{"procedure":{"code_type":"CPT","code":"80169","lay_name":"Everolimus blood level test","blurb":"A blood test that measures the amount of the immune-suppressing drug everolimus in the blood.","slug":"cpt-80169-everolimus-blood-level-test","description":"HC Everolimus, Blood","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"235","label":"Other Laboratory","surgery_flag":"n/a"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T10:46:50.712029Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":2427,"n_usable":2227,"n_not_usable":1,"n_labelled":121,"n_no_cash":77,"n_estimated":1,"n_states":50,"cash_p10":22.79,"cash_p20":39.0,"cash_p25":46.2,"cash_p50":99.6,"cash_p75":165.34,"cash_p80":192.88,"cash_p90":283.0,"cash_mean_trimmed":102.24,"gross_p50":161.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":12,"p20":223.55,"p50":398.15,"p80":562.38},{"state":"AL","n":26,"p20":69.3,"p50":138.82,"p80":325.6},{"state":"AR","n":21,"p20":31.72,"p50":128.54,"p80":161.85},{"state":"AZ","n":21,"p20":13.52,"p50":21.44,"p80":187.5},{"state":"CA","n":81,"p20":30.0,"p50":45.92,"p80":110.76},{"state":"CO","n":52,"p20":45.1,"p50":114.75,"p80":224.4},{"state":"CT","n":13,"p20":26.95,"p50":48.6,"p80":113.0},{"state":"DE","n":5,"p20":null,"p50":null,"p80":null},{"state":"FL","n":65,"p20":43.55,"p50":104.4,"p80":159.9},{"state":"GA","n":79,"p20":71.6,"p50":118.27,"p80":165.0},{"state":"HI","n":11,"p20":75.0,"p50":85.5,"p80":190.53},{"state":"IA","n":64,"p20":66.43,"p50":125.45,"p80":193.0},{"state":"ID","n":18,"p20":82.5,"p50":140.0,"p80":201.25},{"state":"IL","n":102,"p20":42.0,"p50":108.0,"p80":249.0},{"state":"IN","n":68,"p20":24.84,"p50":54.52,"p80":183.0},{"state":"KS","n":50,"p20":72.0,"p50":120.0,"p80":230.27},{"state":"KY","n":50,"p20":34.37,"p50":89.0,"p80":464.96},{"state":"LA","n":30,"p20":21.56,"p50":52.65,"p80":110.24},{"state":"MA","n":40,"p20":42.0,"p50":90.0,"p80":177.06},{"state":"MD","n":29,"p20":56.0,"p50":86.23,"p80":97.57},{"state":"ME","n":14,"p20":21.0,"p50":86.0,"p80":290.0},{"state":"MI","n":73,"p20":18.95,"p50":63.7,"p80":102.05},{"state":"MN","n":71,"p20":51.0,"p50":82.69,"p80":197.12},{"state":"MO","n":64,"p20":78.65,"p50":129.42,"p80":215.8},{"state":"MS","n":44,"p20":41.14,"p50":85.19,"p80":147.0},{"state":"MT","n":17,"p20":132.3,"p50":268.0,"p80":280.96},{"state":"NC","n":71,"p20":59.94,"p50":99.5,"p80":138.6},{"state":"ND","n":15,"p20":50.96,"p50":101.0,"p80":210.0},{"state":"NE","n":31,"p20":40.95,"p50":106.2,"p80":157.0},{"state":"NH","n":14,"p20":25.7,"p50":62.16,"p80":578.0},{"state":"NJ","n":47,"p20":13.73,"p50":15.79,"p80":110.0},{"state":"NM","n":15,"p20":32.2,"p50":82.58,"p80":187.6},{"state":"NV","n":15,"p20":25.74,"p50":126.72,"p80":199.0},{"state":"NY","n":73,"p20":16.48,"p50":38.33,"p80":103.5},{"state":"OH","n":129,"p20":46.2,"p50":65.65,"p80":176.86},{"state":"OK","n":48,"p20":60.0,"p50":142.5,"p80":206.7},{"state":"OR","n":31,"p20":41.8,"p50":97.5,"p80":192.0},{"state":"PA","n":99,"p20":26.88,"p50":77.75,"p80":171.6},{"state":"RI","n":6,"p20":null,"p50":null,"p80":null},{"state":"SC","n":39,"p20":89.5,"p50":150.15,"p80":159.25},{"state":"SD","n":17,"p20":71.2,"p50":218.06,"p80":478.21},{"state":"TN","n":51,"p20":36.9,"p50":100.74,"p80":109.41},{"state":"TX","n":128,"p20":35.2,"p50":121.1,"p80":252.5},{"state":"UT","n":38,"p20":182.34,"p50":371.4,"p80":436.94},{"state":"VA","n":56,"p20":40.0,"p50":91.0,"p80":140.7},{"state":"VT","n":7,"p20":null,"p50":null,"p80":null},{"state":"WA","n":52,"p20":39.65,"p50":58.5,"p80":159.03},{"state":"WI","n":80,"p20":68.75,"p50":116.85,"p80":189.75},{"state":"WV","n":33,"p20":32.0,"p50":64.0,"p80":140.7},{"state":"WY","n":12,"p20":38.52,"p50":129.0,"p80":283.0}],"by_segment":{"hospital_type":[{"key":"acute","n":1650,"p20":35.5,"p50":87.97,"p80":171.6},{"key":"childrens","n":45,"p20":59.25,"p50":112.32,"p80":326.25},{"key":"critical_access","n":524,"p20":61.1,"p50":129.2,"p80":233.4}],"ownership":[{"key":"for_profit","n":238,"p20":37.2,"p50":118.0,"p80":289.02},{"key":"government","n":347,"p20":47.4,"p50":112.0,"p80":205.97},{"key":"nonprofit","n":1634,"p20":38.22,"p50":95.0,"p80":187.2}],"affiliation":[{"key":"affiliated","n":1896,"p20":37.66,"p50":94.5,"p80":190.5},{"key":"independent","n":331,"p20":50.0,"p50":128.0,"p80":220.5}]},"histogram":[{"lo":15.68,"hi":21.72,"n":98},{"lo":21.72,"hi":30.07,"n":103},{"lo":30.07,"hi":41.65,"n":174},{"lo":41.65,"hi":57.68,"n":192},{"lo":57.68,"hi":79.89,"n":245},{"lo":79.89,"hi":110.64,"n":323},{"lo":110.64,"hi":153.22,"n":338},{"lo":153.22,"hi":212.2,"n":274},{"lo":212.2,"hi":293.88,"n":164},{"lo":293.88,"hi":407.0,"n":94}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T10:46:50.712029Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-17","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":1761,"n_usable":1590,"n_not_usable":0,"n_labelled":96,"n_no_cash":75,"n_estimated":0,"n_states":50,"cash_p10":26.88,"cash_p20":40.92,"cash_p25":49.14,"cash_p50":98.0,"cash_p75":159.6,"cash_p80":180.72,"cash_p90":266.4,"cash_mean_trimmed":99.32,"gross_p50":157.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":4,"p20":null,"p50":null,"p80":null},{"state":"AL","n":19,"p20":69.3,"p50":171.0,"p80":325.6},{"state":"AR","n":8,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":19,"p20":16.95,"p50":22.26,"p80":214.5},{"state":"CA","n":73,"p20":30.0,"p50":45.92,"p80":110.76},{"state":"CO","n":38,"p20":20.88,"p50":102.6,"p80":177.32},{"state":"CT","n":7,"p20":null,"p50":null,"p80":null},{"state":"DE","n":4,"p20":null,"p50":null,"p80":null},{"state":"FL","n":43,"p20":46.2,"p50":108.21,"p80":211.92},{"state":"GA","n":64,"p20":71.6,"p50":118.27,"p80":145.2},{"state":"HI","n":6,"p20":null,"p50":null,"p80":null},{"state":"IA","n":39,"p20":66.43,"p50":125.45,"p80":182.65},{"state":"ID","n":11,"p20":82.5,"p50":119.6,"p80":142.5},{"state":"IL","n":87,"p20":50.4,"p50":108.0,"p80":350.0},{"state":"IN","n":46,"p20":33.12,"p50":65.61,"p80":234.0},{"state":"KS","n":16,"p20":25.0,"p50":81.0,"p80":112.8},{"state":"KY","n":31,"p20":25.65,"p50":79.2,"p80":392.78},{"state":"LA","n":17,"p20":21.56,"p50":27.2,"p80":91.2},{"state":"MA","n":35,"p20":42.0,"p50":90.0,"p80":213.0},{"state":"MD","n":21,"p20":56.0,"p50":88.11,"p80":98.2},{"state":"ME","n":11,"p20":21.0,"p50":82.4,"p80":101.23},{"state":"MI","n":62,"p20":28.6,"p50":65.6,"p80":102.05},{"state":"MN","n":50,"p20":31.28,"p50":71.2,"p80":197.12},{"state":"MO","n":34,"p20":78.65,"p50":103.8,"p80":199.13},{"state":"MS","n":28,"p20":63.77,"p50":112.56,"p80":151.45},{"state":"MT","n":8,"p20":null,"p50":null,"p80":null},{"state":"NC","n":38,"p20":54.0,"p50":81.76,"p80":138.55},{"state":"ND","n":11,"p20":50.96,"p50":80.64,"p80":195.75},{"state":"NE","n":17,"p20":38.16,"p50":142.8,"p80":159.36},{"state":"NH","n":9,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":18,"p20":15.79,"p50":15.79,"p80":240.0},{"state":"NM","n":11,"p20":35.04,"p50":39.2,"p80":157.8},{"state":"NV","n":9,"p20":null,"p50":null,"p80":null},{"state":"NY","n":38,"p20":24.0,"p50":58.49,"p80":103.5},{"state":"OH","n":118,"p20":51.6,"p50":65.65,"p80":179.74},{"state":"OK","n":32,"p20":60.0,"p50":115.5,"p80":200.6},{"state":"OR","n":17,"p20":41.8,"p50":97.5,"p80":119.6},{"state":"PA","n":88,"p20":40.32,"p50":90.86,"p80":203.0},{"state":"RI","n":3,"p20":null,"p50":null,"p80":null},{"state":"SC","n":35,"p20":49.5,"p50":150.15,"p80":159.25},{"state":"SD","n":11,"p20":71.2,"p50":414.19,"p80":505.8},{"state":"TN","n":42,"p20":36.9,"p50":100.74,"p80":107.76},{"state":"TX","n":110,"p20":37.2,"p50":121.1,"p80":228.6},{"state":"UT","n":28,"p20":182.34,"p50":371.4,"p80":436.94},{"state":"VA","n":44,"p20":40.0,"p50":85.5,"p80":140.7},{"state":"VT","n":4,"p20":null,"p50":null,"p80":null},{"state":"WA","n":36,"p20":36.56,"p50":52.83,"p80":88.2},{"state":"WI","n":70,"p20":102.05,"p50":132.66,"p80":195.8},{"state":"WV","n":13,"p20":69.91,"p50":140.7,"p80":178.08},{"state":"WY","n":7,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":1238,"p20":39.52,"p50":90.0,"p80":162.5},{"key":"childrens","n":33,"p20":88.5,"p50":148.59,"p80":326.25},{"key":"critical_access","n":311,"p20":57.6,"p50":123.84,"p80":248.2}],"ownership":[{"key":"for_profit","n":143,"p20":35.0,"p50":96.22,"p80":196.5},{"key":"government","n":188,"p20":41.8,"p50":102.75,"p80":179.0},{"key":"nonprofit","n":1251,"p20":41.4,"p50":98.0,"p80":180.72}],"affiliation":[{"key":"affiliated","n":1401,"p20":40.0,"p50":95.58,"p80":177.55},{"key":"independent","n":189,"p20":49.0,"p50":112.0,"p80":204.48}]},"histogram":[{"lo":17.28,"hi":23.48,"n":56},{"lo":23.48,"hi":31.92,"n":83},{"lo":31.92,"hi":43.37,"n":135},{"lo":43.37,"hi":58.95,"n":137},{"lo":58.95,"hi":80.11,"n":180},{"lo":80.11,"hi":108.87,"n":241},{"lo":108.87,"hi":147.96,"n":244},{"lo":147.96,"hi":201.09,"n":177},{"lo":201.09,"hi":273.28,"n":116},{"lo":273.28,"hi":371.4,"n":73}],"previous":null}},"related":[{"code_type":"CPT","code":"36415","lay_name":"Routine blood draw from a vein","slug":"cpt-36415-routine-blood-draw-from-a-vein"},{"code_type":"CPT","code":"80076","lay_name":"Liver function blood panel","slug":"cpt-80076-liver-function-blood-panel"},{"code_type":"CPT","code":"80061","lay_name":"Cholesterol blood panel","slug":"cpt-80061-cholesterol-blood-panel"},{"code_type":"CPT","code":"86900","lay_name":"ABO blood type test","slug":"cpt-86900-abo-blood-type-test"},{"code_type":"CPT","code":"86901","lay_name":"Rh blood type test","slug":"cpt-86901-rh-blood-type-test"},{"code_type":"CPT","code":"86140","lay_name":"C-reactive protein blood test","slug":"cpt-86140-c-reactive-protein-blood-test"},{"code_type":"CPT","code":"80202","lay_name":"Vancomycin blood level","slug":"cpt-80202-vancomycin-blood-level"},{"code_type":"CPT","code":"86850","lay_name":"Red blood cell antibody screen","slug":"cpt-86850-red-blood-cell-antibody-screen"},{"code_type":"CPT","code":"80164","lay_name":"Valproic acid blood level, total","slug":"cpt-80164-valproic-acid-blood-level-total"},{"code_type":"CPT","code":"86762","lay_name":"Blood test for rubella antibodies","slug":"cpt-86762-blood-test-for-rubella-antibodies"},{"code_type":"CPT","code":"80162","lay_name":"Digoxin blood level, total","slug":"cpt-80162-digoxin-blood-level-total"},{"code_type":"CPT","code":"86803","lay_name":"Hepatitis C antibody blood test","slug":"cpt-86803-hepatitis-c-antibody-blood-test"}]}