CPT stands for Current Procedural Terminology. CPT codes are a set of medical codes used by healthcare providers to describe medical, surgical, and diagnostic services to entities such as physicians, health insurance companies, and accreditation organizations. They are essential for billing and for ensuring consistency in documentation across the healthcare industry.

How can I find the cost of a medical procedure or service?

To find the cost of a specific medical procedure or service, especially based on CPT code and your location, you can utilize online tools. For accurate and specific fee schedule lookups using CPT codes and your location, Payerprice offers a dedicated tool. This can help you understand the potential costs before your appointment.

Why do healthcare costs vary so much?

Healthcare costs can vary significantly due to several factors, including the type of service, the facility (hospital vs. outpatient clinic), geographical location, the specific provider, and your insurance plan's negotiated rates. Additionally, the complexity of the procedure and the need for specialized equipment or personnel can influence the final cost.

How can I estimate my out-of-pocket costs for a medical service?

Estimating your out-of-pocket costs involves knowing the full cost of the service, your insurance plan's deductible, copayments, and coinsurance percentages. First, you can use tools like Payerprice to find the fee schedule for specific CPT codes in your area. Then, contact your insurance provider to understand how that service will be covered under your specific plan, taking into account your remaining deductible and coinsurance.

What is the difference between a CPT code and an HCPCS code?

CPT codes (Current Procedural Terminology) are a subset of HCPCS (Healthcare Common Procedure Coding System) codes. CPT codes, managed by the American Medical Association (AMA), primarily describe medical, surgical, and diagnostic services. HCPCS codes are broader and include CPT codes (Level I HCPCS) plus additional codes (Level II HCPCS) that identify products, supplies, and services not covered by CPT, such as ambulance services, durable medical equipment, prosthetics, orthotics, and some drugs.

CPT 50545 Fee Schedule

Q: What factors affect fee schedules?

Factors that affect fee schedules include 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.), and Provider Type (Hospital providers may have different rates than private practice.).

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.

Scope Surgery To Remove Kidney, Surgery Using A Scope (Laparoscope) To Remove An Entire Kidney. The Procedure May Include Removing Nearby Tissue Such As Lymph Nodes Adrenal Glands Or A Portion Of The Upper Urinary Tract (Ureter).

Key Fact	Detail
Service Type	Surgery Surgical Procedures on the Urinary System
Common Place of Service	21 - Inpatient Hospital 22 - On Campus Outpatient Hospital
Common Modifiers	None LT - Left side of body RT - Right side of body
Complexity Level	High
Medicare Fee Schedule	View Medicare rates for 50545
Medicaid Fee Schedule	View Medicaid rates for 50545

National average reimbursement for CPT 50545 by major payers:

$1,770.83

$1,807.12

$1,959.90

$2,176.74

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 50545.

CPT 50545

5 of 25 sample ratesHigher to lower in this preview

Inova Ambulatory Surgery Center At Lorton, LLC
Inova Ambulatory Surgery Center At Lorton LLC
VAAmbulatory Surgical Clinic/CenterNPI 1659793891Tax ID 46-1955980
$4,165.00Published rate
Baptist Health Surgery Center, LLC
Baptist Health Surgery Center LLC
FLAmbulatory Surgical Clinic/CenterNPI 1558050831Tax ID 65-0663357
$1,954.00Published rate
Harbor Heights Surgery Center, LLC
Harbor Heights Surgery Center LLC
MDAmbulatory Surgical Clinic/CenterNPI 1245605633Tax ID 47-3886948
$936.00Published rate
Southern Alabama Surgery Center LLC, Surgery Center South
Southern Alabama Surgery Center, Ll
ALAmbulatory Surgical Clinic/CenterNPI 1346349164Tax ID 62-1827534
$580.00Published rate
Clay Surgery Center LLP
FLAmbulatory Surgical Clinic/CenterNPI 1184601221Tax ID 10-670335
$400.00Published rate

Get a free rate benchmark for your specialty.

Choose your state and specialty to build a report from payer-published rates.

Build my free benchmark

Use market rates to prepare your payer proposal.

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 comparison

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 proposal

Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

Check published rates for your payer and codes.

Explore state-level rates by specialty

CPT 50545 vs. Other Surgical Procedures on the Urinary System Codes

The CPT 50545 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 50545 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
50541-CPT	High	Remove Mass From Kidney, Surgery To Remove A Mass Or Cyst (Fluid-Filled Sac) From The Kidney With A Scope (Laparoscope).
50542-CPT	High	Laparoscopy Surgical Ablatio, Laparoscopy Surgical Ablation Of Renal Mass Lesion(S) Including Intraoperative Ultrasound Guidance And Monitoring When Performed
50544-CPT	High	Surgery To Repair Kidney, Surgery Aided By A Scope (Laparoscope) To Repair An Injured Kidney As Well As Surrounding Tissue. The Procedure Involves Reconstruction And Drainage Of The Kidney.
50545-CPT	High	Scope Surgery To Remove Kidney, Surgery Using A Scope (Laparoscope) To Remove An Entire Kidney. The Procedure May Include Removing Nearby Tissue Such As Lymph Nodes Adrenal Glands Or A Portion Of The Upper Urinary Tract (Ureter).

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50545. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 50545 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 50545) and we'll show you how you compare in 15 minutes or less.

Schedule a Demo

CPT 50545 Fee Schedule

Compare published rates across providers.

Inova Ambulatory Surgery Center At Lorton, LLC

Baptist Health Surgery Center, LLC

Harbor Heights Surgery Center, LLC

Southern Alabama Surgery Center LLC, Surgery Center South

Clay Surgery Center LLP