Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 52284 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.
Cysto Rx Balo Cath Urtl Strx, Cystourethroscopy With Mechanical Urethral Dilation And Urethral Therapeutic Drug Delivery By Drug Coated Balloon Catheter For Urethral Stricture Or Stenosis Male Including Fluoroscopy When Performed
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 52284 |
| Medicaid Fee Schedule | View Medicaid rates for 52284 |
National average reimbursement for CPT 52284 by major payers:
$430.38
$226.70
$702.91
$416.93
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 52284.
CPT 52284
5 of 25 sample ratesHigher to lower in this preview
Minimally Invasive Surgery Center Of N.E., LLC
$2,859.00Published rateThe Polyclinic, Asc Polyclinic Surgery Center
The Polyclinic, PLLC
$2,136.00Published ratePalm Beach Regional Opco LLC
$1,611.00Published rateSurgical Clinic Solutions, LLC
Surgical Clinic Solutions
$1,100.00Published rateSouth Carolina Endoscopy Center
S.C. Endoscopy Center LLC
$550.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 52284 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 52284 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 52284 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 |
|---|---|---|
| 52284-CPT | Moderate | Cysto Rx Balo Cath Urtl Strx, Cystourethroscopy With Mechanical Urethral Dilation And Urethral Therapeutic Drug Delivery By Drug Coated Balloon Catheter For Urethral Stricture Or Stenosis Male Including Fluoroscopy When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 52284. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 52284 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 52284) and we'll show you how you compare in 15 minutes or less.