{"procedure":{"code_type":"CPT","code":"55540","lay_name":"Open varicocele repair done with a hernia repair","blurb":"Open surgery to tie off or remove the swollen veins of the spermatic cord at the same time as repair of a groin hernia through the same incision.","slug":"cpt-55540-open-varicocele-repair-done-with-a-hernia-repair","description":"Exc Varicocele/Ligation Veins W/Hernia Rpr","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"86","label":"Other hernia repair","surgery_flag":"narrow"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T22:20:23.317834Z","filing_date_min":"2023-03-09","filing_date_max":"2026-09-18","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-23T22:20:23.317834Z","n_priced_setters":3956,"n_filed":346,"n_usable":314,"n_not_usable":1,"n_labelled":27,"n_no_cash":3,"n_estimated":1,"n_states":41,"cash_p10":698.5,"cash_p20":914.9,"cash_p25":1028.3,"cash_p50":2036.45,"cash_p75":4881.0,"cash_p80":6104.0,"cash_p90":7323.83,"cash_mean_trimmed":2766.86,"gross_p50":2268.0,"cash_to_gross_p50":0.65,"medicare_rate":3657.95,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.5567,"by_state":[{"state":"AK","n":2,"p20":null,"p50":null,"p80":null},{"state":"AL","n":1,"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":23,"p20":6104.0,"p50":6104.0,"p80":6104.0},{"state":"CO","n":4,"p20":null,"p50":null,"p80":null},{"state":"FL","n":8,"p20":null,"p50":null,"p80":null},{"state":"GA","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":19,"p20":1351.2,"p50":1351.2,"p80":1720.4},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":13,"p20":875.0,"p50":1351.2,"p80":5678.0},{"state":"IN","n":5,"p20":null,"p50":null,"p80":null},{"state":"KS","n":4,"p20":null,"p50":null,"p80":null},{"state":"KY","n":5,"p20":null,"p50":null,"p80":null},{"state":"LA","n":3,"p20":null,"p50":null,"p80":null},{"state":"ME","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":27,"p20":734.44,"p50":1464.3,"p80":2036.45},{"state":"MN","n":1,"p20":null,"p50":null,"p80":null},{"state":"MO","n":5,"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":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":3,"p20":null,"p50":null,"p80":null},{"state":"NH","n":3,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":22,"p20":3906.18,"p50":4156.03,"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":24,"p20":1398.28,"p50":4176.15,"p80":4249.88},{"state":"OH","n":10,"p20":1330.8,"p50":2158.0,"p80":2532.6},{"state":"OK","n":12,"p20":914.9,"p50":914.9,"p80":914.9},{"state":"OR","n":14,"p20":1028.3,"p50":1320.0,"p80":1447.5},{"state":"PA","n":19,"p20":96.42,"p50":828.6,"p80":5966.43},{"state":"SC","n":4,"p20":null,"p50":null,"p80":null},{"state":"SD","n":2,"p20":null,"p50":null,"p80":null},{"state":"TN","n":6,"p20":null,"p50":null,"p80":null},{"state":"TX","n":19,"p20":7024.82,"p50":7323.83,"p80":7323.83},{"state":"VT","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":7,"p20":null,"p50":null,"p80":null},{"state":"WI","n":21,"p20":2036.45,"p50":2036.45,"p80":2754.19},{"state":"WV","n":3,"p20":null,"p50":null,"p80":null},{"state":"WY","n":3,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":251,"p20":914.9,"p50":2158.0,"p80":6104.0},{"key":"childrens","n":5,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":58,"p20":972.0,"p50":1720.4,"p80":2793.6}],"ownership":[{"key":"for_profit","n":29,"p20":875.0,"p50":1988.0,"p80":7323.83},{"key":"government","n":48,"p20":1000.4,"p50":1720.4,"p80":4393.67},{"key":"nonprofit","n":237,"p20":914.9,"p50":2036.45,"p80":6104.0}],"affiliation":[{"key":"affiliated","n":255,"p20":914.9,"p50":2036.45,"p80":6104.0},{"key":"independent","n":59,"p20":885.0,"p50":1492.47,"p80":4109.31}]},"histogram":[{"lo":522.9,"hi":690.11,"n":17},{"lo":690.11,"hi":910.8,"n":26},{"lo":910.8,"hi":1202.05,"n":38},{"lo":1202.05,"hi":1586.44,"n":45},{"lo":1586.44,"hi":2093.75,"n":27},{"lo":2093.75,"hi":2763.29,"n":24},{"lo":2763.29,"hi":3646.93,"n":4},{"lo":3646.93,"hi":4813.14,"n":40},{"lo":4813.14,"hi":6352.28,"n":37},{"lo":6352.28,"hi":8383.61,"n":30}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T22:20:23.317834Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-16","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-23T22:20:23.317834Z","n_priced_setters":3956,"n_filed":213,"n_usable":191,"n_not_usable":0,"n_labelled":15,"n_no_cash":7,"n_estimated":0,"n_states":37,"cash_p10":551.0,"cash_p20":797.4,"cash_p25":875.0,"cash_p50":1382.5,"cash_p75":6104.0,"cash_p80":6104.0,"cash_p90":7323.83,"cash_mean_trimmed":2316.19,"gross_p50":2008.15,"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":1,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":21,"p20":6104.0,"p50":6104.0,"p80":6104.0},{"state":"CO","n":3,"p20":null,"p50":null,"p80":null},{"state":"GA","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":16,"p20":1351.2,"p50":1351.2,"p80":1351.2},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":12,"p20":875.0,"p50":875.0,"p80":1382.5},{"state":"IN","n":9,"p20":null,"p50":null,"p80":null},{"state":"KS","n":1,"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":"ME","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":11,"p20":652.8,"p50":1046.0,"p80":2036.45},{"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":"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":4,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":914.9,"p50":914.9,"p80":914.9},{"state":"OR","n":6,"p20":null,"p50":null,"p80":null},{"state":"PA","n":17,"p20":96.42,"p50":123.06,"p80":5966.43},{"state":"SC","n":1,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":18,"p20":7323.83,"p50":7323.83,"p80":7323.83},{"state":"VT","n":4,"p20":null,"p50":null,"p80":null},{"state":"WA","n":3,"p20":null,"p50":null,"p80":null},{"state":"WI","n":13,"p20":2036.45,"p50":2036.45,"p80":2036.45},{"state":"WV","n":3,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":151,"p20":861.65,"p50":1351.2,"p80":6104.0},{"key":"childrens","n":3,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":37,"p20":828.6,"p50":2036.45,"p80":7323.83}],"ownership":[{"key":"for_profit","n":23,"p20":768.35,"p50":914.9,"p80":5165.28},{"key":"government","n":17,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":151,"p20":797.4,"p50":1398.28,"p80":6104.0}],"affiliation":[{"key":"affiliated","n":156,"p20":797.4,"p50":1351.2,"p80":6104.0},{"key":"independent","n":35,"p20":885.0,"p50":1447.5,"p80":4109.31}]},"histogram":[{"lo":274.26,"hi":387.21,"n":1},{"lo":387.21,"hi":546.68,"n":9},{"lo":546.68,"hi":771.82,"n":13},{"lo":771.82,"hi":1089.69,"n":44},{"lo":1089.69,"hi":1538.46,"n":26},{"lo":1538.46,"hi":2172.06,"n":26},{"lo":2172.06,"hi":3066.59,"n":6},{"lo":3066.59,"hi":4329.53,"n":3},{"lo":4329.53,"hi":6112.6,"n":24},{"lo":6112.6,"hi":8630.0,"n":22}],"previous":null}},"related":[{"code_type":"CPT","code":"49591","lay_name":"First abdominal wall hernia repair, under 3 cm, reducible","slug":"cpt-49591-first-abdominal-wall-hernia-repair-under-3-cm-reducible"},{"code_type":"CPT","code":"49592","lay_name":"First abdominal hernia repair, under 3 cm, trapped bulge","slug":"cpt-49592-first-abdominal-hernia-repair-under-3-cm-trapped-bulge"},{"code_type":"CPT","code":"49593","lay_name":"First abdominal hernia repair, 3 to 10 cm, reducible","slug":"cpt-49593-first-abdominal-hernia-repair-3-to-10-cm-reducible"},{"code_type":"CPT","code":"49594","lay_name":"First abdominal hernia repair, 3 to 10 cm, trapped bulge","slug":"cpt-49594-first-abdominal-hernia-repair-3-to-10-cm-trapped-bulge"},{"code_type":"CPT","code":"49615","lay_name":"Repeat abdominal hernia repair, 3 to 10 cm, reducible","slug":"cpt-49615-repeat-abdominal-hernia-repair-3-to-10-cm-reducible"},{"code_type":"CPT","code":"49595","lay_name":"First abdominal hernia repair, over 10 cm, reducible","slug":"cpt-49595-first-abdominal-hernia-repair-over-10-cm-reducible"},{"code_type":"CPT","code":"49613","lay_name":"Repeat abdominal hernia repair, under 3 cm, reducible","slug":"cpt-49613-repeat-abdominal-hernia-repair-under-3-cm-reducible"},{"code_type":"CPT","code":"43281","lay_name":"Keyhole repair of hiatal hernia without mesh","slug":"cpt-43281-keyhole-repair-of-hiatal-hernia-without-mesh"},{"code_type":"CPT","code":"49614","lay_name":"Repeat abdominal hernia repair, under 3 cm, trapped bulge","slug":"cpt-49614-repeat-abdominal-hernia-repair-under-3-cm-trapped-bulge"},{"code_type":"CPT","code":"49616","lay_name":"Repeat abdominal hernia repair, 3–10 cm, trapped bulge","slug":"cpt-49616-repeat-abdominal-hernia-repair-310-cm-trapped-bulge"},{"code_type":"CPT","code":"49596","lay_name":"First abdominal hernia repair, over 10 cm, trapped bulge","slug":"cpt-49596-first-abdominal-hernia-repair-over-10-cm-trapped-bulge"},{"code_type":"CPT","code":"43282","lay_name":"Keyhole repair of hiatal hernia with mesh","slug":"cpt-43282-keyhole-repair-of-hiatal-hernia-with-mesh"}]}