CPT 50225

Nephrectomy W/Prtl Ureterect Opn Rib Rescj Compl

CPT 50225 pays $1,059.48 in a non-facility setting and $1,059.48 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $978.95 in Arkansas to $1,391.04 in Alaska, a 42% spread.

National non-facility rate

$1,059.48

Office and other outpatient settings

Facility rate
$1,059.48

Hospital and ASC settings

Highest state
$1,391.04

Alaska

Lowest state
$978.95

Arkansas · 42% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $1,059.48
CPT 50225 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $1,059.48, national facility $1,059.48.
StateRate compared visuallyNon-facilityFacility
Alaska
$1,391.04$1,391.04
New York
$1,155.78$1,155.78
District of Columbia
$1,153.75$1,153.75
Florida
$1,147.28$1,147.28
Illinois
$1,137.04$1,137.04
New Jersey
$1,135.90$1,135.90
Connecticut
$1,112.66$1,112.66
Washington
$1,098.26$1,098.26
Massachusetts
$1,096.92$1,096.92
California
$1,089.73$1,089.73
Maryland
$1,086.70$1,086.70
Michigan
$1,081.34$1,081.34
Rhode Island
$1,071.51$1,071.51
Pennsylvania
$1,067.00$1,067.00
Georgia
$1,066.86$1,066.86
West Virginia
$1,065.64$1,065.64
Colorado
$1,064.24$1,064.24
Puerto Rico
$1,060.91$1,060.91
Virgin Islands
$1,060.91$1,060.91
Montana
$1,059.29$1,059.29
New Hampshire
$1,058.46$1,058.46
New Mexico
$1,056.76$1,056.76
Hawaii
$1,055.77$1,055.77
Oregon
$1,053.43$1,053.43
Texas
$1,052.91$1,052.91
Delaware
$1,050.70$1,050.70
Nevada
$1,044.39$1,044.39
Louisiana
$1,041.59$1,041.59
Arizona
$1,038.34$1,038.34
Ohio
$1,038.01$1,038.01
Missouri
$1,037.03$1,037.03
Wyoming
$1,035.59$1,035.59
Utah
$1,034.80$1,034.80
Virginia
$1,028.13$1,028.13
South Carolina
$1,026.30$1,026.30
Kentucky
$1,023.34$1,023.34
Maine
$1,013.81$1,013.81
Oklahoma
$1,011.69$1,011.69
Vermont
$1,011.55$1,011.55
North Carolina
$1,009.22$1,009.22
North Dakota
$1,004.92$1,004.92
Minnesota
$1,002.21$1,002.21
Mississippi
$1,000.03$1,000.03
South Dakota
$998.49$998.49
Tennessee
$993.73$993.73
Indiana
$993.64$993.64
Idaho
$990.66$990.66
Kansas
$989.42$989.42
Alabama
$987.71$987.71
Wisconsin
$985.20$985.20
Nebraska
$982.70$982.70
Iowa
$982.40$982.40
Arkansas
$978.95$978.95

Billed by 1 specialties

Commercial rates for 50225

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates