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See a sample rate comparisonCPT 50694 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.
Plmt Ureteral Stent Prq, Placement Of Ureteral Stent Percutaneous Including Diagnostic Nephrostogram And Or Ureterogram When Performed Imaging Guidance Eg Ultrasound And Or Fluoroscopy And All Associated Radiological Supervision And Interpretation New Access Without Separate Nephrostomy Catheter
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 50694 |
| Medicaid Fee Schedule | View Medicaid rates for 50694 |
National average reimbursement for CPT 50694 by major payers:
$1,334.32
$1,535.69
$1,581.60
$538.11
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CPT 50694
5 of 25 sample ratesHigher to lower in this preview
The Endoscopy Center At St. Francis, LLC
The Endoscopy Center At St Francis LLC
$10,978.00Published rateAdvanced Surgical Center Of Beverly Hills LLC, Surgery Center Of Beverly Hills LLC
Advanced Surgical Center Of Beverly Hills LLC
$2,300.00Published rateLahaye Center For Advanced Eye Care Of Lafayette, Inc.
$1,563.00Published ratePikesville Md Endoscopy Asc LLC, Endocentre Of Baltimore
$1,233.00Published rateNortheast Endoscopy Center, LLC
Northeast Endoscopy Center LLC
$683.00Published rate
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See a sample payer proposalCPT 50694 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50694 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 50694 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 |
|---|---|---|
| 50693-CPT | High | Plmt Ureteral Stent Prq, Placement Of Ureteral Stent Percutaneous Including Diagnostic Nephrostogram And Or Ureterogram When Performed Imaging Guidance Eg Ultrasound And Or Fluoroscopy And All Associated Radiological Supervision And Interpretation Pre Existing Nephrostomy Tract |
| 50694-CPT | High | Plmt Ureteral Stent Prq, Placement Of Ureteral Stent Percutaneous Including Diagnostic Nephrostogram And Or Ureterogram When Performed Imaging Guidance Eg Ultrasound And Or Fluoroscopy And All Associated Radiological Supervision And Interpretation New Access Without Separate Nephrostomy Catheter |
| 50695-CPT | High | Plmt Ureteral Stent Prq, Placement Of Ureteral Stent Percutaneous Including Diagnostic Nephrostogram And Or Ureterogram When Performed Imaging Guidance Eg Ultrasound And Or Fluoroscopy And All Associated Radiological Supervision And Interpretation New Access With Separate Nephrostomy Catheter |
| 50947-CPT | High | Surgery To Move Urinary Tract, Surgery Using A Scope (Laparoscope) To Move One Of The Ureters (Upper Urinary Tract From Kidneys To Bladder). The Procedure May Include Inserting A Support Device (Stent) To Help Keep The Ureter Open. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50694. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50694 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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