{"procedure":{"code_type":"CPT","code":"49496","lay_name":"Inguinal hernia repair in infant under 6 months, trapped","blurb":"First repair of a groin hernia in a baby younger than 6 months old where the hernia is stuck or its blood supply is pinched.","slug":"cpt-49496-inguinal-hernia-repair-in-infant-under-6-months-trapped","description":"Rpr 1st Ingun Hrna Full Term Inft <6 Mo Incarcer","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"85","label":"Inguinal and femoral hernia repair","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":"2026-09-05T02:22:45.006185Z","checked_through":"2026-09-23T21:50:31.523775Z","n_priced_setters":3956,"n_filed":273,"n_usable":241,"n_not_usable":1,"n_labelled":29,"n_no_cash":2,"n_estimated":0,"n_states":39,"cash_p10":990.0,"cash_p20":1043.6,"cash_p25":1140.1,"cash_p50":3856.84,"cash_p75":5110.0,"cash_p80":5706.0,"cash_p90":8630.0,"cash_mean_trimmed":3185.24,"gross_p50":2901.0,"cash_to_gross_p50":0.6,"medicare_rate":3657.95,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":1.0544,"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":3,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":22,"p20":10757.6,"p50":10757.6,"p80":10757.6},{"state":"CO","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":3,"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":1503.2,"p50":1503.2,"p80":1503.2},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":12,"p20":1015.35,"p50":1015.35,"p80":2040.3},{"state":"IN","n":5,"p20":null,"p50":null,"p80":null},{"state":"KS","n":2,"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":11,"p20":1109.0,"p50":1482.4,"p80":4923.19},{"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":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":4,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":29,"p20":3906.18,"p50":4627.0,"p80":5339.0},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":22,"p20":3657.95,"p50":4176.15,"p80":4469.36},{"state":"OH","n":7,"p20":null,"p50":null,"p80":null},{"state":"OK","n":12,"p20":1016.4,"p50":1016.4,"p80":1016.4},{"state":"OR","n":6,"p20":null,"p50":null,"p80":null},{"state":"PA","n":10,"p20":2622.0,"p50":5966.43,"p80":6979.64},{"state":"SC","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":6,"p20":null,"p50":null,"p80":null},{"state":"TX","n":18,"p20":3919.49,"p50":3919.49,"p80":3919.49},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":4,"p20":null,"p50":null,"p80":null},{"state":"WI","n":7,"p20":null,"p50":null,"p80":null},{"state":"WV","n":3,"p20":null,"p50":null,"p80":null},{"state":"WY","n":3,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":207,"p20":1053.5,"p50":3909.56,"p80":5855.0},{"key":"childrens","n":8,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":26,"p20":1071.0,"p50":3238.95,"p80":5140.24}],"ownership":[{"key":"for_profit","n":24,"p20":1015.35,"p50":1945.6,"p80":6739.37},{"key":"government","n":32,"p20":1138.2,"p50":2038.5,"p80":4176.15},{"key":"nonprofit","n":185,"p20":1053.5,"p50":3919.49,"p80":6038.0}],"affiliation":[{"key":"affiliated","n":199,"p20":1056.24,"p50":3919.49,"p80":6039.89},{"key":"independent","n":42,"p20":990.0,"p50":1718.28,"p80":4392.0}]},"histogram":[{"lo":746.73,"hi":975.03,"n":11},{"lo":975.03,"hi":1273.13,"n":43},{"lo":1273.13,"hi":1662.38,"n":19},{"lo":1662.38,"hi":2170.62,"n":12},{"lo":2170.62,"hi":2834.26,"n":12},{"lo":2834.26,"hi":3700.79,"n":8},{"lo":3700.79,"hi":4832.26,"n":57},{"lo":4832.26,"hi":6309.65,"n":25},{"lo":6309.65,"hi":8238.73,"n":12},{"lo":8238.73,"hi":10757.6,"n":28}],"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":"2026-09-11","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-23T18:19:36.920443Z","n_priced_setters":3956,"n_filed":186,"n_usable":160,"n_not_usable":0,"n_labelled":14,"n_no_cash":12,"n_estimated":0,"n_states":33,"cash_p10":628.39,"cash_p20":1015.35,"cash_p25":1016.4,"cash_p50":1503.2,"cash_p75":5165.28,"cash_p80":7599.69,"cash_p90":10757.6,"cash_mean_trimmed":2393.4,"gross_p50":2693.0,"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":3,"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":21,"p20":10757.6,"p50":10757.6,"p80":10757.6},{"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":1503.2,"p50":1503.2,"p80":1503.2},{"state":"ID","n":5,"p20":null,"p50":null,"p80":null},{"state":"IL","n":11,"p20":1015.35,"p50":1120.8,"p80":1503.2},{"state":"IN","n":6,"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":"MI","n":7,"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":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":2,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":5,"p20":null,"p50":null,"p80":null},{"state":"OH","n":4,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":1016.4,"p50":1016.4,"p80":1016.4},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":16,"p20":110.63,"p50":129.87,"p80":5966.43},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":17,"p20":3919.49,"p50":3919.49,"p80":3919.49},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":3,"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":135,"p20":1015.35,"p50":1503.2,"p80":7599.69},{"key":"childrens","n":5,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":20,"p20":1015.35,"p50":1503.2,"p80":8630.0}],"ownership":[{"key":"for_profit","n":15,"p20":null,"p50":null,"p80":null},{"key":"government","n":16,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":129,"p20":1015.35,"p50":1697.91,"p80":8630.0}],"affiliation":[{"key":"affiliated","n":127,"p20":1015.35,"p50":1503.2,"p80":8630.0},{"key":"independent","n":33,"p20":1053.5,"p50":1883.0,"p80":5165.28}]},"histogram":[{"lo":129.87,"hi":201.99,"n":2},{"lo":201.99,"hi":314.16,"n":0},{"lo":314.16,"hi":488.62,"n":0},{"lo":488.62,"hi":759.96,"n":10},{"lo":759.96,"hi":1181.99,"n":43},{"lo":1181.99,"hi":1838.37,"n":23},{"lo":1838.37,"hi":2859.26,"n":11},{"lo":2859.26,"hi":4447.07,"n":22},{"lo":4447.07,"hi":6916.63,"n":8},{"lo":6916.63,"hi":10757.6,"n":26}],"previous":null}},"related":[{"code_type":"CPT","code":"49505","lay_name":"Inguinal hernia repair, age 5 or older, first repair","slug":"cpt-49505-inguinal-hernia-repair-age-5-or-older-first-repair"},{"code_type":"CPT","code":"49650","lay_name":"Keyhole repair of a first-time groin hernia","slug":"cpt-49650-keyhole-repair-of-a-first-time-groin-hernia"},{"code_type":"CPT","code":"49507","lay_name":"Groin hernia repair for trapped hernia, age 5 or older","slug":"cpt-49507-groin-hernia-repair-for-trapped-hernia-age-5-or-older"},{"code_type":"CPT","code":"49520","lay_name":"Repeat repair of groin hernia, any age","slug":"cpt-49520-repeat-repair-of-groin-hernia-any-age"},{"code_type":"CPT","code":"49651","lay_name":"Keyhole repair of a returning groin hernia","slug":"cpt-49651-keyhole-repair-of-a-returning-groin-hernia"},{"code_type":"CPT","code":"49521","lay_name":"Repeat groin hernia repair for trapped hernia","slug":"cpt-49521-repeat-groin-hernia-repair-for-trapped-hernia"},{"code_type":"CPT","code":"49553","lay_name":"First femoral hernia repair for trapped hernia","slug":"cpt-49553-first-femoral-hernia-repair-for-trapped-hernia"},{"code_type":"CPT","code":"49550","lay_name":"First repair of femoral hernia, any age","slug":"cpt-49550-first-repair-of-femoral-hernia-any-age"},{"code_type":"CPT","code":"49525","lay_name":"Repair of sliding groin hernia, any age","slug":"cpt-49525-repair-of-sliding-groin-hernia-any-age"},{"code_type":"CPT","code":"49500","lay_name":"Child inguinal hernia repair, 6 months to 5 years, reducible","slug":"cpt-49500-child-inguinal-hernia-repair-6-months-to-5-years-reducible"},{"code_type":"CPT","code":"49557","lay_name":"Repeat femoral hernia repair for trapped hernia","slug":"cpt-49557-repeat-femoral-hernia-repair-for-trapped-hernia"},{"code_type":"CPT","code":"49555","lay_name":"Repeat repair of femoral hernia","slug":"cpt-49555-repeat-repair-of-femoral-hernia"}]}