{"procedure":{"code_type":"CPT","code":"49520","lay_name":"Repeat repair of groin hernia, any age","blurb":"Open surgery to fix a groin hernia that has come back after an earlier repair, where the bulging tissue can still be pushed back into place.","slug":"cpt-49520-repeat-repair-of-groin-hernia-any-age","description":"PR Repair Recurr Inguin Hern,Reducibl","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":"2026-09-25T01:10:45.071082Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T01:13:55.396173Z","n_priced_setters":3956,"n_filed":1168,"n_usable":1051,"n_not_usable":1,"n_labelled":67,"n_no_cash":42,"n_estimated":7,"n_states":50,"cash_p10":831.2,"cash_p20":1187.55,"cash_p25":1331.51,"cash_p50":3039.96,"cash_p75":6396.87,"cash_p80":7740.0,"cash_p90":13535.2,"cash_mean_trimmed":3404.66,"gross_p50":3473.0,"cash_to_gross_p50":0.65,"medicare_rate":3657.95,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.8311,"by_state":[{"state":"AK","n":6,"p20":null,"p50":null,"p80":null},{"state":"AL","n":16,"p20":1780.0,"p50":4100.0,"p80":15871.35},{"state":"AR","n":15,"p20":1187.55,"p50":5400.0,"p80":6861.79},{"state":"AZ","n":12,"p20":949.02,"p50":4393.67,"p80":19980.14},{"state":"CA","n":64,"p20":1689.07,"p50":5475.6,"p80":13535.2},{"state":"CO","n":17,"p20":935.48,"p50":1405.6,"p80":4234.0},{"state":"CT","n":6,"p20":null,"p50":null,"p80":null},{"state":"DE","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":21,"p20":2275.05,"p50":5369.35,"p80":10270.38},{"state":"GA","n":19,"p20":6631.2,"p50":14175.0,"p80":15440.0},{"state":"HI","n":8,"p20":null,"p50":null,"p80":null},{"state":"IA","n":54,"p20":1121.4,"p50":1548.8,"p80":2011.8},{"state":"ID","n":16,"p20":1398.4,"p50":4150.0,"p80":8630.0},{"state":"IL","n":47,"p20":1188.3,"p50":2915.24,"p80":6264.05},{"state":"IN","n":23,"p20":787.85,"p50":1501.6,"p80":12602.24},{"state":"KS","n":30,"p20":712.5,"p50":1277.1,"p80":2380.38},{"state":"KY","n":16,"p20":787.85,"p50":1296.6,"p80":5207.67},{"state":"LA","n":16,"p20":2257.86,"p50":3570.16,"p80":6420.28},{"state":"MA","n":7,"p20":null,"p50":null,"p80":null},{"state":"MD","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":11,"p20":894.6,"p50":1220.4,"p80":1902.0},{"state":"MI","n":42,"p20":1221.0,"p50":2055.6,"p80":4923.19},{"state":"MN","n":42,"p20":1070.61,"p50":1923.48,"p80":3381.84},{"state":"MO","n":31,"p20":939.25,"p50":1641.9,"p80":9987.75},{"state":"MS","n":13,"p20":1050.0,"p50":3250.2,"p80":7127.72},{"state":"MT","n":12,"p20":941.6,"p50":1143.25,"p80":1990.25},{"state":"NC","n":13,"p20":918.54,"p50":5874.44,"p80":12862.48},{"state":"ND","n":7,"p20":null,"p50":null,"p80":null},{"state":"NE","n":22,"p20":1080.43,"p50":1436.4,"p80":4078.0},{"state":"NH","n":10,"p20":629.4,"p50":817.12,"p80":1587.55},{"state":"NJ","n":35,"p20":3906.18,"p50":4632.44,"p80":6839.0},{"state":"NM","n":10,"p20":1213.2,"p50":1808.68,"p80":9571.09},{"state":"NV","n":9,"p20":null,"p50":null,"p80":null},{"state":"NY","n":62,"p20":1055.45,"p50":4176.15,"p80":4595.0},{"state":"OH","n":47,"p20":1136.25,"p50":5524.5,"p80":13559.59},{"state":"OK","n":19,"p20":1331.51,"p50":1331.51,"p80":8124.62},{"state":"OR","n":28,"p20":1170.0,"p50":1739.2,"p80":2105.0},{"state":"PA","n":30,"p20":861.9,"p50":4525.5,"p80":7889.84},{"state":"RI","n":2,"p20":null,"p50":null,"p80":null},{"state":"SC","n":7,"p20":null,"p50":null,"p80":null},{"state":"SD","n":8,"p20":null,"p50":null,"p80":null},{"state":"TN","n":16,"p20":655.25,"p50":4732.96,"p80":7127.72},{"state":"TX","n":45,"p20":3579.0,"p50":7097.0,"p80":9634.05},{"state":"UT","n":5,"p20":null,"p50":null,"p80":null},{"state":"VA","n":18,"p20":694.41,"p50":10614.75,"p80":16788.01},{"state":"VT","n":11,"p20":647.1,"p50":1157.6,"p80":2533.0},{"state":"WA","n":27,"p20":1244.25,"p50":1615.2,"p80":7076.8},{"state":"WI","n":42,"p20":2273.2,"p50":3270.8,"p80":5579.56},{"state":"WV","n":23,"p20":714.0,"p50":1773.27,"p80":6087.0},{"state":"WY","n":8,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":674,"p20":1331.51,"p50":4176.15,"p80":10614.75},{"key":"childrens","n":12,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":362,"p20":1040.8,"p50":1641.9,"p80":4078.0}],"ownership":[{"key":"for_profit","n":110,"p20":1773.27,"p50":6153.5,"p80":14495.19},{"key":"government","n":234,"p20":1136.1,"p50":1993.25,"p80":5400.0},{"key":"nonprofit","n":704,"p20":1170.0,"p50":3270.8,"p80":7391.59}],"affiliation":[{"key":"affiliated","n":769,"p20":1296.6,"p50":3591.93,"p80":8630.0},{"key":"independent","n":282,"p20":1020.73,"p50":1905.0,"p80":4884.5}]},"histogram":[{"lo":647.66,"hi":899.23,"n":70},{"lo":899.23,"hi":1248.52,"n":103},{"lo":1248.52,"hi":1733.49,"n":150},{"lo":1733.49,"hi":2406.84,"n":94},{"lo":2406.84,"hi":3341.73,"n":92},{"lo":3341.73,"hi":4639.77,"n":116},{"lo":4639.77,"hi":6442.01,"n":113},{"lo":6442.01,"hi":8944.3,"n":88},{"lo":8944.3,"hi":12418.57,"n":43},{"lo":12418.57,"hi":17242.35,"n":78}],"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":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:13:55.396173Z","n_priced_setters":3956,"n_filed":567,"n_usable":504,"n_not_usable":1,"n_labelled":25,"n_no_cash":37,"n_estimated":0,"n_states":48,"cash_p10":556.8,"cash_p20":854.55,"cash_p25":972.8,"cash_p50":1633.5,"cash_p75":4629.6,"cash_p80":5475.6,"cash_p90":8612.39,"cash_mean_trimmed":2257.17,"gross_p50":2251.0,"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":7,"p20":null,"p50":null,"p80":null},{"state":"AR","n":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":3,"p20":null,"p50":null,"p80":null},{"state":"CA","n":50,"p20":1816.3,"p50":5475.6,"p80":13535.2},{"state":"CO","n":10,"p20":773.4,"p50":1567.5,"p80":3582.0},{"state":"CT","n":6,"p20":null,"p50":null,"p80":null},{"state":"FL","n":3,"p20":null,"p50":null,"p80":null},{"state":"GA","n":8,"p20":null,"p50":null,"p80":null},{"state":"HI","n":6,"p20":null,"p50":null,"p80":null},{"state":"IA","n":23,"p20":1187.4,"p50":1548.8,"p80":1704.8},{"state":"ID","n":8,"p20":null,"p50":null,"p80":null},{"state":"IL","n":29,"p20":787.85,"p50":1548.8,"p80":3782.4},{"state":"IN","n":14,"p20":266.4,"p50":787.85,"p80":1468.71},{"state":"KS","n":8,"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":"MA","n":3,"p20":null,"p50":null,"p80":null},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":10,"p20":339.0,"p50":894.6,"p80":1614.7},{"state":"MI","n":27,"p20":813.8,"p50":1418.4,"p80":5131.08},{"state":"MN","n":28,"p20":1025.41,"p50":1774.19,"p80":3300.88},{"state":"MO","n":10,"p20":854.55,"p50":939.25,"p80":1077.6},{"state":"MS","n":4,"p20":null,"p50":null,"p80":null},{"state":"MT","n":5,"p20":null,"p50":null,"p80":null},{"state":"NC","n":3,"p20":null,"p50":null,"p80":null},{"state":"ND","n":7,"p20":null,"p50":null,"p80":null},{"state":"NE","n":9,"p20":null,"p50":null,"p80":null},{"state":"NH","n":8,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":1,"p20":null,"p50":null,"p80":null},{"state":"NM","n":3,"p20":null,"p50":null,"p80":null},{"state":"NV","n":3,"p20":null,"p50":null,"p80":null},{"state":"NY","n":24,"p20":598.09,"p50":1365.25,"p80":1905.0},{"state":"OH","n":27,"p20":952.92,"p50":2603.9,"p80":5669.95},{"state":"OK","n":13,"p20":1331.51,"p50":1331.51,"p80":1331.51},{"state":"OR","n":11,"p20":1170.0,"p50":1185.6,"p80":1848.0},{"state":"PA","n":27,"p20":132.15,"p50":1140.6,"p80":6650.02},{"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":27,"p20":1548.4,"p50":5824.74,"p80":7391.59},{"state":"UT","n":2,"p20":null,"p50":null,"p80":null},{"state":"VA","n":6,"p20":null,"p50":null,"p80":null},{"state":"VT","n":8,"p20":null,"p50":null,"p80":null},{"state":"WA","n":8,"p20":null,"p50":null,"p80":null},{"state":"WI","n":24,"p20":2273.2,"p50":3270.8,"p80":4629.6},{"state":"WV","n":7,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":323,"p20":787.85,"p50":1780.0,"p80":5824.74},{"key":"childrens","n":4,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":174,"p20":935.48,"p50":1520.0,"p80":3764.4}],"ownership":[{"key":"for_profit","n":42,"p20":787.85,"p50":1514.0,"p80":6039.89},{"key":"government","n":81,"p20":935.48,"p50":1629.46,"p80":3582.0},{"key":"nonprofit","n":378,"p20":864.46,"p50":1662.0,"p80":5475.6}],"affiliation":[{"key":"affiliated","n":379,"p20":813.8,"p50":1749.88,"p80":5824.74},{"key":"independent","n":125,"p20":864.46,"p50":1415.0,"p80":3326.25}]},"histogram":[{"lo":312.0,"hi":454.87,"n":21},{"lo":454.87,"hi":663.16,"n":22},{"lo":663.16,"hi":966.82,"n":56},{"lo":966.82,"hi":1409.54,"n":84},{"lo":1409.54,"hi":2054.99,"n":78},{"lo":2054.99,"hi":2995.99,"n":37},{"lo":2995.99,"hi":4367.89,"n":48},{"lo":4367.89,"hi":6367.99,"n":60},{"lo":6367.99,"hi":9283.97,"n":31},{"lo":9283.97,"hi":13535.2,"n":27}],"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":"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"},{"code_type":"CPT","code":"49495","lay_name":"Inguinal hernia repair in infant under 6 months, reducible","slug":"cpt-49495-inguinal-hernia-repair-in-infant-under-6-months-reducible"}]}