"hi":6234.21,"n":35},{"lo":6234.21,"hi":8684.3,"n":59},{"lo":8684.3,"hi":12097.3,"n":13},{"lo":12097.3,"hi":16851.64,"n":30}],"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":"2024-01-27","filing_date_max":"2026-09-16","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-23T21:34:27.277317Z","n_priced_setters":3956,"n_filed":199,"n_usable":180,"n_not_usable":0,"n_labelled":10,"n_no_cash":9,"n_estimated":0,"n_states":41,"cash_p10":789.5,"cash_p20":1085.0,"cash_p25":1113.35,"cash_p50":1943.2,"cash_p75":5817.32,"cash_p80":7348.2,"cash_p90":14319.2,"cash_mean_trimmed":2659.4,"gross_p50":2637.0,"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":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":24,"p20":4628.41,"p50":14319.2,"p80":14319.2},{"state":"CO","n":1,"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":15,"p20":1943.2,"p50":1943.2,"p80":1943.2},{"state":"ID","n":7,"p20":null,"p50":null,"p80":null},{"state":"IL","n":10,"p20":1113.35,"p50":1113.35,"p80":1542.6},{"state":"IN","n":4,"p20":null,"p50":null,"p80":null},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":3,"p20":null,"p50":null,"p80":null},{"state":"MI","n":9,"p20":null,"p50":null,"p80":null},{"state":"MN","n":2,"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":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":1,"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":11,"p20":847.99,"p50":1739.53,"p80":1739.53},{"state":"OH","n":7,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":1085.0,"p50":1085.0,"p80":1085.0},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":7,"p20":null,"p50":null,"p80":null},{"state":"SC","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":19,"p20":5817.32,"p50":5817.32,"p80":7348.2},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":3,"p20":null,"p50":null,"p80":null},{"state":"WI","n":1,"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":150,"p20":1085.0,"p50":1943.2,"p80":7348.2},{"key":"childrens","n":4,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":25,"p20":1013.35,"p50":1542.6,"p80":5817.32}],"ownership":[{"key":"for_profit","n":18,"p20":null,"p50":null,"p80":null},{"key":"government","n":21,"p20":1297.6,"p50":1623.5,"p80":2493.4},{"key":"nonprofit","n":140,"p20":1085.0,"p50":1943.2,"p80":8179.38}],"affiliation":[{"key":"affiliated","n":146,"p20":1085.0,"p50":1943.2,"p80":9422.15},{"key":"independent","n":34,"p20":858.2,"p50":1429.8,"p80":2616.93}]},"histogram":[{"lo":730.0,"hi":983.07,"n":19},{"lo":983.07,"hi":1323.86,"n":30},{"lo":1323.86,"hi":1782.8,"n":26},{"lo":1782.8,"hi":2400.83,"n":26},{"lo":2400.83,"hi":3233.11,"n":9},{"lo":3233.11,"hi":4353.92,"n":4},{"lo":4353.92,"hi":5863.27,"n":16},{"lo":5863.27,"hi":7895.86,"n":9},{"lo":7895.86,"hi":10633.08,"n":6},{"lo":10633.08,"hi":14319.2,"n":22}],"previous":null}},"related":[{"code_type":"CPT","code":"43280","lay_name":"Laparoscopic anti-reflux wrap surgery","slug":"cpt-43280-laparoscopic-anti-reflux-wrap-surgery"},{"code_type":"CPT","code":"46924","lay_name":"Removal of extensive anal growths, any method","slug":"cpt-46924-removal-of-extensive-anal-growths-any-method"},{"code_type":"CPT","code":"43870","lay_name":"Surgical closure of a stomach feeding opening","slug":"cpt-43870-surgical-closure-of-a-stomach-feeding-opening"},{"code_type":"CPT","code":"43840","lay_name":"Stitch repair of a stomach ulcer or wound","slug":"cpt-43840-stitch-repair-of-a-stomach-ulcer-or-wound"},{"code_type":"CPT","code":"43497","lay_name":"Cutting of the lower esophagus muscle through the mouth","slug":"cpt-43497-cutting-of-the-lower-esophagus-muscle-through-the-mouth"},{"code_type":"CPT","code":"43610","lay_name":"Surgical removal of a stomach ulcer or noncancerous growth","slug":"cpt-43610-surgical-removal-of-a-stomach-ulcer-or-noncancerous-growth"},{"code_type":"CPT","code":"43820","lay_name":"Surgery joining the stomach to the middle small intestine","slug":"cpt-43820-surgery-joining-the-stomach-to-the-middle-small-intestine"},{"code_type":"CPT","code":"43860","lay_name":"Revision of a stomach-to-small-intestine connection","slug":"cpt-43860-revision-of-a-stomach-to-small-intestine-connection"},{"code_type":"CPT","code":"44615","lay_name":"Surgery to widen a narrowed section of intestine","slug":"cpt-44615-surgery-to-widen-a-narrowed-section-of-intestine"},{"code_type":"CPT","code":"43279","lay_name":"Laparoscopic cutting of esophagus muscle for achalasia","slug":"cpt-43279-laparoscopic-cutting-of-esophagus-muscle-for-achalasia"},{"code_type":"CPT","code":"43500","lay_name":"Open stomach surgery to explore or remove an object","slug":"cpt-43500-open-stomach-surgery-to-explore-or-remove-an-object"},{"code_type":"CPT","code":"43800","lay_name":"Surgery to widen the stomach outlet","slug":"cpt-43800-surgery-to-widen-the-stomach-outlet"}]}