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See a sample rate comparisonCPT 50845 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.
Drain Bladder Through Skin, Surgical Creation Of An Opening Between The Bladder And The Skin Of The Lower Abdomen For Urine Drainage.
| 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 51 - Multiple procedures 52 - Reduced Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 50845 |
| Medicaid Fee Schedule | View Medicaid rates for 50845 |
National average reimbursement for CPT 50845 by major payers:
$1,510.08
$1,683.94
$1,781.17
$2,043.07
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CPT 50845
5 of 25 sample ratesHigher to lower in this preview
North State Surgery Centers Lp, Court Street Surgery Center
$2,945.00Published rateBanner Sun City West Surgery Center LLC
$1,146.00Published rateMidwest Endoscopy Services LLC
Midwest Endoscopy Services, LLC
$920.00Published rateMobile-Sc, Ltd, Mobile Surgery Center
$572.00Published rateDigestive Health Specialists Endoscopy Center Arizona, LLC
Digestive Health Specialists Endoscopy Center Arizona LLC
$109.00Published rate
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See a sample payer proposalCPT 50845 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50845 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 50845 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 |
|---|---|---|
| 50840-CPT | High | Replace Urine Tube (Ureter), Surgery To Replace All Or Part Of Ureter (Tube That Carries Urine From The Kidney To The Bladder). |
| 50845-CPT | High | Drain Bladder Through Skin, Surgical Creation Of An Opening Between The Bladder And The Skin Of The Lower Abdomen For Urine Drainage. |
| 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. |
| 50948-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 50845. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50845 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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