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 comparisonCPT 50820 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.
Creation Of Conduit For Urine, Surgery To Connect The Ureters (Kidney Tubes) To A Segment Of Intestine Attached To The Abdominal Wall. Urine Flows Down The Ureters To The Intestine Segment And Out Of The Body Through An Opening In The Skin.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 19 - Off Campus Outpatient Hospital |
| Common Modifiers | None 50 - Bilateral Procedure 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 50820 |
| Medicaid Fee Schedule | View Medicaid rates for 50820 |
National average reimbursement for CPT 50820 by major payers:
$1,789.99
$1,768.14
$1,895.62
$2,138.32
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 50820.
CPT 50820
5 of 25 sample ratesHigher to lower in this preview
Ssm St Clare Surgical Center LLC, Ssm St Clare Surgical Center
Ssm St Clare Surgical Center LLC
$2,154.00Published rateOptum Care Washington PLLC, Optum - Kemp Surgery Center
The Everett Clinic, PLLC
$991.00Published rateOral Facial Surgery Center, LLC, Specialty Surgery Center
Oral Facial Surgery Center, Inc.
$650.00Published rateThe Surgical Institute Of Monroe Ambulatory Surgery Center LLC, Surgical Institute Of Monroe
Surgical Institute Of Monroe
$430.00Published rateGastroenterology Consultants Of Tuscaloosa Inc, Tuscaloosa Endoscopy Center
$100.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
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 proposalCPT 50820 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50820 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 50820 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 |
|---|---|---|
| 50820-CPT | High | Creation Of Conduit For Urine, Surgery To Connect The Ureters (Kidney Tubes) To A Segment Of Intestine Attached To The Abdominal Wall. Urine Flows Down The Ureters To The Intestine Segment And Out Of The Body Through An Opening In The Skin. |
| 50825-CPT | High | Relocate Urine Drainage, Surgery To Connect The Ureters (Tubes That Carry Urine From The Kidney To The Bladder) To A Segment Of Intestine. One End Of The Intestine Segment Is Brought Through An Opening In The Skin For Urine Drainage. |
| 50830-CPT | High | Urinary Undiversion (Eg Takin, Urinary Undiversion (Eg Taking Down Of Ureteroilealconduit Ureterosigmoidostomy Or Ureteroenterostomy With Ureteroureterostomy Or Ureteroneocystostomy) |
| 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 50820. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50820 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 50820) and we'll show you how you compare in 15 minutes or less.