{"procedure":{"code_type":"CPT","code":"49659","lay_name":"Unlisted keyhole hernia repair procedure","blurb":"Used for a laparoscopic hernia repair operation that has no specific billing code of its own; the operative report describes what was done.","slug":"cpt-49659-unlisted-keyhole-hernia-repair-procedure","description":"PR Lap Repair Congenital Diaphragmatic Hernia C/T 39541","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"86","label":"Other 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":"2026-09-05T02:22:45.006185Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":634,"n_usable":559,"n_not_usable":1,"n_labelled":47,"n_no_cash":19,"n_estimated":8,"n_states":48,"cash_p10":750.0,"cash_p20":1058.56,"cash_p25":1280.0,"cash_p50":4350.0,"cash_p75":8400.06,"cash_p80":9188.0,"cash_p90":17954.72,"cash_mean_trimmed":4595.81,"gross_p50":4413.0,"cash_to_gross_p50":0.62,"medicare_rate":6176.47,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.7043,"by_state":[{"state":"AK","n":3,"p20":null,"p50":null,"p80":null},{"state":"AL","n":10,"p20":1206.0,"p50":4328.96,"p80":20184.41},{"state":"AR","n":5,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":7,"p20":null,"p50":null,"p80":null},{"state":"CA","n":42,"p20":2280.0,"p50":3600.8,"p80":10027.91},{"state":"CO","n":10,"p20":979.5,"p50":1037.25,"p80":3360.0},{"state":"DE","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":12,"p20":1985.1,"p50":5856.41,"p80":15321.3},{"state":"GA","n":5,"p20":null,"p50":null,"p80":null},{"state":"HI","n":6,"p20":null,"p50":null,"p80":null},{"state":"IA","n":29,"p20":988.8,"p50":1261.8,"p80":2782.5},{"state":"ID","n":7,"p20":null,"p50":null,"p80":null},{"state":"IL","n":23,"p20":730.45,"p50":1971.0,"p80":41005.55},{"state":"IN","n":11,"p20":730.45,"p50":730.45,"p80":30490.4},{"state":"KS","n":11,"p20":828.48,"p50":1371.96,"p80":2554.2},{"state":"KY","n":7,"p20":null,"p50":null,"p80":null},{"state":"LA","n":8,"p20":null,"p50":null,"p80":null},{"state":"MA","n":5,"p20":null,"p50":null,"p80":null},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":7,"p20":null,"p50":null,"p80":null},{"state":"MI","n":18,"p20":806.0,"p50":8312.83,"p80":26013.39},{"state":"MN","n":25,"p20":561.64,"p50":2313.0,"p80":2879.36},{"state":"MO","n":15,"p20":1185.0,"p50":11360.18,"p80":17729.89},{"state":"MS","n":8,"p20":null,"p50":null,"p80":null},{"state":"MT","n":5,"p20":null,"p50":null,"p80":null},{"state":"NC","n":2,"p20":null,"p50":null,"p80":null},{"state":"ND","n":3,"p20":null,"p50":null,"p80":null},{"state":"NE","n":4,"p20":null,"p50":null,"p80":null},{"state":"NH","n":6,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":31,"p20":5110.0,"p50":6457.82,"p80":7785.18},{"state":"NM","n":5,"p20":null,"p50":null,"p80":null},{"state":"NV","n":5,"p20":null,"p50":null,"p80":null},{"state":"NY","n":46,"p20":1114.48,"p50":6904.15,"p80":9188.0},{"state":"OH","n":13,"p20":812.5,"p50":6349.5,"p80":22627.15},{"state":"OK","n":5,"p20":null,"p50":null,"p80":null},{"state":"OR","n":19,"p20":675.35,"p50":2334.4,"p80":2868.0},{"state":"PA","n":13,"p20":5947.0,"p50":9863.77,"p80":12295.92},{"state":"SC","n":6,"p20":null,"p50":null,"p80":null},{"state":"SD","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":41,"p20":4547.2,"p50":5696.51,"p80":6866.28},{"state":"UT","n":2,"p20":null,"p50":null,"p80":null},{"state":"VA","n":10,"p20":364.65,"p50":8453.2,"p80":16377.04},{"state":"VT","n":5,"p20":null,"p50":null,"p80":null},{"state":"WA","n":16,"p20":798.15,"p50":1050.0,"p80":34731.08},{"state":"WI","n":21,"p20":3005.8,"p50":4293.9,"p80":8873.59},{"state":"WV","n":15,"p20":1171.0,"p50":2184.45,"p80":9068.0},{"state":"WY","n":3,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":421,"p20":1220.38,"p50":5696.51,"p80":11823.84},{"key":"childrens","n":4,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":134,"p20":934.96,"p50":1809.0,"p80":4293.9}],"ownership":[{"key":"for_profit","n":60,"p20":1457.83,"p50":7022.43,"p80":17443.23},{"key":"government","n":104,"p20":979.5,"p50":2154.75,"p80":7156.19},{"key":"nonprofit","n":395,"p20":1058.56,"p50":4328.96,"p80":9188.0}],"affiliation":[{"key":"affiliated","n":424,"p20":1092.0,"p50":4817.61,"p80":9284.8},{"key":"independent","n":135,"p20":1037.5,"p50":2209.9,"p80":8273.0}]},"histogram":[{"lo":651.2,"hi":953.23,"n":60},{"lo":953.23,"hi":1395.34,"n":61},{"lo":1395.34,"hi":2042.51,"n":39},{"lo":2042.51,"hi":2989.83,"n":44},{"lo":2989.83,"hi":4376.53,"n":52},{"lo":4376.53,"hi":6406.39,"n":69},{"lo":6406.39,"hi":9377.71,"n":99},{"lo":9377.71,"hi":13727.13,"n":29},{"lo":13727.13,"hi":20093.85,"n":29},{"lo":20093.85,"hi":29413.47,"n":23}],"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":"2026-09-16","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":275,"n_usable":229,"n_not_usable":0,"n_labelled":25,"n_no_cash":21,"n_estimated":0,"n_states":41,"cash_p10":466.2,"cash_p20":750.0,"cash_p25":900.0,"cash_p50":1858.86,"cash_p75":4652.28,"cash_p80":5696.51,"cash_p90":7489.25,"cash_mean_trimmed":2700.56,"gross_p50":2323.57,"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":5,"p20":null,"p50":null,"p80":null},{"state":"CA","n":28,"p20":3600.8,"p50":3600.8,"p80":3600.8},{"state":"CO","n":5,"p20":null,"p50":null,"p80":null},{"state":"GA","n":1,"p20":null,"p50":null,"p80":null},{"state":"HI","n":5,"p20":null,"p50":null,"p80":null},{"state":"IA","n":17,"p20":988.8,"p50":988.8,"p80":2681.1},{"state":"ID","n":1,"p20":null,"p50":null,"p80":null},{"state":"IL","n":13,"p20":730.45,"p50":1744.14,"p80":3758.4},{"state":"IN","n":13,"p20":387.75,"p50":730.45,"p80":1263.6},{"state":"KS","n":3,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"MA","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":6,"p20":null,"p50":null,"p80":null},{"state":"MI","n":6,"p20":null,"p50":null,"p80":null},{"state":"MN","n":10,"p20":344.23,"p50":561.64,"p80":1667.7},{"state":"MO","n":5,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":2,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":3,"p20":null,"p50":null,"p80":null},{"state":"NE","n":3,"p20":null,"p50":null,"p80":null},{"state":"NH","n":3,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":2,"p20":null,"p50":null,"p80":null},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":1,"p20":null,"p50":null,"p80":null},{"state":"NY","n":10,"p20":735.28,"p50":750.0,"p80":1424.76},{"state":"OH","n":6,"p20":null,"p50":null,"p80":null},{"state":"OK","n":1,"p20":null,"p50":null,"p80":null},{"state":"OR","n":6,"p20":null,"p50":null,"p80":null},{"state":"PA","n":9,"p20":null,"p50":null,"p80":null},{"state":"SC","n":1,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":1,"p20":null,"p50":null,"p80":null},{"state":"TX","n":35,"p20":4547.2,"p50":4817.61,"p80":5696.51},{"state":"UT","n":1,"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":6,"p20":null,"p50":null,"p80":null},{"state":"WI","n":3,"p20":null,"p50":null,"p80":null},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":178,"p20":730.45,"p50":2184.45,"p80":5696.51},{"key":"childrens","n":3,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":48,"p20":860.4,"p50":1371.88,"p80":3758.4}],"ownership":[{"key":"for_profit","n":27,"p20":730.45,"p50":3935.32,"p80":5696.51},{"key":"government","n":36,"p20":979.5,"p50":1690.0,"p80":5469.1},{"key":"nonprofit","n":166,"p20":750.0,"p50":1935.04,"p80":4817.61}],"affiliation":[{"key":"affiliated","n":168,"p20":730.45,"p50":1935.04,"p80":5696.51},{"key":"independent","n":61,"p20":1037.5,"p50":1744.14,"p80":4847.25}]},"histogram":[{"lo":364.65,"hi":510.58,"n":14},{"lo":510.58,"hi":714.91,"n":10},{"lo":714.91,"hi":1001.02,"n":41},{"lo":1001.02,"hi":1401.62,"n":24},{"lo":1401.62,"hi":1962.53,"n":19},{"lo":1962.53,"hi":2747.93,"n":11},{"lo":2747.93,"hi":3847.63,"n":28},{"lo":3847.63,"hi":5387.43,"n":24},{"lo":5387.43,"hi":7543.45,"n":26},{"lo":7543.45,"hi":10562.3,"n":11}],"previous":null}},"related":[{"code_type":"CPT","code":"49591","lay_name":"First abdominal wall hernia repair, under 3 cm, reducible","slug":"cpt-49591-first-abdominal-wall-hernia-repair-under-3-cm-reducible"},{"code_type":"CPT","code":"49592","lay_name":"First abdominal hernia repair, under 3 cm, trapped bulge","slug":"cpt-49592-first-abdominal-hernia-repair-under-3-cm-trapped-bulge"},{"code_type":"CPT","code":"49593","lay_name":"First abdominal hernia repair, 3 to 10 cm, reducible","slug":"cpt-49593-first-abdominal-hernia-repair-3-to-10-cm-reducible"},{"code_type":"CPT","code":"49594","lay_name":"First abdominal hernia repair, 3 to 10 cm, trapped bulge","slug":"cpt-49594-first-abdominal-hernia-repair-3-to-10-cm-trapped-bulge"},{"code_type":"CPT","code":"49615","lay_name":"Repeat abdominal hernia repair, 3 to 10 cm, reducible","slug":"cpt-49615-repeat-abdominal-hernia-repair-3-to-10-cm-reducible"},{"code_type":"CPT","code":"49595","lay_name":"First abdominal hernia repair, over 10 cm, reducible","slug":"cpt-49595-first-abdominal-hernia-repair-over-10-cm-reducible"},{"code_type":"CPT","code":"49613","lay_name":"Repeat abdominal hernia repair, under 3 cm, reducible","slug":"cpt-49613-repeat-abdominal-hernia-repair-under-3-cm-reducible"},{"code_type":"CPT","code":"43281","lay_name":"Keyhole repair of hiatal hernia without mesh","slug":"cpt-43281-keyhole-repair-of-hiatal-hernia-without-mesh"},{"code_type":"CPT","code":"49614","lay_name":"Repeat abdominal hernia repair, under 3 cm, trapped bulge","slug":"cpt-49614-repeat-abdominal-hernia-repair-under-3-cm-trapped-bulge"},{"code_type":"CPT","code":"49616","lay_name":"Repeat abdominal hernia repair, 3–10 cm, trapped bulge","slug":"cpt-49616-repeat-abdominal-hernia-repair-310-cm-trapped-bulge"},{"code_type":"CPT","code":"49596","lay_name":"First abdominal hernia repair, over 10 cm, trapped bulge","slug":"cpt-49596-first-abdominal-hernia-repair-over-10-cm-trapped-bulge"},{"code_type":"CPT","code":"43282","lay_name":"Keyhole repair of hiatal hernia with mesh","slug":"cpt-43282-keyhole-repair-of-hiatal-hernia-with-mesh"}]}