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See a sample rate comparisonCPT 50290 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.
Excision Perinephric Cyst
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office |
| Common Modifiers | None LT - Left side of body 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 50290 |
| Medicaid Fee Schedule | View Medicaid rates for 50290 |
National average reimbursement for CPT 50290 by major payers:
$1,242.86
$1,204.64
$1,236.26
$1,465.27
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CPT 50290
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Brazoria, LLC
Memorial Hermann Surgery Center Brazoria LLC
$4,893.00Published rateAdvanced Surgery Center Of Tampa, LLC
$983.00Published rateR & R Surgical Centers
Rr Surgical Institute
$600.00Published rateWest Shore Pain And Spine Institute, LLC
West Shore Pain And Spine Institute LLC
$450.00Published rateWaco Ambulatory Surgery Center, Lp, Waco Cardiology Cath Lab & Surgery Center
$200.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 50290 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50290 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 50290 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 |
|---|---|---|
| 50280-CPT | High | Excision/Unroofing Cyst Renal |
| 50290-CPT | High | Excision Perinephric Cyst |
| 50360-CPT | High | Renal Allotransplant Implnt Of Grft; W/O Recipient Ne, Renal Allotransplantation Implantation Of Graft; Without Recipient Ne |
| 50370-CPT | High | Remove Transplanted Kidney, Surgery To Remove A Transplanted Kidney That Has Been Rejected By The Recipients Immune System. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50290. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50290 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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