{"procedure":{"code_type":"CPT","code":"43281","lay_name":"Keyhole repair of hiatal hernia without mesh","blurb":"Through small abdominal incisions, a hernia where the stomach pushes up beside the esophagus is repaired and the stomach wrapped around the esophagus, using stitches only with no mesh.","slug":"cpt-43281-keyhole-repair-of-hiatal-hernia-without-mesh","description":"Laps Rpr Paraesphgl Hrna Incl Fundplsty W/O Mesh","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"86","label":"Other hernia repair","surgery_flag":"narrow"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2023-03-09","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":842,"n_usable":744,"n_not_usable":0,"n_labelled":64,"n_no_cash":26,"n_estimated":8,"n_states":49,"cash_p10":1852.2,"cash_p20":2608.8,"cash_p25":2967.03,"cash_p50":7700.0,"cash_p75":15143.02,"cash_p80":19438.33,"cash_p90":33421.31,"cash_mean_trimmed":8155.9,"gross_p50":7043.0,"cash_to_gross_p50":0.643,"medicare_rate":10860.07,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.709,"by_state":[{"state":"AK","n":6,"p20":null,"p50":null,"p80":null},{"state":"AL","n":12,"p20":4357.0,"p50":6354.38,"p80":22945.62},{"state":"AR","n":9,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":7,"p20":null,"p50":null,"p80":null},{"state":"CA","n":51,"p20":4665.0,"p50":12927.2,"p80":40432.0},{"state":"CO","n":7,"p20":null,"p50":null,"p80":null},{"state":"CT","n":6,"p20":null,"p50":null,"p80":null},{"state":"DE","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":15,"p20":6916.0,"p50":21534.97,"p80":26415.77},{"state":"GA","n":4,"p20":null,"p50":null,"p80":null},{"state":"HI","n":5,"p20":null,"p50":null,"p80":null},{"state":"IA","n":26,"p20":2884.0,"p50":3783.2,"p80":4331.6},{"state":"ID","n":15,"p20":3009.0,"p50":13608.84,"p80":26271.0},{"state":"IL","n":30,"p20":1989.05,"p50":3783.2,"p80":14873.13},{"state":"IN","n":23,"p20":1989.05,"p50":13483.34,"p80":34336.57},{"state":"KS","n":21,"p20":1793.0,"p50":2450.0,"p80":3296.5},{"state":"KY","n":7,"p20":null,"p50":null,"p80":null},{"state":"LA","n":14,"p20":4102.01,"p50":9027.0,"p80":18206.18},{"state":"MA","n":4,"p20":null,"p50":null,"p80":null},{"state":"MD","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":7,"p20":null,"p50":null,"p80":null},{"state":"MI","n":36,"p20":1852.2,"p50":2608.8,"p80":14616.42},{"state":"MN","n":34,"p20":3117.8,"p50":4714.5,"p80":8391.68},{"state":"MO","n":31,"p20":2926.5,"p50":13784.58,"p80":21409.14},{"state":"MS","n":7,"p20":null,"p50":null,"p80":null},{"state":"MT","n":7,"p20":null,"p50":null,"p80":null},{"state":"NC","n":5,"p20":null,"p50":null,"p80":null},{"state":"ND","n":4,"p20":null,"p50":null,"p80":null},{"state":"NE","n":8,"p20":null,"p50":null,"p80":null},{"state":"NH","n":9,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":33,"p20":5138.49,"p50":11523.76,"p80":13753.23},{"state":"NM","n":8,"p20":null,"p50":null,"p80":null},{"state":"NV","n":9,"p20":null,"p50":null,"p80":null},{"state":"NY","n":54,"p20":2539.0,"p50":12320.22,"p80":13784.0},{"state":"OH","n":30,"p20":1807.0,"p50":23514.91,"p80":63677.76},{"state":"OK","n":14,"p20":3227.02,"p50":3227.02,"p80":21226.38},{"state":"OR","n":13,"p20":2801.5,"p50":3549.0,"p80":4338.33},{"state":"PA","n":17,"p20":6840.75,"p50":16167.08,"p80":22420.06},{"state":"SC","n":6,"p20":null,"p50":null,"p80":null},{"state":"SD","n":2,"p20":null,"p50":null,"p80":null},{"state":"TN","n":12,"p20":2730.64,"p50":5084.64,"p80":12590.13},{"state":"TX","n":33,"p20":8681.04,"p50":8854.66,"p80":16281.44},{"state":"UT","n":2,"p20":null,"p50":null,"p80":null},{"state":"VA","n":12,"p20":1022.34,"p50":21303.24,"p80":30483.68},{"state":"VT","n":6,"p20":null,"p50":null,"p80":null},{"state":"WA","n":22,"p20":2206.6,"p50":3410.0,"p80":12668.91},{"state":"WI","n":34,"p20":7856.55,"p50":8680.27,"p80":15619.86},{"state":"WV","n":17,"p20":1677.14,"p50":2708.8,"p80":12179.0},{"state":"WY","n":6,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":557,"p20":2801.5,"p50":9897.83,"p80":23694.27},{"key":"childrens","n":8,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":177,"p20":1989.05,"p50":3721.8,"p80":8391.68}],"ownership":[{"key":"for_profit","n":76,"p20":3619.2,"p50":12183.02,"p80":25142.07},{"key":"government","n":131,"p20":2279.7,"p50":3989.0,"p80":12320.22},{"key":"nonprofit","n":535,"p20":2608.8,"p50":8019.07,"p80":19886.06}],"affiliation":[{"key":"affiliated","n":562,"p20":2725.5,"p50":8681.04,"p80":22033.0},{"key":"independent","n":182,"p20":2478.57,"p50":3989.0,"p80":11292.83}]},"histogram":[{"lo":1531.8,"hi":2132.97,"n":74},{"lo":2132.97,"hi":2970.09,"n":77},{"lo":2970.09,"hi":4135.74,"n":91},{"lo":4135.74,"hi":5758.86,"n":60},{"lo":5758.86,"hi":8019.0,"n":53},{"lo":8019.0,"hi":11166.15,"n":65},{"lo":11166.15,"hi":15548.45,"n":107},{"lo":15548.45,"hi":21650.64,"n":50},{"lo":21650.64,"hi":30147.71,"n":44},{"lo":30147.71,"hi":41979.56,"n":51}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2024-01-27","filing_date_max":"2026-09-16","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":388,"n_usable":334,"n_not_usable":0,"n_labelled":32,"n_no_cash":22,"n_estimated":0,"n_states":45,"cash_p10":1022.34,"cash_p20":1948.2,"cash_p25":2193.6,"cash_p50":3709.0,"cash_p75":8681.04,"cash_p80":11523.76,"cash_p90":19618.4,"cash_mean_trimmed":4544.32,"gross_p50":4795.0,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":6,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":39,"p20":12927.2,"p50":19438.33,"p80":40432.0},{"state":"CO","n":4,"p20":null,"p50":null,"p80":null},{"state":"CT","n":6,"p20":null,"p50":null,"p80":null},{"state":"FL","n":4,"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":2922.0,"p50":3783.2,"p80":3783.2},{"state":"ID","n":9,"p20":null,"p50":null,"p80":null},{"state":"IL","n":18,"p20":1989.05,"p50":2922.0,"p80":5162.0},{"state":"IN","n":14,"p20":883.35,"p50":1989.05,"p80":2169.18},{"state":"KS","n":3,"p20":null,"p50":null,"p80":null},{"state":"KY","n":4,"p20":null,"p50":null,"p80":null},{"state":"MA","n":3,"p20":null,"p50":null,"p80":null},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":7,"p20":null,"p50":null,"p80":null},{"state":"MI","n":19,"p20":529.92,"p50":2678.9,"p80":11975.2},{"state":"MN","n":16,"p20":3117.8,"p50":3698.8,"p80":4714.5},{"state":"MO","n":7,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":3,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":4,"p20":null,"p50":null,"p80":null},{"state":"NE","n":3,"p20":null,"p50":null,"p80":null},{"state":"NH","n":8,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":2,"p20":null,"p50":null,"p80":null},{"state":"NM","n":3,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":19,"p20":1220.0,"p50":2539.0,"p80":4565.0},{"state":"OH","n":9,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":3227.02,"p50":3227.02,"p80":3227.02},{"state":"OR","n":7,"p20":null,"p50":null,"p80":null},{"state":"PA","n":10,"p20":595.0,"p50":16167.08,"p80":19618.4},{"state":"SC","n":1,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":5,"p20":null,"p50":null,"p80":null},{"state":"TX","n":23,"p20":3221.4,"p50":8681.04,"p80":8854.66},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":4,"p20":null,"p50":null,"p80":null},{"state":"WA","n":10,"p20":784.4,"p50":2801.5,"p80":3945.2},{"state":"WI","n":15,"p20":7856.55,"p50":7856.55,"p80":7856.55},{"state":"WV","n":4,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":248,"p20":1805.4,"p50":3783.2,"p80":12927.2},{"key":"childrens","n":4,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":81,"p20":1989.05,"p50":3337.49,"p80":7856.55}],"ownership":[{"key":"for_profit","n":33,"p20":1679.38,"p50":3619.2,"p80":13608.84},{"key":"government","n":45,"p20":1531.8,"p50":3003.6,"p80":4738.5},{"key":"nonprofit","n":255,"p20":1948.2,"p50":3783.2,"p80":12927.2}],"affiliation":[{"key":"affiliated","n":257,"p20":1948.2,"p50":3783.2,"p80":12927.2},{"key":"independent","n":77,"p20":1909.2,"p50":3033.0,"p80":6202.11}]},"histogram":[{"lo":529.92,"hi":817.45,"n":21},{"lo":817.45,"hi":1260.99,"n":15},{"lo":1260.99,"hi":1945.2,"n":26},{"lo":1945.2,"hi":3000.66,"n":71},{"lo":3000.66,"hi":4628.79,"n":66},{"lo":4628.79,"hi":7140.35,"n":19},{"lo":7140.35,"hi":11014.65,"n":44},{"lo":11014.65,"hi":16991.13,"n":27},{"lo":16991.13,"hi":26210.41,"n":14},{"lo":26210.41,"hi":40432.0,"n":25}],"previous":null}},"related":[{"code_type":"CPT","code":"49591","lay_name":"First abdominal wall hernia repair, under 3 cm, reducible","slug":"cpt-49591-first-abdominal-wall-hernia-repair-under-3-cm-reducible"},{"code_type":"CPT","code":"49592","lay_name":"First abdominal hernia repair, under 3 cm, trapped bulge","slug":"cpt-49592-first-abdominal-hernia-repair-under-3-cm-trapped-bulge"},{"code_type":"CPT","code":"49593","lay_name":"First abdominal hernia repair, 3 to 10 cm, reducible","slug":"cpt-49593-first-abdominal-hernia-repair-3-to-10-cm-reducible"},{"code_type":"CPT","code":"49594","lay_name":"First abdominal hernia repair, 3 to 10 cm, trapped bulge","slug":"cpt-49594-first-abdominal-hernia-repair-3-to-10-cm-trapped-bulge"},{"code_type":"CPT","code":"49615","lay_name":"Repeat abdominal hernia repair, 3 to 10 cm, reducible","slug":"cpt-49615-repeat-abdominal-hernia-repair-3-to-10-cm-reducible"},{"code_type":"CPT","code":"49595","lay_name":"First abdominal hernia repair, over 10 cm, reducible","slug":"cpt-49595-first-abdominal-hernia-repair-over-10-cm-reducible"},{"code_type":"CPT","code":"49613","lay_name":"Repeat abdominal hernia repair, under 3 cm, reducible","slug":"cpt-49613-repeat-abdominal-hernia-repair-under-3-cm-reducible"},{"code_type":"CPT","code":"49614","lay_name":"Repeat abdominal hernia repair, under 3 cm, trapped bulge","slug":"cpt-49614-repeat-abdominal-hernia-repair-under-3-cm-trapped-bulge"},{"code_type":"CPT","code":"49616","lay_name":"Repeat abdominal hernia repair, 3–10 cm, trapped bulge","slug":"cpt-49616-repeat-abdominal-hernia-repair-310-cm-trapped-bulge"},{"code_type":"CPT","code":"49596","lay_name":"First abdominal hernia repair, over 10 cm, trapped bulge","slug":"cpt-49596-first-abdominal-hernia-repair-over-10-cm-trapped-bulge"},{"code_type":"CPT","code":"43282","lay_name":"Keyhole repair of hiatal hernia with mesh","slug":"cpt-43282-keyhole-repair-of-hiatal-hernia-with-mesh"},{"code_type":"CPT","code":"49623","lay_name":"Removal of old non-infected hernia mesh during hernia repair","slug":"cpt-49623-removal-of-old-non-infected-hernia-mesh-during-hernia-repair"}]}