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See a sample rate comparisonCPT 51728 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.
Bladder Function Test, A Bladder Function Test Is Called A Cystometrogram. The Test Can Record: Pressure Inside The Bladder And Urinary Tract The Amount Of Urine Produced And The Force (Pressure) Of The Urine Flow.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 52 - Reduced Services 26 - Professional component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 51728 |
| Medicaid Fee Schedule | View Medicaid rates for 51728 |
National average reimbursement for CPT 51728 by major payers:
$412.42
$440.12
$502.21
$573.32
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CPT 51728
5 of 25 sample ratesHigher to lower in this preview
Temple University Hospital, Inc
Temple University Hospital Inc
$6,189.00Published rateOhio Surgery Center LLC
Ohio Surgery Center
$679.00Published rateSurgicare Of Jackson Ltd
$514.00Published rateOpen Access Vascular Access Center, Inc
Open Access Vascular Access Ce
$457.00Published rateInnovative Surgery Center, LLC
Innovative Surgery Center LLC
$328.00Published rate
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See a sample payer proposalCPT 51728 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 51728 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 51728 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 |
|---|---|---|
| 51725-CPT | Moderate | Bladder Function Test, A Bladder Function Test Is Called A Cystometrogram. The Test Can Record: Pressure Inside The Bladder And Urinary Tract The Amount Of Urine Produced And The Force (Pressure) Of The Urine Flow. |
| 51726-CPT | Moderate | Bladder Function Test, A Bladder Function Test Is Called A Cystometrogram. The Test Can Record: Pressure Inside The Bladder And Urinary Tract The Amount Of Urine Produced And The Force (Pressure) Of The Urine Flow. |
| 51727-CPT | Moderate | Bladder Function Test, A Bladder Function Test Is Called A Cystometrogram. The Test Can Record: Pressure Inside The Bladder And Urinary Tract The Amount Of Urine Produced And The Force (Pressure) Of The Urine Flow. |
| 51728-CPT | Moderate | Bladder Function Test, A Bladder Function Test Is Called A Cystometrogram. The Test Can Record: Pressure Inside The Bladder And Urinary Tract The Amount Of Urine Produced And The Force (Pressure) Of The Urine Flow. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 51728. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 51728 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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