{"procedure":{"code_type":"CPT","code":"44361","lay_name":"Small bowel endoscopy with biopsy","blurb":"A flexible scope is passed through the mouth past the stomach into the small intestine (not reaching the ileum) and one or more tissue samples are taken.","slug":"cpt-44361-small-bowel-endoscopy-with-biopsy","description":"Endoscopy Upper Small Intestine W/Biopsy","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"70","label":"Upper gastrointestinal endoscopy, biopsy","surgery_flag":"broad"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T01:13:52.941847Z","n_priced_setters":3956,"n_filed":1084,"n_usable":1001,"n_not_usable":1,"n_labelled":45,"n_no_cash":31,"n_estimated":6,"n_states":50,"cash_p10":309.47,"cash_p20":548.11,"cash_p25":795.2,"cash_p50":1948.5,"cash_p75":3282.3,"cash_p80":3786.0,"cash_p90":5005.0,"cash_mean_trimmed":1921.83,"gross_p50":3308.32,"cash_to_gross_p50":0.6,"medicare_rate":1960.47,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.9939,"by_state":[{"state":"AK","n":3,"p20":null,"p50":null,"p80":null},{"state":"AL","n":16,"p20":1130.0,"p50":2346.24,"p80":5933.0},{"state":"AR","n":9,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":8,"p20":null,"p50":null,"p80":null},{"state":"CA","n":77,"p20":1948.5,"p50":4004.0,"p80":4177.6},{"state":"CO","n":22,"p20":1572.9,"p50":2128.21,"p80":5076.04},{"state":"CT","n":12,"p20":1957.97,"p50":6184.45,"p80":6602.0},{"state":"DE","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":35,"p20":2586.0,"p50":3461.5,"p80":5399.8},{"state":"GA","n":29,"p20":1278.03,"p50":1278.03,"p80":3153.0},{"state":"HI","n":7,"p20":null,"p50":null,"p80":null},{"state":"IA","n":27,"p20":384.8,"p50":400.8,"p80":802.5},{"state":"ID","n":9,"p20":null,"p50":null,"p80":null},{"state":"IL","n":31,"p20":328.79,"p50":857.5,"p80":2351.3},{"state":"IN","n":14,"p20":318.15,"p50":338.4,"p80":4442.4},{"state":"KS","n":10,"p20":250.8,"p50":1085.5,"p80":1534.59},{"state":"KY","n":13,"p20":241.15,"p50":553.0,"p80":7617.19},{"state":"LA","n":22,"p20":518.44,"p50":830.4,"p80":1561.84},{"state":"MA","n":28,"p20":2098.5,"p50":3147.9,"p80":5322.8},{"state":"MD","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":5,"p20":null,"p50":null,"p80":null},{"state":"MI","n":35,"p20":593.3,"p50":814.4,"p80":2638.57},{"state":"MN","n":44,"p20":809.72,"p50":1809.27,"p80":2844.44},{"state":"MO","n":31,"p20":672.1,"p50":1183.8,"p80":3181.03},{"state":"MS","n":13,"p20":905.3,"p50":2075.18,"p80":2079.2},{"state":"MT","n":7,"p20":null,"p50":null,"p80":null},{"state":"NC","n":13,"p20":1290.02,"p50":1823.0,"p80":2172.6},{"state":"ND","n":6,"p20":null,"p50":null,"p80":null},{"state":"NE","n":11,"p20":344.7,"p50":371.28,"p80":375.7},{"state":"NH","n":10,"p20":174.6,"p50":1139.24,"p80":1891.44},{"state":"NJ","n":39,"p20":2201.12,"p50":2531.28,"p80":5339.0},{"state":"NM","n":12,"p20":1429.5,"p50":1503.9,"p80":2933.7},{"state":"NV","n":7,"p20":null,"p50":null,"p80":null},{"state":"NY","n":47,"p20":418.6,"p50":2096.07,"p80":2413.2},{"state":"OH","n":67,"p20":720.2,"p50":3485.72,"p80":4218.75},{"state":"OK","n":17,"p20":219.1,"p50":219.1,"p80":2517.3},{"state":"OR","n":10,"p20":285.35,"p50":285.35,"p80":2686.24},{"state":"PA","n":56,"p20":483.0,"p50":2267.12,"p80":3574.47},{"state":"RI","n":7,"p20":null,"p50":null,"p80":null},{"state":"SC","n":20,"p20":1331.4,"p50":2131.35,"p80":2131.35},{"state":"SD","n":2,"p20":null,"p50":null,"p80":null},{"state":"TN","n":16,"p20":194.3,"p50":1016.49,"p80":1261.31},{"state":"TX","n":58,"p20":1066.5,"p50":1138.2,"p80":1918.0},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":16,"p20":809.0,"p50":2004.0,"p80":2353.05},{"state":"VT","n":5,"p20":null,"p50":null,"p80":null},{"state":"WA","n":17,"p20":331.65,"p50":2596.41,"p80":3913.65},{"state":"WI","n":32,"p20":841.1,"p50":1014.22,"p80":3282.3},{"state":"WV","n":17,"p20":163.0,"p50":335.0,"p80":1032.0},{"state":"WY","n":3,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":822,"p20":720.2,"p50":2087.0,"p80":4004.0},{"key":"childrens","n":16,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":158,"p20":318.15,"p50":841.1,"p80":2550.29}],"ownership":[{"key":"for_profit","n":98,"p20":985.36,"p50":1912.0,"p80":3675.7},{"key":"government","n":151,"p20":439.0,"p50":1736.15,"p80":2856.78},{"key":"nonprofit","n":747,"p20":518.4,"p50":2037.6,"p80":4004.0}],"affiliation":[{"key":"affiliated","n":837,"p20":704.7,"p50":2075.18,"p80":4004.0},{"key":"independent","n":164,"p20":338.4,"p50":1290.02,"p80":2863.6}]},"histogram":[{"lo":219.1,"hi":306.61,"n":49},{"lo":306.61,"hi":429.08,"n":78},{"lo":429.08,"hi":600.45,"n":45},{"lo":600.45,"hi":840.28,"n":44},{"lo":840.28,"hi":1175.9,"n":101},{"lo":1175.9,"hi":1645.57,"n":81},{"lo":1645.57,"hi":2302.83,"n":152},{"lo":2302.83,"hi":3222.6,"n":145},{"lo":3222.6,"hi":4509.75,"n":139},{"lo":4509.75,"hi":6311.0,"n":70}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:05:50.973703Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:13:52.941847Z","n_priced_setters":3956,"n_filed":723,"n_usable":670,"n_not_usable":0,"n_labelled":19,"n_no_cash":34,"n_estimated":0,"n_states":48,"cash_p10":307.97,"cash_p20":445.0,"cash_p25":717.6,"cash_p50":1780.85,"cash_p75":3282.3,"cash_p80":3598.8,"cash_p90":4686.0,"cash_mean_trimmed":1851.15,"gross_p50":3279.0,"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":10,"p20":1130.0,"p50":2044.58,"p80":5933.0},{"state":"AR","n":3,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":4,"p20":null,"p50":null,"p80":null},{"state":"CA","n":64,"p20":2700.5,"p50":4004.0,"p80":4177.6},{"state":"CO","n":18,"p20":1572.9,"p50":2646.0,"p80":5076.04},{"state":"CT","n":3,"p20":null,"p50":null,"p80":null},{"state":"DE","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":22,"p20":2640.14,"p50":3555.2,"p80":5399.8},{"state":"GA","n":25,"p20":1278.03,"p50":1278.03,"p80":3153.0},{"state":"HI","n":5,"p20":null,"p50":null,"p80":null},{"state":"IA","n":22,"p20":400.8,"p50":400.8,"p80":577.0},{"state":"ID","n":7,"p20":null,"p50":null,"p80":null},{"state":"IL","n":18,"p20":318.15,"p50":400.8,"p80":1077.6},{"state":"IN","n":13,"p20":232.74,"p50":318.15,"p80":4442.4},{"state":"KS","n":2,"p20":null,"p50":null,"p80":null},{"state":"KY","n":10,"p20":160.74,"p50":618.6,"p80":7617.19},{"state":"LA","n":12,"p20":518.44,"p50":630.36,"p80":1129.04},{"state":"MA","n":26,"p20":2098.5,"p50":3336.0,"p80":5322.8},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":5,"p20":null,"p50":null,"p80":null},{"state":"MI","n":15,"p20":335.0,"p50":814.4,"p80":1635.2},{"state":"MN","n":41,"p20":1185.83,"p50":1901.46,"p80":2844.44},{"state":"MO","n":18,"p20":1077.6,"p50":1077.6,"p80":2009.4},{"state":"MS","n":3,"p20":null,"p50":null,"p80":null},{"state":"MT","n":5,"p20":null,"p50":null,"p80":null},{"state":"NC","n":8,"p20":null,"p50":null,"p80":null},{"state":"ND","n":6,"p20":null,"p50":null,"p80":null},{"state":"NE","n":6,"p20":null,"p50":null,"p80":null},{"state":"NH","n":9,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":7,"p20":null,"p50":null,"p80":null},{"state":"NM","n":10,"p20":1475.7,"p50":2126.6,"p80":2933.7},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":24,"p20":268.0,"p50":445.0,"p80":2413.2},{"state":"OH","n":48,"p20":1197.95,"p50":2899.0,"p80":4161.0},{"state":"OK","n":14,"p20":219.1,"p50":219.1,"p80":1927.2},{"state":"OR","n":6,"p20":null,"p50":null,"p80":null},{"state":"PA","n":48,"p20":601.89,"p50":2267.12,"p80":3574.47},{"state":"RI","n":3,"p20":null,"p50":null,"p80":null},{"state":"SC","n":15,"p20":1331.4,"p50":2131.35,"p80":2131.35},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":7,"p20":null,"p50":null,"p80":null},{"state":"TX","n":49,"p20":1066.5,"p50":1138.2,"p80":1670.72},{"state":"VA","n":9,"p20":null,"p50":null,"p80":null},{"state":"VT","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":11,"p20":1068.9,"p50":2596.41,"p80":3534.01},{"state":"WI","n":24,"p20":841.1,"p50":841.1,"p80":3282.3},{"state":"WV","n":4,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":551,"p20":555.6,"p50":1809.27,"p80":4004.0},{"key":"childrens","n":10,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":104,"p20":320.0,"p50":1183.8,"p80":3282.3}],"ownership":[{"key":"for_profit","n":62,"p20":461.0,"p50":1475.7,"p80":3356.0},{"key":"government","n":91,"p20":630.36,"p50":1809.27,"p80":3153.0},{"key":"nonprofit","n":512,"p20":451.5,"p50":1780.85,"p80":4004.0}],"affiliation":[{"key":"affiliated","n":574,"p20":566.28,"p50":1843.2,"p80":4004.0},{"key":"independent","n":96,"p20":329.0,"p50":1268.5,"p80":2728.0}]},"histogram":[{"lo":219.1,"hi":304.72,"n":34},{"lo":304.72,"hi":423.79,"n":63},{"lo":423.79,"hi":589.4,"n":29},{"lo":589.4,"hi":819.72,"n":28},{"lo":819.72,"hi":1140.04,"n":76},{"lo":1140.04,"hi":1585.54,"n":56},{"lo":1585.54,"hi":2205.13,"n":75},{"lo":2205.13,"hi":3066.83,"n":90},{"lo":3066.83,"hi":4265.26,"n":111},{"lo":4265.26,"hi":5932.0,"n":45}],"previous":null}},"related":[{"code_type":"CPT","code":"43235","lay_name":"Diagnostic upper endoscopy","slug":"cpt-43235-diagnostic-upper-endoscopy"},{"code_type":"CPT","code":"43239","lay_name":"Upper endoscopy with biopsy","slug":"cpt-43239-upper-endoscopy-with-biopsy"},{"code_type":"CPT","code":"43247","lay_name":"Upper endoscopy with removal of a swallowed object","slug":"cpt-43247-upper-endoscopy-with-removal-of-a-swallowed-object"},{"code_type":"CPT","code":"43251","lay_name":"Upper endoscopy with growth removal by wire snare","slug":"cpt-43251-upper-endoscopy-with-growth-removal-by-wire-snare"},{"code_type":"CPT","code":"43255","lay_name":"Upper endoscopy with control of bleeding","slug":"cpt-43255-upper-endoscopy-with-control-of-bleeding"},{"code_type":"CPT","code":"43236","lay_name":"Upper endoscopy with injection into the stomach lining","slug":"cpt-43236-upper-endoscopy-with-injection-into-the-stomach-lining"},{"code_type":"CPT","code":"43200","lay_name":"Esophagus exam with a flexible scope through the mouth","slug":"cpt-43200-esophagus-exam-with-a-flexible-scope-through-the-mouth"},{"code_type":"CPT","code":"43250","lay_name":"Upper endoscopy with growth removal using heated forceps","slug":"cpt-43250-upper-endoscopy-with-growth-removal-using-heated-forceps"},{"code_type":"CPT","code":"43270","lay_name":"Upper endoscopy with destruction of a growth","slug":"cpt-43270-upper-endoscopy-with-destruction-of-a-growth"},{"code_type":"CPT","code":"43202","lay_name":"Esophagus scope exam with tissue sample","slug":"cpt-43202-esophagus-scope-exam-with-tissue-sample"},{"code_type":"CPT","code":"43241","lay_name":"Upper endoscopy with placement of a feeding tube or catheter","slug":"cpt-43241-upper-endoscopy-with-placement-of-a-feeding-tube-or-catheter"},{"code_type":"CPT","code":"44360","lay_name":"Endoscopy of the small intestine beyond the stomach","slug":"cpt-44360-endoscopy-of-the-small-intestine-beyond-the-stomach"}]}