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See a sample rate comparisonCPT 50020 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Drain Abscess Renal/Perirenal
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body 78 - Return to OR - related procedure |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 50020 |
| Medicaid Fee Schedule | View Medicaid rates for 50020 |
National average reimbursement for CPT 50020 by major payers:
$1,336.86
$1,357.33
$1,402.52
$1,650.95
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CPT 50020
5 of 25 sample ratesHigher to lower in this preview
Park Central Surgical Center, Ltd, Medical City Surgery Center/Park Central
Park Central Surgical Center Ltd
$3,871.00Published rateSurgcenter Of The Potomac, LLC
$2,353.00Published rateSurgcenter Northern Phoenix LLC
$1,713.00Published rateEye Surgery Center Of Chattanooga, LLC
Eye Surgery Center Of Chattanooga LLC
$965.00Published rateKingsport Endoscopy Corporation
$425.00Published rate
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See a sample payer proposalCPT 50020 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50020 code is part of the Surgery services used for Surgical Procedures on the Urinary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 50020 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50020. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50020 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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