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See a sample rate comparisonCPT 55060 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.
Repair Of Tunica Hydrocele-Bottle
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Male Genital System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 55060 |
| Medicaid Fee Schedule | View Medicaid rates for 55060 |
National average reimbursement for CPT 55060 by major payers:
$516.16
$503.94
$544.99
$621.91
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CPT 55060
5 of 25 sample ratesHigher to lower in this preview
Grapevine Surgicare Partners Ltd, Baylor Scott & White Surgicare - Southlake
Grapevine Surgicare Partners Ltd
$3,500.00Published rateEye Surgery Center Of Nashville LLC
$2,353.00Published rateSouthern Kentucky Surgicenter, LLC, Greenview Surgery Center
Southern Kentucky Surgicenter LLC
$1,740.00Published rateR Choice Surgical Center LLC
$1,223.00Published rateCentral Ohio Gastroenterology Associates,LLC, Mid Ohio Surgery Center
Central Ohio Gastroenterology Associatesllc
$562.00Published rate
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See a sample payer proposalCPT 55060 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 55060 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 55060 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 |
|---|---|---|
| 55000-CPT | Low | Punctur Aspirat Of Hydrocele Tunica Vaginalis W//W/O In, Puncture Aspiration Of Hydrocele Tunica Vaginalis With Or Without In |
| 55040-CPT | Moderate | Excision Of Hydrocele; Unilateral |
| 55041-CPT | Moderate | Excision Hydrocele Bilateral |
| 55060-CPT | Moderate | Repair Of Tunica Hydrocele-Bottle |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 55060. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 55060 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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