{"procedure":{"code_type":"CPT","code":"43520","lay_name":"Cutting the tight stomach outlet muscle","blurb":"Open surgery that divides the thickened muscle at the stomach outlet so food can empty into the small intestine; commonly done in infants.","slug":"cpt-43520-cutting-the-tight-stomach-outlet-muscle","description":"Pyloromyotomy Cutting Pyloric Musc","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":"2024-07-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-23T21:50:31.523775Z","n_priced_setters":3956,"n_filed":237,"n_usable":196,"n_not_usable":1,"n_labelled":28,"n_no_cash":11,"n_estimated":1,"n_states":41,"cash_p10":767.18,"cash_p20":1003.56,"cash_p25":1098.0,"cash_p50":1685.6,"cash_p75":2763.0,"cash_p80":3510.0,"cash_p90":5660.34,"cash_mean_trimmed":1727.96,"gross_p50":2143.0,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":2,"p20":null,"p50":null,"p80":null},{"state":"AR","n":4,"p20":null,"p50":null,"p80":null},{"state":"CA","n":7,"p20":null,"p50":null,"p80":null},{"state":"CO","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":5,"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":14,"p20":1685.6,"p50":1685.6,"p80":1685.6},{"state":"ID","n":7,"p20":null,"p50":null,"p80":null},{"state":"IL","n":14,"p20":962.15,"p50":1003.56,"p80":2140.8},{"state":"IN","n":4,"p20":null,"p50":null,"p80":null},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":6,"p20":null,"p50":null,"p80":null},{"state":"LA","n":5,"p20":null,"p50":null,"p80":null},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":12,"p20":1022.41,"p50":1210.8,"p80":1859.2},{"state":"MN","n":3,"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":"NC","n":2,"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":13,"p20":3986.0,"p50":5110.0,"p80":5855.0},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":3,"p20":null,"p50":null,"p80":null},{"state":"NY","n":9,"p20":null,"p50":null,"p80":null},{"state":"OH","n":11,"p20":1097.4,"p50":2089.47,"p80":2935.4},{"state":"OK","n":10,"p20":1139.6,"p50":1139.6,"p80":1139.6},{"state":"OR","n":12,"p20":1314.3,"p50":1314.3,"p80":1894.4},{"state":"PA","n":8,"p20":null,"p50":null,"p80":null},{"state":"TN","n":1,"p20":null,"p50":null,"p80":null},{"state":"TX","n":3,"p20":null,"p50":null,"p80":null},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":3,"p20":null,"p50":null,"p80":null},{"state":"WI","n":8,"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":151,"p20":1022.41,"p50":1685.6,"p80":2935.4},{"key":"childrens","n":10,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":34,"p20":962.15,"p50":1797.0,"p80":4327.29}],"ownership":[{"key":"for_profit","n":14,"p20":null,"p50":null,"p80":null},{"key":"government","n":35,"p20":1074.0,"p50":1607.25,"p80":2461.2},{"key":"nonprofit","n":146,"p20":1022.41,"p50":1685.6,"p80":3786.0}],"affiliation":[{"key":"affiliated","n":151,"p20":1003.56,"p50":1685.6,"p80":4327.29},{"key":"independent","n":45,"p20":1071.0,"p50":1391.28,"p80":2145.0}]},"histogram":[{"lo":641.12,"hi":818.09,"n":11},{"lo":818.09,"hi":1043.92,"n":24},{"lo":1043.92,"hi":1332.08,"n":37},{"lo":1332.08,"hi":1699.78,"n":22},{"lo":1699.78,"hi":2168.98,"n":31},{"lo":2168.98,"hi":2767.69,"n":13},{"lo":2767.69,"hi":3531.68,"n":10},{"lo":3531.68,"hi":4506.55,"n":10},{"lo":4506.55,"hi":5750.52,"n":11},{"lo":5750.52,"hi":7337.88,"n":9}],"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":156,"n_usable":129,"n_not_usable":0,"n_labelled":22,"n_no_cash":5,"n_estimated":0,"n_states":36,"cash_p10":828.15,"cash_p20":962.15,"cash_p25":1139.6,"cash_p50":1421.0,"cash_p75":1951.0,"cash_p80":2236.14,"cash_p90":3040.0,"cash_mean_trimmed":1453.88,"gross_p50":2107.0,"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":3,"p20":null,"p50":null,"p80":null},{"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":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":15,"p20":1685.6,"p50":1685.6,"p80":1685.6},{"state":"ID","n":7,"p20":null,"p50":null,"p80":null},{"state":"IL","n":13,"p20":962.15,"p50":1306.2,"p80":1797.0},{"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":4,"p20":null,"p50":null,"p80":null},{"state":"MI","n":7,"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":"NH","n":4,"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":6,"p20":null,"p50":null,"p80":null},{"state":"OH","n":5,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":1139.6,"p50":1139.6,"p80":1139.6},{"state":"OR","n":6,"p20":null,"p50":null,"p80":null},{"state":"PA","n":7,"p20":null,"p50":null,"p80":null},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":3,"p20":null,"p50":null,"p80":null},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","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":101,"p20":1074.0,"p50":1421.0,"p80":2236.14},{"key":"childrens","n":4,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":23,"p20":962.15,"p50":1607.25,"p80":3510.0}],"ownership":[{"key":"for_profit","n":13,"p20":null,"p50":null,"p80":null},{"key":"government","n":18,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":97,"p20":984.96,"p50":1391.28,"p80":2174.25}],"affiliation":[{"key":"affiliated","n":94,"p20":962.15,"p50":1314.3,"p80":2236.14},{"key":"independent","n":35,"p20":1074.0,"p50":1429.2,"p80":2171.0}]},"histogram":[{"lo":706.88,"hi":872.33,"n":10},{"lo":872.33,"hi":1076.51,"n":14},{"lo":1076.51,"hi":1328.48,"n":32},{"lo":1328.48,"hi":1639.43,"n":7},{"lo":1639.43,"hi":2023.16,"n":29},{"lo":2023.16,"hi":2496.71,"n":13},{"lo":2496.71,"hi":3081.09,"n":6},{"lo":3081.09,"hi":3802.26,"n":2},{"lo":3802.26,"hi":4692.22,"n":1},{"lo":4692.22,"hi":5790.49,"n":3}],"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":"43130","lay_name":"Removal of a throat pouch through a neck incision","slug":"cpt-43130-removal-of-a-throat-pouch-through-a-neck-incision"},{"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"}]}