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CPT 50389 Fee Schedule

Last Verified: January 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Removal Of Nephrostomy Tube Requiring Fluoroscopic Guidance
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Urinary System

Common Place of Service

22 - On Campus Outpatient Hospital

21 - Inpatient Hospital

Common Modifiers

None

RT - Right side of body

LT - Left side of body

Complexity LevelModerate
Medicare Fee ScheduleView Medicare rates for 50389

National average reimbursement for CPT 50389 by major payers:

bcbs

$393.53

uhc

$488.36

aetna

$550.54

cigna

$621.21

Preview provider-level rates for...
For billing codeCPT 50389
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 50389

United
50389$293.001932613643 - GRAND VIEW SURGERY CENTER AT HARLEYSVILLE, LLC822907231 - (PA) GRAND VIEW SURGERY CENTER AT HARPAAmbulatory Surgical Clinic/Center (261QA1903X)
United
50389$583.791437107521 - ROBERT STARRETT350593390 - DEACONESS HOSPITAL INCINInterventional Cardiology Physician (207RI0011X)
United
50389$561.001255070116 - MERCY SOUTH ASC LLC, MERCY OUTPATIENT SURGERY CENTER - WEST BEND882512783MOAmbulatory Surgical Clinic/Center (261QA1903X)
United
50389$1139.001437574191 - OIL CENTER SURGICAL PLAZA464090110 - (LA) OIL CENTER SURGICAL PLAZALAAmbulatory Surgical Clinic/Center (261QA1903X)
United
50389$680.001215245238 - AMERICAN ACCESS CARE OF NEW JERSEY, LLC, AZURA SURGERY CENTER CHERRY HILL223783657 - (NJ) AMERICAN ACCESS CARE OF NEW JERSEY LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
50389$363.001558327445 - MERCY AMBULATORY SURGERY CENTER LTD631178796OHAmbulatory Surgical Clinic/Center (261QA1903X)
United
50389$1379.001477584621 - HANOVER NJ ENDOSCOPY ASC LLC, HANOVER ENDOSCOPY CENTER201272329 - (NJ) HANOVER NJ ENDOSCOPY ASC LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
50389$1963.001982716106 - THR/STT SOUTHLAKE ASC, LLC262429878TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
50389$388.001598349839 - NAADI MANTECA ASC863449917 - (CA) NAADI MANTECA ASCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
50389$950.001295848752 - ESSEX SURGICAL ARTS SURGERY CENTER, LLC, MOBILE VASCULAR PHYSICIANS202242123 - (NJ) ESSEX SURGICAL ARTS SURGERYNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
50389$960.001346621893 - NORTHERN NEW JERSEY CENTER FOR ADVANCED ENDOSCOPY LLC472128570 - (NJ) NORTHERN NEW JERSEY CENTER FOR ADVANCED ENDOSCOPY LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
50389$966.001629703236 - NORTH CYPRESS SURGICENTER, LLC, NORTH CYPRESS SURGERY CENTER851383722 - (TX) NORTH CYPRESS SURGICENTER LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
50389$450.001003802950 - MINNESOTA EYE INSTITUTE SURGERY CENTER, LLC550837369 - (MN) MINNESOTA EYE INSTITUTE SURGERY CENTER LLCMNAmbulatory Surgical Clinic/Center (261QA1903X)
United
50389$2350.001679065759 - MEMORIAL HERMANN SURGERY CENTER BRAZORIA, LLC830759140 - (TX) MEMORIAL HERMANN SURGERY CENTER BRAZORIA LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
50389$1817.001386165504 - THE EMORY CLINIC INC, EMORY AMBULATORY SURGERY CENTER AT SPIVEY STATION582030692 - EMORY UNIVERSITYGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 50389 vs. Other Surgical Procedures on the Urinary System Codes

The CPT 50389 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 50389 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.

CodeComplexityDescription
50382-CPTHighRemoval (Via Snare/Capture) And Replacement Of Internally Dwelling Ureteral Stent Via Percutaneous Approach, Including Radiological Supervision And Interpretation
50384-CPTHighRemoval (Via Snare/Capture) Of Internally Dwelling Ureteral Stent Via Percutaneous Approach, Including Radiological Supervision And Interpretation
50385-CPTHighRemoval (Via Snare/Capture) And Replace Ment Of Internally Dwelling Ureteral Stent Via Transurethral Approach Without Use Of Cystoscopy Including Radiological Supervision And Inter Pretation
50389-CPTModerateRemoval Of Nephrostomy Tube Requiring Fluoroscopic Guidance

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50389. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 50389 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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