{"procedure":{"code_type":"CPT","code":"45505","lay_name":"Surgical repair of prolapsed rectal lining","blurb":"Open surgery to remove or tack back the inner lining of the rectum when it has slipped down through the anal opening.","slug":"cpt-45505-surgical-repair-of-prolapsed-rectal-lining","description":"PR Repair of Rectum,Prolapse Mucosa","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"76","label":"Colonoscopy and biopsy","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":"2026-09-23T22:20:23.317834Z","n_priced_setters":3956,"n_filed":474,"n_usable":425,"n_not_usable":1,"n_labelled":42,"n_no_cash":6,"n_estimated":0,"n_states":44,"cash_p10":795.87,"cash_p20":1110.2,"cash_p25":1313.8,"cash_p50":2835.78,"cash_p75":4595.0,"cash_p80":5567.88,"cash_p90":8051.2,"cash_mean_trimmed":2802.17,"gross_p50":2627.6,"cash_to_gross_p50":0.65,"medicare_rate":2835.78,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":1.0,"by_state":[{"state":"AK","n":5,"p20":null,"p50":null,"p80":null},{"state":"AL","n":3,"p20":null,"p50":null,"p80":null},{"state":"AR","n":3,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":49,"p20":1625.4,"p50":5783.91,"p80":8909.6},{"state":"CO","n":2,"p20":null,"p50":null,"p80":null},{"state":"DE","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":9,"p20":null,"p50":null,"p80":null},{"state":"GA","n":8,"p20":null,"p50":null,"p80":null},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":17,"p20":1478.4,"p50":1478.4,"p80":1736.0},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":13,"p20":458.85,"p50":1089.6,"p80":2080.8},{"state":"IN","n":3,"p20":null,"p50":null,"p80":null},{"state":"KS","n":6,"p20":null,"p50":null,"p80":null},{"state":"KY","n":7,"p20":null,"p50":null,"p80":null},{"state":"LA","n":5,"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":27,"p20":1313.8,"p50":1313.8,"p80":2739.1},{"state":"MN","n":2,"p20":null,"p50":null,"p80":null},{"state":"MO","n":4,"p20":null,"p50":null,"p80":null},{"state":"MT","n":3,"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":5,"p20":null,"p50":null,"p80":null},{"state":"NH","n":5,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":24,"p20":3035.44,"p50":3786.0,"p80":5741.0},{"state":"NM","n":3,"p20":null,"p50":null,"p80":null},{"state":"NV","n":4,"p20":null,"p50":null,"p80":null},{"state":"NY","n":47,"p20":1366.0,"p50":3245.23,"p80":4595.0},{"state":"OH","n":12,"p20":1255.8,"p50":2173.6,"p80":2613.0},{"state":"OK","n":12,"p20":989.1,"p50":989.1,"p80":989.1},{"state":"OR","n":17,"p20":1110.2,"p50":6043.5,"p80":7656.0},{"state":"PA","n":21,"p20":389.39,"p50":1102.5,"p80":4636.54},{"state":"SC","n":4,"p20":null,"p50":null,"p80":null},{"state":"TN","n":9,"p20":null,"p50":null,"p80":null},{"state":"TX","n":26,"p20":2774.0,"p50":3432.6,"p80":3432.6},{"state":"VA","n":1,"p20":null,"p50":null,"p80":null},{"state":"VT","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":16,"p20":1322.0,"p50":4496.8,"p80":6083.0},{"state":"WI","n":28,"p20":2739.1,"p50":3883.21,"p80":4467.6},{"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":336,"p20":1132.25,"p50":3065.4,"p80":5810.0},{"key":"childrens","n":11,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":77,"p20":1102.5,"p50":2124.0,"p80":4467.6}],"ownership":[{"key":"for_profit","n":35,"p20":757.5,"p50":3247.81,"p80":6108.19},{"key":"government","n":56,"p20":1080.92,"p50":1685.0,"p80":3450.6},{"key":"nonprofit","n":333,"p20":1240.33,"p50":3035.44,"p80":5675.27}],"affiliation":[{"key":"affiliated","n":353,"p20":1313.8,"p50":3245.23,"p80":5810.0},{"key":"independent","n":72,"p20":940.67,"p50":1334.0,"p80":3271.0}]},"histogram":[{"lo":555.88,"hi":733.62,"n":18},{"lo":733.62,"hi":968.18,"n":19},{"lo":968.18,"hi":1277.75,"n":43},{"lo":1277.75,"hi":1686.29,"n":57},{"lo":1686.29,"hi":2225.46,"n":30},{"lo":2225.46,"hi":2937.02,"n":25},{"lo":2937.02,"hi":3876.1,"n":73},{"lo":3876.1,"hi":5115.44,"n":46},{"lo":5115.44,"hi":6751.04,"n":35},{"lo":6751.04,"hi":8909.6,"n":38}],"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":"2026-09-14","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-23T22:20:23.317834Z","n_priced_setters":3956,"n_filed":280,"n_usable":258,"n_not_usable":0,"n_labelled":17,"n_no_cash":5,"n_estimated":0,"n_states":39,"cash_p10":833.25,"cash_p20":1110.2,"cash_p25":1246.2,"cash_p50":2067.1,"cash_p75":4496.8,"cash_p80":5810.0,"cash_p90":8812.0,"cash_mean_trimmed":2560.81,"gross_p50":3663.0,"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":3,"p20":null,"p50":null,"p80":null},{"state":"AL","n":2,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":42,"p20":1879.68,"p50":5783.91,"p80":8909.6},{"state":"FL","n":1,"p20":null,"p50":null,"p80":null},{"state":"GA","n":7,"p20":null,"p50":null,"p80":null},{"state":"IA","n":16,"p20":1478.4,"p50":1478.4,"p80":1478.4},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":12,"p20":458.85,"p50":1132.29,"p80":1478.4},{"state":"IN","n":5,"p20":null,"p50":null,"p80":null},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":5,"p20":null,"p50":null,"p80":null},{"state":"LA","n":2,"p20":null,"p50":null,"p80":null},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":10,"p20":800.4,"p50":1390.4,"p80":2739.1},{"state":"MN","n":1,"p20":null,"p50":null,"p80":null},{"state":"MO","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":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":2,"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":2,"p20":null,"p50":null,"p80":null},{"state":"NV","n":3,"p20":null,"p50":null,"p80":null},{"state":"NY","n":14,"p20":967.5,"p50":1366.0,"p80":3127.5},{"state":"OH","n":4,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":989.1,"p50":989.1,"p80":989.1},{"state":"OR","n":13,"p20":1110.2,"p50":6372.0,"p80":7656.0},{"state":"PA","n":18,"p20":1388.24,"p50":1640.65,"p80":4636.54},{"state":"TN","n":5,"p20":null,"p50":null,"p80":null},{"state":"TX","n":24,"p20":1688.25,"p50":3432.6,"p80":3432.6},{"state":"VT","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":11,"p20":3622.53,"p50":5007.8,"p80":5935.8},{"state":"WI","n":13,"p20":2739.1,"p50":2739.1,"p80":2739.1},{"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":204,"p20":1110.2,"p50":1879.68,"p80":5810.0},{"key":"childrens","n":5,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":48,"p20":1246.2,"p50":2739.1,"p80":5010.72}],"ownership":[{"key":"for_profit","n":24,"p20":537.95,"p50":1390.4,"p80":4004.33},{"key":"government","n":22,"p20":1089.6,"p50":1449.0,"p80":3450.6},{"key":"nonprofit","n":211,"p20":1198.94,"p50":2739.1,"p80":5905.75}],"affiliation":[{"key":"affiliated","n":217,"p20":1246.2,"p50":2739.1,"p80":5905.75},{"key":"independent","n":41,"p20":967.5,"p50":1322.0,"p80":2450.04}]},"histogram":[{"lo":573.3,"hi":754.27,"n":11},{"lo":754.27,"hi":992.38,"n":21},{"lo":992.38,"hi":1305.64,"n":27},{"lo":1305.64,"hi":1717.8,"n":44},{"lo":1717.8,"hi":2260.06,"n":19},{"lo":2260.06,"hi":2973.5,"n":20},{"lo":2973.5,"hi":3912.15,"n":36},{"lo":3912.15,"hi":5147.1,"n":10},{"lo":5147.1,"hi":6771.9,"n":20},{"lo":6771.9,"hi":8909.6,"n":32}],"previous":null}},"related":[{"code_type":"CPT","code":"45378","lay_name":"Diagnostic colonoscopy","slug":"cpt-45378-diagnostic-colonoscopy"},{"code_type":"CPT","code":"45380","lay_name":"Colonoscopy with biopsy","slug":"cpt-45380-colonoscopy-with-biopsy"},{"code_type":"CPT","code":"45385","lay_name":"Colonoscopy with polyp removal by snare","slug":"cpt-45385-colonoscopy-with-polyp-removal-by-snare"},{"code_type":"CPT","code":"45381","lay_name":"Colonoscopy with injection into the bowel wall","slug":"cpt-45381-colonoscopy-with-injection-into-the-bowel-wall"},{"code_type":"CPT","code":"45384","lay_name":"Colonoscopy with polyp removal by heat or forceps","slug":"cpt-45384-colonoscopy-with-polyp-removal-by-heat-or-forceps"},{"code_type":"CPT","code":"45382","lay_name":"Colonoscopy with control of bleeding","slug":"cpt-45382-colonoscopy-with-control-of-bleeding"},{"code_type":"CPT","code":"44388","lay_name":"Colonoscopy through a surgical opening, diagnostic","slug":"cpt-44388-colonoscopy-through-a-surgical-opening-diagnostic"},{"code_type":"CPT","code":"45388","lay_name":"Colonoscopy with destruction of a growth","slug":"cpt-45388-colonoscopy-with-destruction-of-a-growth"},{"code_type":"CPT","code":"44389","lay_name":"Colonoscopy through a surgical stoma with biopsy","slug":"cpt-44389-colonoscopy-through-a-surgical-stoma-with-biopsy"},{"code_type":"CPT","code":"45390","lay_name":"Colonoscopy with removal of a growth from the bowel lining","slug":"cpt-45390-colonoscopy-with-removal-of-a-growth-from-the-bowel-lining"},{"code_type":"CPT","code":"44394","lay_name":"Colonoscopy through a stoma, polyp removed with a wire snare","slug":"cpt-44394-colonoscopy-through-a-stoma-polyp-removed-with-a-wire-snare"},{"code_type":"CPT","code":"45386","lay_name":"Colonoscopy with stretching of a narrowed area","slug":"cpt-45386-colonoscopy-with-stretching-of-a-narrowed-area"}]}