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 50520 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.
Close Fistula Nephro/Pyelocutaneous
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures 58 - Staged or related procedure during postoperative period |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 50520 |
| Medicaid Fee Schedule | View Medicaid rates for 50520 |
National average reimbursement for CPT 50520 by major payers:
$1,555.16
$1,503.03
$1,560.85
$1,822.75
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 50520.
CPT 50520
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Texas International Endoscopy Center, LLC, Texas International Endoscopy Center
$2,666.00Published rateAsc Of Trinity, Comprehensive Outpatient Joint And Spine Institute
Asc Of Trinity
$1,158.00Published ratePisa Asc Holdco LLC, Pain Institute Of Southern Arizona Procedure Center
Pisa Asc Holdco LLC
$689.00Published rateAffiliated Physicians & Surgeons, Ltd
Affiliated Physicians Surgeons Ltd
$445.00Published rateTaylor Surgery Center, LLC, Surgical Arts Surgery Center
Taylor Surgery Center LLC
$183.00Published 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 50520 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50520 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 50520 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 |
|---|---|---|
| 50500-CPT | High | Nephrorrhaphy |
| 50520-CPT | High | Close Fistula Nephro/Pyelocutaneous |
| 50525-CPT | High | Closur Of Nephrovisceral Fistula (Eg Renocolic) Inclu Visceral, Closure Of Nephrovisceral Fistula (Eg Renocolic) Including Visceral |
| 50526-CPT | High | Closur Of Nephrovisceral Fistula (Eg Renocolic) Inclu Visceral, Closure Of Nephrovisceral Fistula (Eg Renocolic) Including Visceral |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50520. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50520 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 50520) and we'll show you how you compare in 15 minutes or less.