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See a sample rate comparisonCPT 50391 Fee Schedule
Last Verified: October 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.
Instll Rx Agnt Into Rnal Tub, Instillation S Of Therapeutic Agent Into Renal Pelvis And Or Ureter Through Established Nephrostomy Pyelostomy Or Ureterostomy Tube Eg Anticarcinogenic Or Antifungal Agent
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 50391 |
| Medicaid Fee Schedule | View Medicaid rates for 50391 |
National average reimbursement for CPT 50391 by major payers:
$170.48
$168.24
$176.06
$174.57
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CPT 50391
5 of 25 sample ratesHigher to lower in this preview
Roc Surgery LLC, Riley Outpatient Surgery Center
Roc Surgery LLC
$4,613.00Published rateEast West Surgery Center Lp
$555.00Published rateJohns Creek Center For Pain And Spine
$175.00Published rateTennessee Pain Surgery Center, LLC
Tennessee Pain Surgery Center LLC
$115.00Published rateMaryland Eye Surgery Center, L.L.C., The Surgery Center
Maryland Eye Surgery Center LLC
$78.00Published rate
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See a sample payer proposalCPT 50391 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50391 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 50391 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 |
|---|---|---|
| 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. |
| 50380-CPT | High | Transplant Renal Autograft |
| 50391-CPT | Low | Instll Rx Agnt Into Rnal Tub, Instillation S Of Therapeutic Agent Into Renal Pelvis And Or Ureter Through Established Nephrostomy Pyelostomy Or Ureterostomy Tube Eg Anticarcinogenic Or Antifungal Agent |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50391. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50391 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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