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See a sample rate comparisonCPT 50120 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.
Exploratory Surgery On Kidney, Kidney Surgery To Evaluate The Organ. The Procedure May Include Inserting A Tube For Drainage Or Removing Kidney Stones.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body 79 - Unrelated procedure - postop period |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 50120 |
| Medicaid Fee Schedule | View Medicaid rates for 50120 |
National average reimbursement for CPT 50120 by major payers:
$1,297.48
$1,278.30
$1,305.14
$1,548.35
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CPT 50120
5 of 25 sample ratesHigher to lower in this preview
Ascension Wisconsin Surgery Center-Mount Pleasant LLC, Ascension Wisconsin Surgery Center-Mount Pleasant
Ascension Wisconsin Surgery Centermount Pleasant LLC
$5,658.00Published rateOsu Wexner Medical Center Ambulatory Surgery Center, Osu Wexner Medical Center Ambulatory Surgery Center New Albany
Osu Wexner Medical Center Ambulatory Surgery Center
$1,670.00Published rateSurgery Center Of Gilbert LLC, Surgery Center Of Gilbert
Surgery Center Of Gilbert, LLC
$1,007.00Published rateEye Surgery Center, LLC
Eyecare Management, LLC
$520.00Published rateBryan College Station Asc, Lp, The Heart And Vascular Surgery Center
$200.00Published rate
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See a sample payer proposalCPT 50120 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50120 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 50120 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 50120. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50120 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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