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See a sample rate comparisonCPT 51050 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Cystolithotomy Cystotomy W/Remval Of Calculus W/O Vesical Ne, Cystolithotomy Cystotomy With Removal Of Calculus Without Vesical Ne
| 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 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 51050 |
| Medicaid Fee Schedule | View Medicaid rates for 51050 |
National average reimbursement for CPT 51050 by major payers:
$566.55
$632.22
$670.82
$773.66
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CPT 51050
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford
$6,245.00Published rateNorth Shore Same Day Surgery LLC, North Shore Surgical Center
North Shore Same Day Surgery LLC
$2,307.00Published ratePremier-Covenant Astc LLC, Premier Ambulatory Surgery Center
Premiercovenant Astc LLC
$1,244.00Published rateHsc Surgical Associates, Fairfield Endoscopy Center
Hsc Surgical Associates Of Cincinnati, LLC
$814.00Published ratePremier Physicians Centers, Inc
Premier Physicians Centers, Inc.
$589.00Published rate
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See a sample payer proposalCPT 51050 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 51050 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 51050 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 |
|---|---|---|
| 51050-CPT | Moderate | Cystolithotomy Cystotomy W/Remval Of Calculus W/O Vesical Ne, Cystolithotomy Cystotomy With Removal Of Calculus Without Vesical Ne |
| 51060-CPT | Moderate | Pass Kidney Stone Out Bladder, Access Kidney Stone In The Ureter (Tube From Kidney Connected To Bladder) Through Surgical Cut In The Bladder. |
| 51065-CPT | Moderate | Treatment Of Urinary Stones, Procedure To Remove Or Destroy A Stone In The Ureter (Passage From Kidney To Bladder). The Procedure Is Done By Making An Incision (Cut) In The Bladder And Removing The Stone With A Basket-Type Instrument. |
| 51525-CPT | High | Cystotomy; For Xcision Of Bladder Dverticulum Sngle Or Multi, Cystotomy; For Excision Of Bladder Diverticulum Single Or Multiple (S |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 51050. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 51050 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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