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See a sample rate comparisonCPT 50546 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.
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 50546 |
| Medicaid Fee Schedule | View Medicaid rates for 50546 |
National average reimbursement for CPT 50546 by major payers:
$1,670.31
$1,616.60
$1,735.30
$1,953.95
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CPT 50546
5 of 25 sample ratesHigher to lower in this preview
Surgery Center Of Bay Area Houston, LLC
$2,575.00Published rateAdvanced Spine And Pain Surgery Centers LLC
$1,146.00Published rateCanyon View Asc, LLC, Canyon View Asc
Canyon View Asc LLC
$797.00Published rateMaryland Surgery Center For Women LLC, Maryland Surgery Center
Maryland Surgery Center For Women, LLC
$541.00Published rateAmerican Access Care Of Towson Asc LLC
$150.00Published rate
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See a sample payer proposalCPT 50546 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50546 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 50546 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 |
| 50543-CPT | High | Laparoscopy, Surgical; Partial Nephrectomy |
| 50546-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 50546. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50546 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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