CPT 50948 Fee Schedule
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.
| 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 50948 |
National average reimbursement for CPT 50948 by major payers:
$1,757.60
$1,718.66
$1,831.39
$2,119.81
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 50948 | ||||||
United | 50948 | $2230.00 | 1457465338 - METROPOLITAN AMBULATORY UROLOGIC INSTITUTE, L.L.C. | 522030624 - (MD) METROPOLITAN AMBULATORY UROLOGIC INSTITUTE LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50948 | $3690.00 | 1942540851 - THE ORTHOPAEDIC AND SPINE CENTER OF SOUTHERN COLORADO, LLC | 461852637 - (CO) THE ORTHOPAEDIC & SPINE CENTER OF S COLORADO | CO | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50948 | $3239.00 | 1770004772 - NORTHWEST ATLANTA VASCULAR CARE LLC | 453857694 - (GA) NORTHWEST ATLANTA VASCULAR CARE LLC | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50948 | $2757.00 | 1942261599 - SDOSC, LP, SAN DIEGO OUTPATIENT AMBULATORY SURGICAL CENTER | 30506487 - (CA) SDOSC, LP | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50948 | $4140.00 | 1346621893 - NORTHERN NEW JERSEY CENTER FOR ADVANCED ENDOSCOPY LLC | 472128570 - (NJ) NORTHERN NEW JERSEY CENTER FOR ADVANCED ENDOSCOPY LLC | NJ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50948 | $1624.00 | 1861470486 - ORLAND PARK SURGICAL CENTER LLC | 364418271 - (IL) ORLAND PARK SURGICAL CENTER, LLC | IL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50948 | $6492.00 | 1730175159 - CHARLOTTE ENDOSCOPIC SURGERY CENTER LLC, CHARLOTTE SURGERY CENTER | 651071112 - (FL) CHARLOTTE ENDOSCOPIC SURGERY CENTER, LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50948 | $3052.00 | 1629166624 - AMBULATORY SURGICAL CENTER OF SOUTHERN NEVADA LLC | 861081788 - (NV) AMBULATORY SURGICAL CENTER OF SOUTHERN NEVADA LLC | NV | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50948 | $1406.00 | 1447218433 - LIBERTY EYE SURGICAL CENTER LLC | 200054137 - (PA) LIBERTY EYE SURGICAL CENTER, LLC | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50948 | $2100.00 | 1801844386 - SOUTHEASTERN UROLOGICAL PARTNERS LTD, SOUTHEASTERN SURGERY CENTER | 593470900 - (FL) SOUTHEASTERN UROLOGICAL PARTNERS, LTD | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50948 | $2100.00 | 1275740839 - EYE SURGERY CENTER OF NORTH FLORIDA LLC | 205326854 - (FL) EYE SURGERY CENTER OF NORTH FLORIDA LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50948 | $4474.00 | 1275060303 - CAPITAL NEPHROLOGY ACCESS CENTER, LLC | 814942280 - (CA) CAPITAL NEPHROLOGY ACCESS CENTER LLC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50948 | $1425.00 | 1093960395 - GRAYSTONE EYE SURGERY CENTER LLC | 205740206 | NC | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50948 | $6000.00 | 1780331769 - ASC SURGICAL VENTURES, LLC | 351995261 | IN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50948 | $6365.00 | 1659517019 - SURGERY CENTER OF PEMBROKE PINES, LLC | 263364068 - (FL) SURGERY CENTER OF PEMBROKE | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 50948 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50948 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 50948 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 |
|---|---|---|
| 50694-CPT | High | 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 | 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. |
| 50705-CPT | High | Ureteral Embolization Or Occlusion Including Imaging Guidance (Eg Ultrasound And/Or Fluoroscopy) And All Associated Radiological Supervision And Interpretation (List Separately Inaddition To Code For Primary Procedure). |
| 50948-CPT | High | Laparoscopy; 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 50948. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50948 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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