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See a sample rate comparisonCPT 51102 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.
Drain Bl W/Cath Insertion
| 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 51102 |
| Medicaid Fee Schedule | View Medicaid rates for 51102 |
National average reimbursement for CPT 51102 by major payers:
$298.50
$332.83
$354.33
$264.79
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CPT 51102
5 of 25 sample ratesHigher to lower in this preview
Physicians West Houston Surgical Center, LLC, Memorial Hermann Surgery Center Park Ten
$5,729.00Published ratePremier Endoscopy, LLC
Premier Endoscopy LLC
$2,795.00Published rateInnovative Procedural Center LLC
Innovative Procedure Center LLC
$1,836.00Published rateSheepshead Bay Surgery Center, Inc., Sheepshead Bay Surgery Center
Sheepshead Bay Surgery Center
$1,120.00Published rateNorth Houston Endoscopy & Surgery
North Houston Endoscopy Surgery
$620.00Published rate
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See a sample payer proposalCPT 51102 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 51102 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 51102 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 51102. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 51102 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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