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See a sample rate comparisonCPT 50630 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.
Remove Stone From Ureter, Surgery To Remove One Or More Stones From The Ureter (Tube That Carries Urine From The Kidney To The Bladder).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office 20 - Urgent Care Facility |
| Common Modifiers | None 51 - Multiple procedures RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 50630 |
| Medicaid Fee Schedule | View Medicaid rates for 50630 |
National average reimbursement for CPT 50630 by major payers:
$1,197.48
$1,200.30
$1,227.98
$1,457.53
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CPT 50630
5 of 25 sample ratesHigher to lower in this preview
Rock Hill Surgery Center, LLC, Carolina Surgical Center
Rock Hill Surgery Center LLC
$8,840.00Published ratePremier Endoscopy, LLC
Premier Endoscopy LLC
$1,306.00Published rateGeorgia Urology, PA
$725.00Published rateSummit Endoscopy Center
$500.00Published rateAffiliated Ambulatory Surgery Center LLC
Affiliated Ambulatory Surgery Center, LLC
$50.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 50630 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50630 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 50630 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 |
|---|---|---|
| 50605-CPT | High | Ureter (Kidney Tube) Surgery, Surgery On The Upper Urinary Tract (Ureter) To Explore Drain Or Insert A Support Device (Stent). |
| 50610-CPT | High | Remove Stone From Ureter, Surgery To Remove One Or More Stones From The Ureter (Tube That Carries Urine From The Kidney To The Bladder). |
| 50620-CPT | High | Remove Stone From Ureter, Surgery To Remove One Or More Stones From The Ureter (Tube That Carries Urine From The Kidney To The Bladder). |
| 50630-CPT | High | Remove Stone From Ureter, Surgery To Remove One Or More Stones From The Ureter (Tube That Carries Urine From The Kidney To The Bladder). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50630. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50630 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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