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CPT 50750 Fee Schedule

Last Verified: November 2025

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.

Ureterocalycostomy
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Urinary System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Common Modifiers

None

RT - Right side of body

LT - Left side of body

Complexity LevelHigh
CMS$1,115.63 Physician Fee Schedule

National average reimbursement for CPT 50750 by major payers:

bcbs

$1,538.58

uhc

$1,553.91

aetna

$1,596.31

cigna

$1,922.13

Preview provider-level rates for...
For billing codeCPT 50750
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 50750

United
50750$1079.001598949281 - POWAY CA MULTI SPECIALTY ASC LLC, POWAY SURGERY CENTER261158191 - (CA) POWAY CA MULTI-SPECIALTY ASC LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
50750$1000.001487117370 - LIBERTY CORNER SURGICAL CENTER LLC833879253 - (NJ) LIBERTY CORNER SURGICAL CENTER LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
50750$600.001700843208 - FAYETTEVILLE AMBULATORY SURGERY CENTER LIMITED PARTNERSHIP, FAYETTEVILLE AMBULATORY SURGERY CENTER561754482 - (NC) FAYETTEVILLE AMBULATORY SURGERYNCAmbulatory Surgical Clinic/Center (261QA1903X)
United
50750$2847.001063720365 - WASATCH FRONT SURGERY CENTER LLC800612279UTAmbulatory Surgical Clinic/Center (261QA1903X)
United
50750$785.001609871847 - THE SURGERY CENTER, LLC582520623 - (GA) THE SURGERY CENTER LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
50750$1274.001750565594 - PEDIATRIC SURGERY CENTER -ODESSA, LLC651274446FLAmbulatory Surgical Clinic/Center (261QA1903X)
United
50750$406.001689311938 - HURON GASTRO ENDOSCOPY CENTER LLC, HURON GASTRO CENTER FOR DIGESTIVE CARE853580801 - (MI) HURON GASTRO ENDOSCOPY CENTER LLCMIAmbulatory Surgical Clinic/Center (261QA1903X)
United
50750$726.001851490445 - GOLDEN STATE EYE CENTER770128181 - (CA) GOLDEN STATE EYE CENTERCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
50750$760.001184922353 - PEARLAND SURGERY CENTER, LLC270289493 - (TX) PEARLAND SURGERY CENTER, LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
50750$1573.001609253392 - GLBESC, LLC, MEMORIALCARE OUTPATIENT SURGICAL CENTER LONG BEACH473495605 - (CA) GLBESC LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
50750$1441.001053314013 - TRIA ORTHOPAEDIC CENTER LLC200034003 - (MN) TRIA ORTHOPAEDIC CENTER LLCMNAmbulatory Surgical Clinic/Center (261QA1903X)
United
50750$829.001437250248 - GEORGIA SURGICAL CENTER ON PEACHTREE, LLC582394271 - (GA) GEORGIA SURGICAL CENTER ON PEACHTREE LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
50750$726.001780076885 - MURRELLS INLET ASC LLC, CAROLINA COAST SURGERY CENTER454450466 - (SC) MURRELLS INLET ASC, LLC DBA CAROLINA COAST SURGERY CENTERSCAmbulatory Surgical Clinic/Center (261QA1903X)
United
50750$120.001447685458 - CHECKERSPOT SURGERY CENTERS, LLC463181931 - (MD) CHECKERSPOT SURGERY CENTERS LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
50750$216.001992709851 - NOVAMED SURGERY CENTER OF CHICAGO-NORTHSHORE, LLC50540721 - (IL) NOVAMED SURGERY CENTER OF CHICAGONORTHSHORE LLCILAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 50750 vs. Other Surgical Procedures on the Urinary System Codes

The CPT 50750 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 50750 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.

CodeComplexityDescription
50740-CPTHighUreteropyelostomy, Anastomosis Of Ureter And Renal Pelvis
50750-CPTHighUreterocalycostomy
50947-CPTHighLaparoscopy; Ureteroneocystostomy W Cystoscopy &Ureteral Stent Placemt
50948-CPTHighLaparoscopy; Ureteroneocystostomy Wo Cystoscopy&Ureteral Stent Placemt

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50750. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 50750 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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