{"procedure":{"code_type":"CPT","code":"54385","lay_name":"Repair of epispadias with urine leakage","blurb":"Surgery to correct a urinary opening on the top surface of the penis in a patient who also leaks urine, including treatment addressing the incontinence.","slug":"cpt-54385-repair-of-epispadias-with-urine-leakage","description":"Plastic Penis Epispadias Dstl Sphnctr W/Incont","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"118","label":"Other OR therapeutic procedures, male genital","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":"2026-09-05T10:45:50.833230Z","checked_through":"2026-09-23T21:50:31.523775Z","n_priced_setters":3956,"n_filed":213,"n_usable":199,"n_not_usable":1,"n_labelled":12,"n_no_cash":1,"n_estimated":0,"n_states":35,"cash_p10":975.85,"cash_p20":1511.4,"cash_p25":1538.6,"cash_p50":2347.2,"cash_p75":3791.0,"cash_p80":4544.88,"cash_p90":6115.2,"cash_mean_trimmed":2421.45,"gross_p50":2934.0,"cash_to_gross_p50":0.6,"medicare_rate":2135.66,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":1.0991,"by_state":[{"state":"AK","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":6115.2,"p50":6115.2,"p80":6115.2},{"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":2347.2,"p50":2347.2,"p80":2347.2},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":10,"p20":719.95,"p50":1636.6,"p80":1692.77},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":1,"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":"MN","n":11,"p20":1511.4,"p50":1722.61,"p80":1722.61},{"state":"MO","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":"NE","n":2,"p20":null,"p50":null,"p80":null},{"state":"NH","n":3,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":22,"p20":2267.41,"p50":3786.0,"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":19,"p20":2424.12,"p50":2424.12,"p80":2513.92},{"state":"OH","n":5,"p20":null,"p50":null,"p80":null},{"state":"OK","n":12,"p20":1538.6,"p50":1538.6,"p80":1538.6},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":18,"p20":574.64,"p50":705.24,"p80":3463.23},{"state":"SC","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":6,"p20":null,"p50":null,"p80":null},{"state":"TX","n":4,"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":"WI","n":8,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":170,"p20":1511.4,"p50":2347.2,"p80":4627.0},{"key":"childrens","n":5,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":24,"p20":1722.61,"p50":1722.61,"p80":2736.5}],"ownership":[{"key":"for_profit","n":17,"p20":null,"p50":null,"p80":null},{"key":"government","n":23,"p20":1636.6,"p50":2291.12,"p80":2424.12},{"key":"nonprofit","n":159,"p20":1538.6,"p50":2347.2,"p80":5110.0}],"affiliation":[{"key":"affiliated","n":169,"p20":1522.8,"p50":2401.87,"p80":5304.0},{"key":"independent","n":30,"p20":1407.0,"p50":1960.0,"p80":3077.25}]},"histogram":[{"lo":705.24,"hi":875.27,"n":5},{"lo":875.27,"hi":1086.3,"n":11},{"lo":1086.3,"hi":1348.21,"n":6},{"lo":1348.21,"hi":1673.27,"n":25},{"lo":1673.27,"hi":2076.7,"n":24},{"lo":2076.7,"hi":2577.4,"n":42},{"lo":2577.4,"hi":3198.81,"n":22},{"lo":3198.81,"hi":3970.05,"n":8},{"lo":3970.05,"hi":4927.24,"n":10},{"lo":4927.24,"hi":6115.2,"n":30}],"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":122,"n_usable":114,"n_not_usable":0,"n_labelled":7,"n_no_cash":1,"n_estimated":0,"n_states":27,"cash_p10":1043.1,"cash_p20":1451.2,"cash_p25":1538.6,"cash_p50":1840.0,"cash_p75":3791.0,"cash_p80":5304.0,"cash_p90":6115.2,"cash_mean_trimmed":2427.3,"gross_p50":2934.0,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"CA","n":19,"p20":6115.2,"p50":6115.2,"p80":6115.2},{"state":"IA","n":13,"p20":2347.2,"p50":2347.2,"p80":2347.2},{"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":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":3,"p20":null,"p50":null,"p80":null},{"state":"MN","n":11,"p20":1511.4,"p50":1722.61,"p80":1722.61},{"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":"NH","n":3,"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":3,"p20":null,"p50":null,"p80":null},{"state":"OH","n":3,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":1538.6,"p50":1538.6,"p80":1538.6},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":7,"p20":null,"p50":null,"p80":null},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":4,"p20":null,"p50":null,"p80":null},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":2,"p20":null,"p50":null,"p80":null},{"state":"WI","n":1,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":94,"p20":1507.52,"p50":2034.6,"p80":6115.2},{"key":"childrens","n":3,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":17,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":11,"p20":null,"p50":null,"p80":null},{"key":"government","n":9,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":94,"p20":1511.4,"p50":2246.4,"p80":6115.2}],"affiliation":[{"key":"affiliated","n":93,"p20":1507.52,"p50":2347.2,"p80":6115.2},{"key":"independent","n":21,"p20":1407.0,"p50":1840.0,"p80":2826.77}]},"histogram":[{"lo":960.3,"hi":1155.6,"n":11},{"lo":1155.6,"hi":1390.62,"n":4},{"lo":1390.62,"hi":1673.43,"n":20},{"lo":1673.43,"hi":2013.76,"n":19},{"lo":2013.76,"hi":2423.31,"n":15},{"lo":2423.31,"hi":2916.15,"n":2},{"lo":2916.15,"hi":3509.21,"n":9},{"lo":3509.21,"hi":4222.89,"n":3},{"lo":4222.89,"hi":5081.71,"n":2},{"lo":5081.71,"hi":6115.2,"n":24}],"previous":null}},"related":[{"code_type":"CPT","code":"54700","lay_name":"Draining an abscess or blood pocket in the scrotum","slug":"cpt-54700-draining-an-abscess-or-blood-pocket-in-the-scrotum"},{"code_type":"CPT","code":"55040","lay_name":"Removal of a fluid sac around one testicle","slug":"cpt-55040-removal-of-a-fluid-sac-around-one-testicle"},{"code_type":"CPT","code":"54162","lay_name":"Release of scar bands left after circumcision","slug":"cpt-54162-release-of-scar-bands-left-after-circumcision"},{"code_type":"CPT","code":"54060","lay_name":"Surgical cutting out of growths on the penis","slug":"cpt-54060-surgical-cutting-out-of-growths-on-the-penis"},{"code_type":"CPT","code":"54520","lay_name":"Simple removal of a testicle","slug":"cpt-54520-simple-removal-of-a-testicle"},{"code_type":"CPT","code":"55520","lay_name":"Removal of a growth on the spermatic cord","slug":"cpt-55520-removal-of-a-growth-on-the-spermatic-cord"},{"code_type":"CPT","code":"54640","lay_name":"Moving an undescended testicle into the scrotum","slug":"cpt-54640-moving-an-undescended-testicle-into-the-scrotum"},{"code_type":"CPT","code":"54840","lay_name":"Removal of a sperm-filled cyst near the testicle","slug":"cpt-54840-removal-of-a-sperm-filled-cyst-near-the-testicle"},{"code_type":"CPT","code":"54530","lay_name":"Complete removal of a testicle for cancer","slug":"cpt-54530-complete-removal-of-a-testicle-for-cancer"},{"code_type":"CPT","code":"54600","lay_name":"Surgery to untwist a testicle","slug":"cpt-54600-surgery-to-untwist-a-testicle"},{"code_type":"CPT","code":"52648","lay_name":"Laser vaporization of the prostate","slug":"cpt-52648-laser-vaporization-of-the-prostate"},{"code_type":"CPT","code":"55041","lay_name":"Removal of fluid sacs around both testicles","slug":"cpt-55041-removal-of-fluid-sacs-around-both-testicles"}]}