{"procedure":{"code_type":"CPT","code":"57423","lay_name":"Keyhole repair of vaginal wall support","blurb":"Repair of weakened side supports of the vagina through small abdominal incisions using a camera and instruments.","slug":"cpt-57423-keyhole-repair-of-vaginal-wall-support","description":"Paravaginal Defect Repair Laparoscopic Approach","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"129","label":"Repair of cystocele and rectocele, obliteration of vaginal vault","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":"2024-07-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:07:09.005325Z","checked_through":"2026-09-23T22:20:23.317834Z","n_priced_setters":3956,"n_filed":288,"n_usable":260,"n_not_usable":1,"n_labelled":20,"n_no_cash":5,"n_estimated":2,"n_states":34,"cash_p10":1013.4,"cash_p20":1680.9,"cash_p25":1839.78,"cash_p50":3784.95,"cash_p75":11523.76,"cash_p80":12320.22,"cash_p90":13770.4,"cash_mean_trimmed":5048.97,"gross_p50":3800.0,"cash_to_gross_p50":0.635,"medicare_rate":10860.07,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.3485,"by_state":[{"state":"AL","n":3,"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":13770.4,"p50":13770.4,"p80":13770.4},{"state":"CO","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":3,"p20":null,"p50":null,"p80":null},{"state":"IA","n":15,"p20":2318.4,"p50":2318.4,"p80":2318.4},{"state":"ID","n":8,"p20":null,"p50":null,"p80":null},{"state":"IL","n":11,"p20":1330.0,"p50":1647.1,"p80":2266.91},{"state":"IN","n":5,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"LA","n":3,"p20":null,"p50":null,"p80":null},{"state":"MI","n":10,"p20":1123.86,"p50":3784.95,"p80":14616.42},{"state":"MN","n":10,"p20":3978.46,"p50":5225.44,"p80":5225.44},{"state":"MO","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":2,"p20":null,"p50":null,"p80":null},{"state":"NH","n":4,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":23,"p20":4881.0,"p50":6839.0,"p80":11533.76},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":23,"p20":2166.77,"p50":12320.22,"p80":12617.45},{"state":"OH","n":11,"p20":1909.16,"p50":4180.8,"p80":4180.8},{"state":"OK","n":12,"p20":1968.5,"p50":1968.5,"p80":1968.5},{"state":"OR","n":7,"p20":null,"p50":null,"p80":null},{"state":"PA","n":13,"p20":572.66,"p50":624.72,"p80":12207.09},{"state":"SC","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":8,"p20":null,"p50":null,"p80":null},{"state":"TX","n":18,"p20":3804.13,"p50":3804.13,"p80":7975.19},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":4,"p20":null,"p50":null,"p80":null},{"state":"WI","n":20,"p20":3485.1,"p50":3784.95,"p80":3784.95},{"state":"WV","n":5,"p20":null,"p50":null,"p80":null},{"state":"WY","n":3,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":215,"p20":1647.1,"p50":3978.46,"p80":12581.4},{"key":"childrens","n":5,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":40,"p20":1785.85,"p50":3485.1,"p80":5225.44}],"ownership":[{"key":"for_profit","n":28,"p20":1330.0,"p50":4150.0,"p80":16977.61},{"key":"government","n":24,"p20":1630.0,"p50":2385.0,"p80":12320.22},{"key":"nonprofit","n":208,"p20":1694.55,"p50":3784.95,"p80":12260.88}],"affiliation":[{"key":"affiliated","n":220,"p20":1694.55,"p50":3786.0,"p80":12320.22},{"key":"independent","n":40,"p20":1647.1,"p50":2385.0,"p80":11178.0}]},"histogram":[{"lo":828.24,"hi":1120.28,"n":17},{"lo":1120.28,"hi":1515.31,"n":17},{"lo":1515.31,"hi":2049.62,"n":34},{"lo":2049.62,"hi":2772.33,"n":23},{"lo":2772.33,"hi":3749.87,"n":13},{"lo":3749.87,"hi":5072.11,"n":42},{"lo":5072.11,"hi":6860.57,"n":17},{"lo":6860.57,"hi":9279.67,"n":8},{"lo":9279.67,"hi":12551.76,"n":29},{"lo":12551.76,"hi":16977.61,"n":35}],"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":"2026-09-05T02:07:09.005325Z","checked_through":"2026-09-23T22:20:23.317834Z","n_priced_setters":3956,"n_filed":163,"n_usable":146,"n_not_usable":0,"n_labelled":14,"n_no_cash":3,"n_estimated":0,"n_states":28,"cash_p10":1114.2,"cash_p20":1630.0,"cash_p25":1694.55,"cash_p50":2604.0,"cash_p75":7975.19,"cash_p80":11523.76,"cash_p90":13770.4,"cash_mean_trimmed":3529.71,"gross_p50":3800.0,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":3,"p20":null,"p50":null,"p80":null},{"state":"CA","n":19,"p20":13770.4,"p50":13770.4,"p80":13770.4},{"state":"CO","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":14,"p20":2318.4,"p50":2318.4,"p80":2420.8},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":9,"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":5,"p20":null,"p50":null,"p80":null},{"state":"MN","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NH","n":4,"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":6,"p20":null,"p50":null,"p80":null},{"state":"OH","n":5,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":1968.5,"p50":1968.5,"p80":1968.5},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":2,"p20":null,"p50":null,"p80":null},{"state":"TN","n":5,"p20":null,"p50":null,"p80":null},{"state":"TX","n":17,"p20":3804.13,"p50":3804.13,"p80":7975.19},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":3,"p20":null,"p50":null,"p80":null},{"state":"WI","n":12,"p20":3784.95,"p50":3784.95,"p80":3784.95},{"state":"WV","n":3,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":118,"p20":1647.1,"p50":2318.4,"p80":12581.4},{"key":"childrens","n":2,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":26,"p20":1330.0,"p50":3784.95,"p80":3804.13}],"ownership":[{"key":"for_profit","n":16,"p20":null,"p50":null,"p80":null},{"key":"government","n":11,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":119,"p20":1694.55,"p50":3604.3,"p80":13770.4}],"affiliation":[{"key":"affiliated","n":121,"p20":1694.55,"p50":3604.3,"p80":13770.4},{"key":"independent","n":25,"p20":1086.67,"p50":1792.0,"p80":6841.05}]},"histogram":[{"lo":970.27,"hi":1266.45,"n":9},{"lo":1266.45,"hi":1653.05,"n":15},{"lo":1653.05,"hi":2157.66,"n":24},{"lo":2157.66,"hi":2816.3,"n":20},{"lo":2816.3,"hi":3676.0,"n":4},{"lo":3676.0,"hi":4798.13,"n":25},{"lo":4798.13,"hi":6262.79,"n":2},{"lo":6262.79,"hi":8174.56,"n":8},{"lo":8174.56,"hi":10669.92,"n":0},{"lo":10669.92,"hi":13927.0,"n":25}],"previous":null}},"related":[{"code_type":"CPT","code":"57250","lay_name":"Repair of a rectal bulge through the back vaginal wall","slug":"cpt-57250-repair-of-a-rectal-bulge-through-the-back-vaginal-wall"},{"code_type":"CPT","code":"57240","lay_name":"Repair of a dropped bladder through the front vaginal wall","slug":"cpt-57240-repair-of-a-dropped-bladder-through-the-front-vaginal-wall"},{"code_type":"CPT","code":"57260","lay_name":"Repair of both front and back vaginal wall bulges","slug":"cpt-57260-repair-of-both-front-and-back-vaginal-wall-bulges"},{"code_type":"CPT","code":"57265","lay_name":"Front and back vaginal wall repair with bowel bulge repair","slug":"cpt-57265-front-and-back-vaginal-wall-repair-with-bowel-bulge-repair"},{"code_type":"CPT","code":"57120","lay_name":"Surgical closure of the vagina","slug":"cpt-57120-surgical-closure-of-the-vagina"},{"code_type":"CPT","code":"57268","lay_name":"Repair of a bowel bulge into the vagina","slug":"cpt-57268-repair-of-a-bowel-bulge-into-the-vagina"},{"code_type":"CPT","code":"57267","lay_name":"Mesh placement during pelvic floor repair, each site","slug":"cpt-57267-mesh-placement-during-pelvic-floor-repair-each-site"},{"code_type":"CPT","code":"45560","lay_name":"Repair of a bulge between the rectum and vagina","slug":"cpt-45560-repair-of-a-bulge-between-the-rectum-and-vagina"},{"code_type":"CPT","code":"57285","lay_name":"Repair of side vaginal wall support through the vagina","slug":"cpt-57285-repair-of-side-vaginal-wall-support-through-the-vagina"},{"code_type":"CPT","code":"57284","lay_name":"Repair of side vaginal wall support through the abdomen","slug":"cpt-57284-repair-of-side-vaginal-wall-support-through-the-abdomen"},{"code_type":"CPT","code":"57270","lay_name":"Repair of a bowel bulge through an abdominal incision","slug":"cpt-57270-repair-of-a-bowel-bulge-through-an-abdominal-incision"},{"code_type":"CPT","code":"57230","lay_name":"Repair of a bulging urethra in the vaginal wall","slug":"cpt-57230-repair-of-a-bulging-urethra-in-the-vaginal-wall"}]}