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 54308 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.
Urethroplasty For Second Stage Hypospadias Rpair (Inclu Urinary, Urethroplasty For Second Stage Hypospadias Repair (Including Urinary D
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Male Genital System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 19 - Off Campus Outpatient Hospital |
| Common Modifiers | None AG - Primary physician 82 - Assistant surgeon - no qualified resident |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 54308 |
| Medicaid Fee Schedule | View Medicaid rates for 54308 |
National average reimbursement for CPT 54308 by major payers:
$864.43
$958.90
$1,010.58
$1,174.10
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 54308.
CPT 54308
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Brazoria, LLC
Memorial Hermann Surgery Center Brazoria LLC
$7,770.00Published rateEmmaus Surgical Center, LLC
$3,690.00Published rateFort Sanders West Op Surgery Center
$2,500.00Published rateCapital Womens Care LLC, Frederick Ob/Gyn Ambulatory Surgery Center
Capital Womens Care, LLC
$1,935.00Published rateSurgery Center Of Eye Specialists Of Indiana, PC, Surgery Center
Surgery Center Of Eye Specialists Of Indiana PC
$705.00Published 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 54308 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 54308 code is part of the Surgery services used for Surgical Procedures on the Male Genital 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 54308 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 |
|---|---|---|
| 54308-CPT | Moderate | Urethroplasty For Second Stage Hypospadias Rpair (Inclu Urinary, Urethroplasty For Second Stage Hypospadias Repair (Including Urinary D |
| 54312-CPT | High | Urethroplasty For Second Stage Hypospadias Rpair (Inclu Urinary, Urethroplasty For Second Stage Hypospadias Repair (Including Urinary D |
| 54316-CPT | High | Urethroplasty For Second Stage, Urethroplasty For Second Stage Hypospadias Repair (Includingurinary Diversion) With Free Skin Graft Obtained From Site Other Than Genitalia |
| 54406-CPT | Moderate | Remove Muti Comp Penis Pros, Removal Of All Components Of A Multi Component Inflatable Penile Prosthesis Without Replacement Of Prosthesis |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 54308. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 54308 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 54308) and we'll show you how you compare in 15 minutes or less.