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See a sample rate comparisonCPT 50250 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.
Surgery To Remove Kidney Mass, Surgery On A Kidney To Remove A Mass Of Abnormal Tissue By Freezing It (Cryosurgery). Ultrasound Guidance May Be Used To View The Surgical Area.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 50250 |
| Medicaid Fee Schedule | View Medicaid rates for 50250 |
National average reimbursement for CPT 50250 by major payers:
$1,642.97
$1,636.46
$1,677.57
$1,992.30
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CPT 50250
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 rateHarbor Heights Surgery Center, LLC
Harbor Heights Surgery Center LLC
$1,231.00Published ratePasteur Plaza Surgery Center Lp, Pasteur Plaza Surgery Center
Pasteur Plaza Surgery Center Lp
$834.00Published rateAp Surgery Center LLC
$598.00Published rateEye Associates Of Manatee LLP, Eye Associates Surgery Center
The Eye Associates
$50.00Published rate
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See a sample payer proposalCPT 50250 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50250 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 50250 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 |
|---|---|---|
| 50240-CPT | High | Nephrectomy Partial |
| 50250-CPT | High | Surgery To Remove Kidney Mass, Surgery On A Kidney To Remove A Mass Of Abnormal Tissue By Freezing It (Cryosurgery). Ultrasound Guidance May Be Used To View The Surgical Area. |
| 50280-CPT | High | Excision/Unroofing Cyst Renal |
| 50290-CPT | High | Excision Perinephric Cyst |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50250. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50250 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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