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See a sample rate comparisonHCPCS C9739 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.
Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants
| Key Fact | Detail |
|---|---|
| Service Type | Outpatient PPS Other Therapeutic Services and Supplies |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for C9739 |
National average reimbursement for HCPCS C9739 by major payers:
$238.34
$1,197.78
$1,814.85
$4,007.85
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HCPCS C9739
5 of 25 sample ratesHigher to lower in this preview
Rapides Regional Medical Center
$8,777.00Published rateAdvanced Surgery Center Of Northern Louisiana LLC
Advanced Surgery Center Of Northern Louisiana, LLC
$2,859.00Published rateCenter For Minimally Invasive Surgery PLLC, Soundview Ambulatory Surgery Center
Center For Minimally Invasive Surgery, PLLC
$1,569.00Published rateOrthopedic Surgery Center LLC, Orthopedic Surgery Center
Orthopedic Surgery Center, LLC.
$1,225.00Published rateConcordia Parish Hospital Service District Number One, Trinity Medical
Riverland Medical Center
$522.00Published rate
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See a sample payer proposalHCPCS C9739 vs. Other Other Therapeutic Services and Supplies Codes
The HCPCS C9739 code is part of the Outpatient PPS services used for Other Therapeutic Services and Supplies. 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 HCPCS C9739 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 |
|---|---|---|
| C9738-HCPCS | Low | Adjunctive blue light cystoscopy with fluorescent imaging agent (list separately in addition to code for primary procedure) |
| C9739-HCPCS | Moderate | Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants |
| C9740-HCPCS | Moderate | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS C9739. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the C9739 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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