{"procedure":{"code_type":"CPT","code":"53240","lay_name":"Opening and draining a urethral pouch or abscess","blurb":"Surgery that opens a urethral diverticulum or infected pocket and stitches its edges open so it drains rather than removing it; done in male or female patients.","slug":"cpt-53240-opening-and-draining-a-urethral-pouch-or-abscess","description":"PR Marsup Urethral Tic","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"109","label":"Procedures on the urethra","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":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-23T21:50:31.523775Z","n_priced_setters":3956,"n_filed":237,"n_usable":222,"n_not_usable":1,"n_labelled":12,"n_no_cash":2,"n_estimated":0,"n_states":38,"cash_p10":491.12,"cash_p20":714.6,"cash_p25":750.05,"cash_p50":1747.0,"cash_p75":4892.98,"cash_p80":5110.0,"cash_p90":10416.0,"cash_mean_trimmed":2528.93,"gross_p50":1482.0,"cash_to_gross_p50":0.6,"medicare_rate":3601.33,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.4851,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":3,"p20":null,"p50":null,"p80":null},{"state":"AR","n":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":22,"p20":10416.0,"p50":10416.0,"p80":10416.0},{"state":"CO","n":1,"p20":null,"p50":null,"p80":null},{"state":"CT","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":4,"p20":null,"p50":null,"p80":null},{"state":"GA","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":15,"p20":1068.0,"p50":1068.0,"p80":1068.0},{"state":"ID","n":8,"p20":null,"p50":null,"p80":null},{"state":"IL","n":12,"p20":734.6,"p50":750.05,"p80":1068.0},{"state":"IN","n":4,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"LA","n":2,"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":5,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"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":2,"p20":null,"p50":null,"p80":null},{"state":"NH","n":3,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":22,"p20":3817.53,"p50":4061.71,"p80":5419.0},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":21,"p20":1849.0,"p50":4081.37,"p80":4081.37},{"state":"OH","n":7,"p20":null,"p50":null,"p80":null},{"state":"OK","n":12,"p20":704.9,"p50":704.9,"p80":704.9},{"state":"OR","n":6,"p20":null,"p50":null,"p80":null},{"state":"PA","n":14,"p20":263.78,"p50":287.76,"p80":4043.89},{"state":"SC","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":6,"p20":null,"p50":null,"p80":null},{"state":"TX","n":17,"p20":4892.98,"p50":4892.98,"p80":4892.98},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":2,"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":193,"p20":715.05,"p50":2700.0,"p80":5339.0},{"key":"childrens","n":5,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":23,"p20":636.18,"p50":902.8,"p80":4892.98}],"ownership":[{"key":"for_profit","n":24,"p20":750.05,"p50":1472.0,"p80":5863.52},{"key":"government","n":25,"p20":758.1,"p50":1325.8,"p80":4081.37},{"key":"nonprofit","n":172,"p20":704.9,"p50":1840.8,"p80":5741.0}],"affiliation":[{"key":"affiliated","n":184,"p20":704.9,"p50":1920.6,"p80":5855.0},{"key":"independent","n":38,"p20":748.2,"p50":1008.0,"p80":3858.3}]},"histogram":[{"lo":323.73,"hi":458.07,"n":9},{"lo":458.07,"hi":648.17,"n":9},{"lo":648.17,"hi":917.15,"n":48},{"lo":917.15,"hi":1297.75,"n":24},{"lo":1297.75,"hi":1836.29,"n":10},{"lo":1836.29,"hi":2598.33,"n":6},{"lo":2598.33,"hi":3676.59,"n":5},{"lo":3676.59,"hi":5202.32,"n":56},{"lo":5202.32,"hi":7361.21,"n":13},{"lo":7361.21,"hi":10416.0,"n":26}],"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":"2026-09-01","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-23T18:19:36.920443Z","n_priced_setters":3956,"n_filed":141,"n_usable":133,"n_not_usable":0,"n_labelled":7,"n_no_cash":1,"n_estimated":0,"n_states":30,"cash_p10":631.2,"cash_p20":750.05,"cash_p25":750.05,"cash_p50":1123.0,"cash_p75":4892.98,"cash_p80":5085.33,"cash_p90":10416.0,"cash_mean_trimmed":2043.99,"gross_p50":1849.0,"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":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":20,"p20":10416.0,"p50":10416.0,"p80":10416.0},{"state":"CT","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":1,"p20":null,"p50":null,"p80":null},{"state":"GA","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":13,"p20":1068.0,"p50":1068.0,"p80":1068.0},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":8,"p20":null,"p50":null,"p80":null},{"state":"IN","n":4,"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":3,"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":3,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":1,"p20":null,"p50":null,"p80":null},{"state":"NM","n":1,"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":3,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":704.9,"p50":704.9,"p80":704.9},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":10,"p20":2428.85,"p50":2709.69,"p80":3180.94},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":17,"p20":4892.98,"p50":4892.98,"p80":4892.98},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":2,"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":116,"p20":709.46,"p50":1115.0,"p80":4892.98},{"key":"childrens","n":2,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":14,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":16,"p20":null,"p50":null,"p80":null},{"key":"government","n":10,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":106,"p20":704.9,"p50":1166.0,"p80":8773.0}],"affiliation":[{"key":"affiliated","n":110,"p20":750.05,"p50":1325.8,"p80":8773.0},{"key":"independent","n":23,"p20":709.46,"p50":861.0,"p80":1563.15}]},"histogram":[{"lo":445.8,"hi":610.94,"n":7},{"lo":610.94,"hi":837.24,"n":35},{"lo":837.24,"hi":1147.38,"n":19},{"lo":1147.38,"hi":1572.41,"n":11},{"lo":1572.41,"hi":2154.87,"n":2},{"lo":2154.87,"hi":2953.09,"n":6},{"lo":2953.09,"hi":4047.0,"n":6},{"lo":4047.0,"hi":5546.11,"n":15},{"lo":5546.11,"hi":7600.55,"n":2},{"lo":7600.55,"hi":10416.0,"n":24}],"previous":null}},"related":[{"code_type":"CPT","code":"52281","lay_name":"Bladder scope with stretching of a narrowed urethra","slug":"cpt-52281-bladder-scope-with-stretching-of-a-narrowed-urethra"},{"code_type":"CPT","code":"53600","lay_name":"First stretching of a narrowed urethra in a male","slug":"cpt-53600-first-stretching-of-a-narrowed-urethra-in-a-male"},{"code_type":"CPT","code":"53620","lay_name":"Stretching a narrowed urethra, first session","slug":"cpt-53620-stretching-a-narrowed-urethra-first-session"},{"code_type":"CPT","code":"53660","lay_name":"First stretching of the urethra in a female","slug":"cpt-53660-first-stretching-of-the-urethra-in-a-female"},{"code_type":"CPT","code":"53020","lay_name":"Enlarging the urinary opening, age 1 year or older","slug":"cpt-53020-enlarging-the-urinary-opening-age-1-year-or-older"},{"code_type":"CPT","code":"53060","lay_name":"Drainage of an abscess or cyst of a Skene gland","slug":"cpt-53060-drainage-of-an-abscess-or-cyst-of-a-skene-gland"},{"code_type":"CPT","code":"53601","lay_name":"Repeat stretching of a narrowed urethra in a male","slug":"cpt-53601-repeat-stretching-of-a-narrowed-urethra-in-a-male"},{"code_type":"CPT","code":"53661","lay_name":"Repeat stretching of a narrowed urethra","slug":"cpt-53661-repeat-stretching-of-a-narrowed-urethra"},{"code_type":"CPT","code":"52441","lay_name":"Bladder scope with one prostate lift implant","slug":"cpt-52441-bladder-scope-with-one-prostate-lift-implant"},{"code_type":"CPT","code":"53265","lay_name":"Removal or burning off of a urethral caruncle","slug":"cpt-53265-removal-or-burning-off-of-a-urethral-caruncle"},{"code_type":"CPT","code":"53450","lay_name":"Repair of the urethral opening using nearby lining tissue","slug":"cpt-53450-repair-of-the-urethral-opening-using-nearby-lining-tissue"},{"code_type":"CPT","code":"53605","lay_name":"Stretching of a narrowed urethra in a male under anesthesia","slug":"cpt-53605-stretching-of-a-narrowed-urethra-in-a-male-under-anesthesia"}]}