{"procedure":{"code_type":"CPT","code":"54100","lay_name":"Biopsy of the penis","blurb":"A tissue sample is taken from the penis so it can be examined in the laboratory.","slug":"cpt-54100-biopsy-of-the-penis","description":"Biopsy Penis Separate Procedure","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"116","label":"Diagnostic procedures, male genital","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":"2026-09-25T01:13:17.896106Z","n_priced_setters":3956,"n_filed":914,"n_usable":838,"n_not_usable":1,"n_labelled":46,"n_no_cash":29,"n_estimated":0,"n_states":50,"cash_p10":200.2,"cash_p20":303.6,"cash_p25":352.0,"cash_p50":1220.38,"cash_p75":2587.53,"cash_p80":2893.1,"cash_p90":4641.43,"cash_mean_trimmed":1303.04,"gross_p50":1894.0,"cash_to_gross_p50":0.6,"medicare_rate":1687.37,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.7232,"by_state":[{"state":"AK","n":3,"p20":null,"p50":null,"p80":null},{"state":"AL","n":8,"p20":null,"p50":null,"p80":null},{"state":"AR","n":6,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":5,"p20":null,"p50":null,"p80":null},{"state":"CA","n":57,"p20":1458.36,"p50":1892.8,"p80":3322.8},{"state":"CO","n":7,"p20":null,"p50":null,"p80":null},{"state":"CT","n":6,"p20":null,"p50":null,"p80":null},{"state":"DE","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":17,"p20":1846.0,"p50":4876.0,"p80":5983.76},{"state":"GA","n":17,"p20":1605.24,"p50":1605.24,"p80":4862.0},{"state":"HI","n":6,"p20":null,"p50":null,"p80":null},{"state":"IA","n":26,"p20":289.2,"p50":492.0,"p80":492.0},{"state":"ID","n":9,"p20":null,"p50":null,"p80":null},{"state":"IL","n":38,"p20":334.28,"p50":1394.0,"p80":4982.6},{"state":"IN","n":25,"p20":259.0,"p50":569.5,"p80":810.02},{"state":"KS","n":17,"p20":156.2,"p50":280.88,"p80":436.0},{"state":"KY","n":10,"p20":191.25,"p50":259.0,"p80":944.84},{"state":"LA","n":16,"p20":633.76,"p50":1401.12,"p80":1869.56},{"state":"MA","n":23,"p20":979.4,"p50":3184.0,"p80":5031.0},{"state":"MD","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":8,"p20":null,"p50":null,"p80":null},{"state":"MI","n":35,"p20":326.4,"p50":492.05,"p80":2734.93},{"state":"MN","n":29,"p20":292.6,"p50":527.94,"p80":601.04},{"state":"MO","n":27,"p20":240.8,"p50":293.25,"p80":2615.25},{"state":"MS","n":6,"p20":null,"p50":null,"p80":null},{"state":"MT","n":8,"p20":null,"p50":null,"p80":null},{"state":"NC","n":17,"p20":932.31,"p50":2808.4,"p80":2808.4},{"state":"ND","n":5,"p20":null,"p50":null,"p80":null},{"state":"NE","n":10,"p20":189.56,"p50":351.52,"p80":526.3},{"state":"NH","n":9,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":32,"p20":1794.93,"p50":2162.0,"p80":5339.0},{"state":"NM","n":3,"p20":null,"p50":null,"p80":null},{"state":"NV","n":4,"p20":null,"p50":null,"p80":null},{"state":"NY","n":43,"p20":347.0,"p50":1917.33,"p80":3159.0},{"state":"OH","n":33,"p20":287.1,"p50":1778.4,"p80":4844.45},{"state":"OK","n":14,"p20":200.2,"p50":200.2,"p80":4765.38},{"state":"OR","n":24,"p20":198.4,"p50":369.2,"p80":1312.35},{"state":"PA","n":38,"p20":88.66,"p50":1899.72,"p80":2767.8},{"state":"RI","n":3,"p20":null,"p50":null,"p80":null},{"state":"SC","n":9,"p20":null,"p50":null,"p80":null},{"state":"SD","n":2,"p20":null,"p50":null,"p80":null},{"state":"TN","n":7,"p20":null,"p50":null,"p80":null},{"state":"TX","n":41,"p20":1668.4,"p50":2313.0,"p80":2742.53},{"state":"UT","n":2,"p20":null,"p50":null,"p80":null},{"state":"VA","n":23,"p20":2005.0,"p50":2169.5,"p80":2169.5},{"state":"VT","n":8,"p20":null,"p50":null,"p80":null},{"state":"WA","n":25,"p20":390.15,"p50":1045.6,"p80":2131.18},{"state":"WI","n":50,"p20":362.9,"p50":492.05,"p80":957.6},{"state":"WV","n":22,"p20":125.5,"p50":508.0,"p80":1904.0},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":640,"p20":362.9,"p50":1847.0,"p80":3322.8},{"key":"childrens","n":10,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":187,"p20":227.7,"p50":362.9,"p80":769.7}],"ownership":[{"key":"for_profit","n":54,"p20":351.52,"p50":1564.25,"p80":4347.0},{"key":"government","n":152,"p20":280.88,"p50":944.84,"p80":2752.5},{"key":"nonprofit","n":631,"p20":317.12,"p50":1189.42,"p80":2943.0}],"affiliation":[{"key":"affiliated","n":684,"p20":326.4,"p50":1514.7,"p80":3254.0},{"key":"independent","n":154,"p20":226.87,"p50":511.0,"p80":2146.65}]},"histogram":[{"lo":136.0,"hi":196.3,"n":27},{"lo":196.3,"hi":283.35,"n":80},{"lo":283.35,"hi":408.99,"n":98},{"lo":408.99,"hi":590.35,"n":77},{"lo":590.35,"hi":852.12,"n":48},{"lo":852.12,"hi":1229.96,"n":48},{"lo":1229.96,"hi":1775.35,"n":73},{"lo":1775.35,"hi":2562.57,"n":136},{"lo":2562.57,"hi":3698.86,"n":95},{"lo":3698.86,"hi":5339.0,"n":74}],"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":"2024-01-01","filing_date_max":"2026-09-17","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:13:17.896106Z","n_priced_setters":3956,"n_filed":570,"n_usable":529,"n_not_usable":0,"n_labelled":19,"n_no_cash":22,"n_estimated":0,"n_states":45,"cash_p10":207.9,"cash_p20":345.0,"cash_p25":369.2,"cash_p50":1310.99,"cash_p75":2651.0,"cash_p80":2808.4,"cash_p90":4268.25,"cash_mean_trimmed":1347.26,"gross_p50":2634.0,"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":1,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":3,"p20":null,"p50":null,"p80":null},{"state":"CA","n":51,"p20":1892.8,"p50":1892.8,"p80":3322.8},{"state":"CO","n":3,"p20":null,"p50":null,"p80":null},{"state":"CT","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":5,"p20":null,"p50":null,"p80":null},{"state":"GA","n":16,"p20":1605.24,"p50":1605.24,"p80":4862.0},{"state":"HI","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":17,"p20":492.0,"p50":492.0,"p80":492.0},{"state":"ID","n":7,"p20":null,"p50":null,"p80":null},{"state":"IL","n":24,"p20":259.0,"p50":536.0,"p80":2922.0},{"state":"IN","n":11,"p20":164.45,"p50":259.0,"p80":754.38},{"state":"KS","n":3,"p20":null,"p50":null,"p80":null},{"state":"KY","n":7,"p20":null,"p50":null,"p80":null},{"state":"LA","n":6,"p20":null,"p50":null,"p80":null},{"state":"MA","n":19,"p20":1430.4,"p50":4246.0,"p80":5031.0},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":6,"p20":null,"p50":null,"p80":null},{"state":"MI","n":17,"p20":492.05,"p50":1488.35,"p80":3495.74},{"state":"MN","n":21,"p20":424.32,"p50":601.04,"p80":601.04},{"state":"MO","n":13,"p20":240.8,"p50":293.25,"p80":1795.2},{"state":"MT","n":5,"p20":null,"p50":null,"p80":null},{"state":"NC","n":15,"p20":932.31,"p50":2808.4,"p80":2808.4},{"state":"ND","n":5,"p20":null,"p50":null,"p80":null},{"state":"NE","n":4,"p20":null,"p50":null,"p80":null},{"state":"NH","n":9,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":3,"p20":null,"p50":null,"p80":null},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":3,"p20":null,"p50":null,"p80":null},{"state":"NY","n":23,"p20":196.5,"p50":591.0,"p80":3505.5},{"state":"OH","n":29,"p20":389.05,"p50":1778.4,"p80":4844.45},{"state":"OK","n":10,"p20":200.2,"p50":200.2,"p80":200.2},{"state":"OR","n":11,"p20":352.5,"p50":369.2,"p80":1542.29},{"state":"PA","n":31,"p20":1116.76,"p50":1904.39,"p80":2739.37},{"state":"SC","n":6,"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":36,"p20":1527.79,"p50":2174.4,"p80":2742.53},{"state":"VA","n":22,"p20":2005.0,"p50":2027.5,"p80":2169.5},{"state":"VT","n":6,"p20":null,"p50":null,"p80":null},{"state":"WA","n":21,"p20":486.0,"p50":1103.49,"p80":2884.0},{"state":"WI","n":35,"p20":362.9,"p50":492.05,"p80":524.3},{"state":"WV","n":6,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":430,"p20":362.9,"p50":1646.88,"p80":3089.6},{"key":"childrens","n":6,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":92,"p20":261.72,"p50":436.93,"p80":1177.34}],"ownership":[{"key":"for_profit","n":36,"p20":259.0,"p50":547.2,"p80":2666.28},{"key":"government","n":77,"p20":352.0,"p50":1605.24,"p80":2808.4},{"key":"nonprofit","n":415,"p20":359.1,"p50":1301.04,"p80":2925.0}],"affiliation":[{"key":"affiliated","n":443,"p20":362.9,"p50":1505.0,"p80":3089.6},{"key":"independent","n":86,"p20":215.94,"p50":536.0,"p80":2146.65}]},"histogram":[{"lo":174.9,"hi":243.8,"n":43},{"lo":243.8,"hi":339.84,"n":34},{"lo":339.84,"hi":473.72,"n":48},{"lo":473.72,"hi":660.35,"n":54},{"lo":660.35,"hi":920.49,"n":21},{"lo":920.49,"hi":1283.11,"n":37},{"lo":1283.11,"hi":1788.58,"n":54},{"lo":1788.58,"hi":2493.18,"n":74},{"lo":2493.18,"hi":3475.35,"n":66},{"lo":3475.35,"hi":4844.45,"n":47}],"previous":null}},"related":[{"code_type":"CPT","code":"54235","lay_name":"Injection of medication into the penis for erection","slug":"cpt-54235-injection-of-medication-into-the-penis-for-erection"},{"code_type":"CPT","code":"55706","lay_name":"Template-guided saturation biopsy of the prostate","slug":"cpt-55706-template-guided-saturation-biopsy-of-the-prostate"},{"code_type":"CPT","code":"55110","lay_name":"Surgical exploration of the scrotum","slug":"cpt-55110-surgical-exploration-of-the-scrotum"},{"code_type":"CPT","code":"55705","lay_name":"Open surgical biopsy of the prostate","slug":"cpt-55705-open-surgical-biopsy-of-the-prostate"},{"code_type":"CPT","code":"54505","lay_name":"Open biopsy of the testicle","slug":"cpt-54505-open-biopsy-of-the-testicle"},{"code_type":"CPT","code":"54105","lay_name":"Biopsy of deep tissue of the penis","slug":"cpt-54105-biopsy-of-deep-tissue-of-the-penis"},{"code_type":"CPT","code":"54240","lay_name":"Blood flow recording of the penis","slug":"cpt-54240-blood-flow-recording-of-the-penis"},{"code_type":"CPT","code":"54500","lay_name":"Needle biopsy of the testicle","slug":"cpt-54500-needle-biopsy-of-the-testicle"},{"code_type":"CPT","code":"54800","lay_name":"Needle biopsy of the epididymis","slug":"cpt-54800-needle-biopsy-of-the-epididymis"},{"code_type":"CPT","code":"54231","lay_name":"Pressure study of the penis with drug injection","slug":"cpt-54231-pressure-study-of-the-penis-with-drug-injection"},{"code_type":"CPT","code":"54250","lay_name":"Overnight test of erections during sleep","slug":"cpt-54250-overnight-test-of-erections-during-sleep"},{"code_type":"CPT","code":"54865","lay_name":"Surgical exploration of the epididymis","slug":"cpt-54865-surgical-exploration-of-the-epididymis"}]}