{"procedure":{"code_type":"CPT","code":"54316","lay_name":"Second stage urethra rebuild using a skin graft","blurb":"The second planned operation to build the urinary channel, using a skin graft taken from somewhere other than the genital area.","slug":"cpt-54316-second-stage-urethra-rebuild-using-a-skin-graft","description":"Urethroplasty 2nd Stage Hypospadias Rpr Skin Grf","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":"2026-09-15","checked_from":"2026-09-05T10:45:50.833230Z","checked_through":"2026-09-23T21:50:31.523775Z","n_priced_setters":3956,"n_filed":218,"n_usable":207,"n_not_usable":1,"n_labelled":9,"n_no_cash":1,"n_estimated":0,"n_states":37,"cash_p10":1023.6,"cash_p20":1642.9,"cash_p25":1810.9,"cash_p50":4447.15,"cash_p75":10248.0,"cash_p80":10942.71,"cash_p90":12339.1,"cash_mean_trimmed":5710.74,"gross_p50":4162.75,"cash_to_gross_p50":0.6,"medicare_rate":9671.5,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.4598,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":1,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":21,"p20":10248.0,"p50":10248.0,"p80":10248.0},{"state":"CO","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":14,"p20":2516.8,"p50":2516.8,"p80":2516.8},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":9,"p20":null,"p50":null,"p80":null},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":1,"p20":null,"p50":null,"p80":null},{"state":"LA","n":4,"p20":null,"p50":null,"p80":null},{"state":"MI","n":7,"p20":null,"p50":null,"p80":null},{"state":"MN","n":1,"p20":null,"p50":null,"p80":null},{"state":"MO","n":2,"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":"NE","n":2,"p20":null,"p50":null,"p80":null},{"state":"NH","n":3,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":28,"p20":5110.0,"p50":10106.03,"p80":12248.02},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":20,"p20":3344.91,"p50":10942.71,"p80":10942.71},{"state":"OH","n":6,"p20":null,"p50":null,"p80":null},{"state":"OK","n":12,"p20":1642.9,"p50":1642.9,"p80":1642.9},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":18,"p20":559.33,"p50":686.45,"p80":15633.57},{"state":"SC","n":3,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":6,"p20":null,"p50":null,"p80":null},{"state":"TX","n":19,"p20":4447.15,"p50":4447.15,"p80":4447.15},{"state":"VA","n":1,"p20":null,"p50":null,"p80":null},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","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":188,"p20":1642.9,"p50":4447.15,"p80":10942.71},{"key":"childrens","n":6,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":13,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":21,"p20":772.45,"p50":4447.15,"p80":9348.29},{"key":"government","n":22,"p20":1759.8,"p50":3577.5,"p80":10942.71},{"key":"nonprofit","n":164,"p20":1642.9,"p50":4447.15,"p80":10248.0}],"affiliation":[{"key":"affiliated","n":176,"p20":1642.9,"p50":4477.5,"p80":10942.71},{"key":"independent","n":31,"p20":1743.0,"p50":2820.0,"p80":9282.1}]},"histogram":[{"lo":772.45,"hi":1029.48,"n":11},{"lo":1029.48,"hi":1372.04,"n":8},{"lo":1372.04,"hi":1828.58,"n":27},{"lo":1828.58,"hi":2437.04,"n":10},{"lo":2437.04,"hi":3247.96,"n":15},{"lo":3247.96,"hi":4328.71,"n":11},{"lo":4328.71,"hi":5769.08,"n":27},{"lo":5769.08,"hi":7688.72,"n":11},{"lo":7688.72,"hi":10247.13,"n":13},{"lo":10247.13,"hi":13656.84,"n":54}],"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":"2026-09-05T19:43:09.506842Z","checked_through":"2026-09-23T18:19:36.920443Z","n_priced_setters":3956,"n_filed":137,"n_usable":129,"n_not_usable":0,"n_labelled":7,"n_no_cash":1,"n_estimated":0,"n_states":27,"cash_p10":1008.62,"cash_p20":1355.4,"cash_p25":1642.9,"cash_p50":2516.8,"cash_p75":6841.66,"cash_p80":10248.0,"cash_p90":10248.0,"cash_mean_trimmed":4556.35,"gross_p50":3686.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"CA","n":19,"p20":10248.0,"p50":10248.0,"p80":10248.0},{"state":"IA","n":13,"p20":2516.8,"p50":2516.8,"p80":2516.8},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":7,"p20":null,"p50":null,"p80":null},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":1,"p20":null,"p50":null,"p80":null},{"state":"LA","n":3,"p20":null,"p50":null,"p80":null},{"state":"MI","n":3,"p20":null,"p50":null,"p80":null},{"state":"MO","n":1,"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":4,"p20":null,"p50":null,"p80":null},{"state":"OH","n":3,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":1642.9,"p50":1642.9,"p80":1642.9},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":15,"p20":559.33,"p50":746.29,"p80":15633.57},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":19,"p20":3577.5,"p50":4447.15,"p80":4447.15},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","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":115,"p20":1355.4,"p50":2516.8,"p80":10248.0},{"key":"childrens","n":3,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":11,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":15,"p20":null,"p50":null,"p80":null},{"key":"government","n":7,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":107,"p20":1398.24,"p50":2516.8,"p80":10248.0}],"affiliation":[{"key":"affiliated","n":108,"p20":1355.4,"p50":2516.8,"p80":10248.0},{"key":"independent","n":21,"p20":1743.0,"p50":2044.0,"p80":3950.46}]},"histogram":[{"lo":686.45,"hi":918.22,"n":6},{"lo":918.22,"hi":1228.25,"n":11},{"lo":1228.25,"hi":1642.95,"n":15},{"lo":1642.95,"hi":2197.67,"n":16},{"lo":2197.67,"hi":2939.68,"n":16},{"lo":2939.68,"hi":3932.22,"n":6},{"lo":3932.22,"hi":5259.89,"n":17},{"lo":5259.89,"hi":7035.82,"n":4},{"lo":7035.82,"hi":9411.37,"n":1},{"lo":9411.37,"hi":12589.0,"n":25}],"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"}]}