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See a sample rate comparisonCPT 51880 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.
Close Cystostomy
| 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 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 51880 |
| Medicaid Fee Schedule | View Medicaid rates for 51880 |
National average reimbursement for CPT 51880 by major payers:
$595.19
$630.18
$653.51
$766.01
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CPT 51880
5 of 25 sample ratesHigher to lower in this preview
Doctors Same Day Surgery Center, Ltd
Doctors Same Day Surgery Center Ltd
$6,651.00Published rateLongleaf Surgery Center, LLC
Longleaf Surgery Center LLC
$2,206.00Published rateOutpatient Surgical Specialties Center, LLC
Outpatient Surgical Specialties Center LLC
$1,615.00Published rateThe Pennsylvania Surgery And Laser Center LLC
Pennsylvania Surgery And Laser
$1,100.00Published ratePuget Sound Gastroenterology, PLLC, Fremont Endoscopy Center
Puget Sound Gastroenterology, P.S.
$610.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 51880 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 51880 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 51880 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 |
|---|---|---|
| 51845-CPT | Moderate | Abdomino-Vaginal Vesical Neck, Abdomino-Vaginal Vesical Neck Suspension With Or Withoutendoscopic Control (Eg Stamey Raz Modified Pereyra) |
| 51860-CPT | Moderate | Cystorrhaphy Suture Of Bladder Wound Njury Or Rupture; Smple, Cystorrhaphy Suture Of Bladder Wound Injury Or Rupture; Simple |
| 51865-CPT | High | Cystorrhaphy Suture Of Bladder Wound Njury Or Rupture; Complic, Cystorrhaphy Suture Of Bladder Wound Injury Or Rupture; Complicated |
| 51880-CPT | Moderate | Close Cystostomy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 51880. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 51880 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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