{"procedure":{"code_type":"CPT","code":"52356","lay_name":"Ureter scope with stone breakup and stent placement","blurb":"A scope is passed through the urethra into the ureter or kidney, a stone is fragmented, and an indwelling stent is left in place to keep the ureter draining.","slug":"cpt-52356-ureter-scope-with-stone-breakup-and-stent-placement","description":"Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"107","label":"Extracorporeal lithotripsy, urinary","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":"2023-03-09","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":1117,"n_usable":1017,"n_not_usable":0,"n_labelled":62,"n_no_cash":28,"n_estimated":10,"n_states":50,"cash_p10":675.6,"cash_p20":1050.4,"cash_p25":1319.2,"cash_p50":5047.0,"cash_p75":11023.82,"cash_p80":12563.42,"cash_p90":16997.82,"cash_mean_trimmed":5425.94,"gross_p50":8112.0,"cash_to_gross_p50":0.6,"medicare_rate":5477.93,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.9213,"by_state":[{"state":"AK","n":6,"p20":null,"p50":null,"p80":null},{"state":"AL","n":14,"p20":3263.32,"p50":5116.1,"p80":13106.39},{"state":"AR","n":14,"p20":913.71,"p50":2755.11,"p80":11179.75},{"state":"AZ","n":11,"p20":631.45,"p50":6579.7,"p80":29828.84},{"state":"CA","n":67,"p20":2456.8,"p50":12105.6,"p80":16828.0},{"state":"CO","n":19,"p20":969.0,"p50":4268.6,"p80":7380.24},{"state":"CT","n":4,"p20":null,"p50":null,"p80":null},{"state":"DE","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":23,"p20":7937.2,"p50":13433.7,"p80":14985.87},{"state":"GA","n":32,"p20":1200.0,"p50":4793.31,"p80":5325.9},{"state":"HI","n":8,"p20":null,"p50":null,"p80":null},{"state":"IA","n":37,"p20":1050.4,"p50":1163.0,"p80":10422.3},{"state":"ID","n":14,"p20":5390.0,"p50":11252.75,"p80":12489.0},{"state":"IL","n":37,"p20":1120.0,"p50":2328.0,"p80":16330.0},{"state":"IN","n":28,"p20":1120.0,"p50":6436.38,"p80":17179.91},{"state":"KS","n":13,"p20":1739.2,"p50":5051.0,"p80":8373.31},{"state":"KY","n":15,"p20":676.0,"p50":1630.42,"p80":5585.57},{"state":"LA","n":21,"p20":3380.94,"p50":4720.32,"p80":6645.76},{"state":"MA","n":22,"p20":1853.6,"p50":9214.1,"p80":15357.0},{"state":"MD","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":9,"p20":null,"p50":null,"p80":null},{"state":"MI","n":43,"p20":506.4,"p50":698.4,"p80":7372.68},{"state":"MN","n":32,"p20":1011.36,"p50":3719.17,"p80":4884.88},{"state":"MO","n":24,"p20":2752.5,"p50":8975.42,"p80":16997.82},{"state":"MS","n":15,"p20":708.75,"p50":4079.04,"p80":9663.67},{"state":"MT","n":7,"p20":null,"p50":null,"p80":null},{"state":"NC","n":11,"p20":1671.6,"p50":3680.4,"p80":20034.65},{"state":"ND","n":6,"p20":null,"p50":null,"p80":null},{"state":"NE","n":19,"p20":642.92,"p50":1242.0,"p80":4501.42},{"state":"NH","n":8,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":37,"p20":4627.0,"p50":5631.74,"p80":6784.22},{"state":"NM","n":8,"p20":null,"p50":null,"p80":null},{"state":"NV","n":6,"p20":null,"p50":null,"p80":null},{"state":"NY","n":58,"p20":1064.7,"p50":6015.75,"p80":21735.0},{"state":"OH","n":57,"p20":4726.35,"p50":15200.25,"p80":18408.16},{"state":"OK","n":22,"p20":866.7,"p50":4916.8,"p80":14369.17},{"state":"OR","n":19,"p20":958.2,"p50":1382.4,"p80":7065.96},{"state":"PA","n":31,"p20":311.85,"p50":6095.88,"p80":10398.95},{"state":"RI","n":3,"p20":null,"p50":null,"p80":null},{"state":"SC","n":11,"p20":6326.19,"p50":10618.0,"p80":18413.27},{"state":"SD","n":2,"p20":null,"p50":null,"p80":null},{"state":"TN","n":19,"p20":454.08,"p50":5194.48,"p80":6703.85},{"state":"TX","n":63,"p20":4105.0,"p50":5359.0,"p80":10101.74},{"state":"UT","n":2,"p20":null,"p50":null,"p80":null},{"state":"VA","n":18,"p20":3565.2,"p50":12880.78,"p80":21308.81},{"state":"VT","n":9,"p20":null,"p50":null,"p80":null},{"state":"WA","n":21,"p20":833.85,"p50":1727.05,"p80":10304.45},{"state":"WI","n":41,"p20":1988.35,"p50":2086.11,"p80":6545.7},{"state":"WV","n":23,"p20":437.62,"p50":4106.5,"p80":7667.67},{"state":"WY","n":4,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":803,"p20":1393.81,"p50":5976.53,"p80":14081.45},{"key":"childrens","n":11,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":200,"p20":708.75,"p50":1382.4,"p80":5913.0}],"ownership":[{"key":"for_profit","n":128,"p20":4432.44,"p50":7407.7,"p80":14112.04},{"key":"government","n":163,"p20":824.6,"p50":4106.5,"p80":7843.2},{"key":"nonprofit","n":723,"p20":1050.4,"p50":4884.88,"p80":13282.34}],"affiliation":[{"key":"affiliated","n":800,"p20":1159.2,"p50":5607.0,"p80":13925.62},{"key":"independent","n":217,"p20":800.0,"p50":2809.67,"p80":8373.31}]},"histogram":[{"lo":501.41,"hi":730.95,"n":75},{"lo":730.95,"hi":1065.58,"n":82},{"lo":1065.58,"hi":1553.4,"n":66},{"lo":1553.4,"hi":2264.54,"n":59},{"lo":2264.54,"hi":3301.23,"n":49},{"lo":3301.23,"hi":4812.52,"n":106},{"lo":4812.52,"hi":7015.68,"n":159},{"lo":7015.68,"hi":10227.43,"n":94},{"lo":10227.43,"hi":14909.5,"n":114},{"lo":14909.5,"hi":21735.0,"n":118}],"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":"2024-01-27","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":556,"n_usable":504,"n_not_usable":0,"n_labelled":26,"n_no_cash":26,"n_estimated":0,"n_states":47,"cash_p10":567.8,"cash_p20":866.7,"cash_p25":1042.0,"cash_p50":4105.0,"cash_p75":8966.17,"cash_p80":10422.3,"cash_p90":15200.25,"cash_mean_trimmed":4118.14,"gross_p50":5937.0,"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":5,"p20":null,"p50":null,"p80":null},{"state":"AR","n":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":52,"p20":2456.8,"p50":12105.6,"p80":16828.0},{"state":"CO","n":10,"p20":3658.8,"p50":4268.6,"p80":7072.65},{"state":"CT","n":3,"p20":null,"p50":null,"p80":null},{"state":"DE","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":10,"p20":1559.0,"p50":7937.2,"p80":13433.7},{"state":"GA","n":25,"p20":393.0,"p50":4793.31,"p80":4793.31},{"state":"HI","n":6,"p20":null,"p50":null,"p80":null},{"state":"IA","n":17,"p20":1050.4,"p50":1050.4,"p80":1710.6},{"state":"ID","n":8,"p20":null,"p50":null,"p80":null},{"state":"IL","n":19,"p20":1120.0,"p50":1672.8,"p80":5303.0},{"state":"IN","n":12,"p20":909.0,"p50":1120.0,"p80":16080.8},{"state":"KS","n":5,"p20":null,"p50":null,"p80":null},{"state":"KY","n":10,"p20":1120.0,"p50":1630.42,"p80":4916.15},{"state":"LA","n":5,"p20":null,"p50":null,"p80":null},{"state":"MA","n":15,"p20":1578.0,"p50":10686.0,"p80":15308.0},{"state":"ME","n":10,"p20":223.2,"p50":308.38,"p80":589.2},{"state":"MI","n":23,"p20":698.4,"p50":1988.35,"p80":10016.4},{"state":"MN","n":26,"p20":1011.36,"p50":3918.42,"p80":4884.88},{"state":"MO","n":2,"p20":null,"p50":null,"p80":null},{"state":"MS","n":2,"p20":null,"p50":null,"p80":null},{"state":"MT","n":2,"p20":null,"p50":null,"p80":null},{"state":"NC","n":2,"p20":null,"p50":null,"p80":null},{"state":"ND","n":5,"p20":null,"p50":null,"p80":null},{"state":"NE","n":6,"p20":null,"p50":null,"p80":null},{"state":"NH","n":6,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":2,"p20":null,"p50":null,"p80":null},{"state":"NM","n":3,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":20,"p20":468.4,"p50":1042.0,"p80":3404.07},{"state":"OH","n":26,"p20":974.7,"p50":13165.2,"p80":15200.25},{"state":"OK","n":15,"p20":866.7,"p50":866.7,"p80":5913.0},{"state":"OR","n":12,"p20":177.45,"p50":748.8,"p80":7065.96},{"state":"PA","n":22,"p20":374.4,"p50":970.0,"p80":8594.74},{"state":"SC","n":3,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":7,"p20":null,"p50":null,"p80":null},{"state":"TX","n":47,"p20":4105.0,"p50":4748.22,"p80":10101.74},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":7,"p20":null,"p50":null,"p80":null},{"state":"VT","n":7,"p20":null,"p50":null,"p80":null},{"state":"WA","n":10,"p20":748.8,"p50":1026.0,"p80":9202.9},{"state":"WI","n":22,"p20":1988.35,"p50":1988.35,"p80":2807.97},{"state":"WV","n":5,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":401,"p20":970.0,"p50":4748.22,"p80":11542.56},{"key":"childrens","n":6,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":95,"p20":675.6,"p50":1267.59,"p80":5303.0}],"ownership":[{"key":"for_profit","n":47,"p20":1120.0,"p50":4748.22,"p80":9491.7},{"key":"government","n":68,"p20":775.0,"p50":4592.0,"p80":9643.98},{"key":"nonprofit","n":387,"p20":866.7,"p50":3520.68,"p80":10686.0}],"affiliation":[{"key":"affiliated","n":408,"p20":949.71,"p50":4470.0,"p80":10709.49},{"key":"independent","n":96,"p20":769.0,"p50":1633.53,"p80":7937.2}]},"histogram":[{"lo":393.0,"hi":572.21,"n":30},{"lo":572.21,"hi":833.14,"n":42},{"lo":833.14,"hi":1213.07,"n":71},{"lo":1213.07,"hi":1766.24,"n":30},{"lo":1766.24,"hi":2571.65,"n":28},{"lo":2571.65,"hi":3744.35,"n":22},{"lo":3744.35,"hi":5451.81,"n":77},{"lo":5451.81,"hi":7937.88,"n":42},{"lo":7937.88,"hi":11557.62,"n":54},{"lo":11557.62,"hi":16828.0,"n":75}],"previous":null}},"related":[{"code_type":"CPT","code":"50590","lay_name":"Shock wave treatment to break up a kidney stone","slug":"cpt-50590-shock-wave-treatment-to-break-up-a-kidney-stone"},{"code_type":"CPT","code":"52353","lay_name":"Ureter scope with stone breakup by laser or shock","slug":"cpt-52353-ureter-scope-with-stone-breakup-by-laser-or-shock"}]}