Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 50230 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.
Kidney Urinary Tract Surgery, Surgery To Remove An Entire Kidney The Part Of The Urinary Tract Connected To It Associated Lymph Nodes And Other Related Structures. Includes Necessary Reconstruction.
| 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 LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 50230 |
| Medicaid Fee Schedule | View Medicaid rates for 50230 |
National average reimbursement for CPT 50230 by major payers:
$1,724.94
$1,728.49
$1,880.37
$2,084.53
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 50230.
CPT 50230
5 of 25 sample ratesHigher to lower in this preview
Northwest Surgery Center LLC, Foot & Ankle Surgery Center
$6,659.00Published rateSurgcenter Tucson, LLC
$1,064.00Published rateGreat Lakes Surgical Center LLC
Great Lakes Surgical Center Ll
$782.00Published rateLive Oak Endoscopy Center, LLC
Live Oak Endoscopy Center
$385.00Published rateKramberg Obs
$100.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 50230 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50230 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 50230 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.
| Code | Complexity | Description |
|---|---|---|
| 50225-CPT | High | Kidney Urinary Tract Surgery, Surgery To Remove An Entire Kidney The Part Of The Urinary Tract Connected To It Associated Lymph Nodes And Other Related Structures. Includes Necessary Reconstruction. |
| 50230-CPT | High | Kidney Urinary Tract Surgery, Surgery To Remove An Entire Kidney The Part Of The Urinary Tract Connected To It Associated Lymph Nodes And Other Related Structures. Includes Necessary Reconstruction. |
| 50234-CPT | High | Surgery To Remove A Kidney, Surgery To Remove A Kidney Along With The Connecting Tube (Ureter) To The Bladder. The Procedure May Require More Than One Incision. |
| 50300-CPT | High | Donor Nephrectomy With Prepar, Donor Nephrectomy With Preparation And Maintenance Ofallograft From Cadaver Donor Unilateral Or Bilateral |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50230. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50230 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 50230) and we'll show you how you compare in 15 minutes or less.