# CPT 50230: Nephrectomy, radical, transperitoneal or retroperitoneal

Medicare CPT 50230 pays $1,142.64 in a non-facility setting and $1,142.64 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,053.27 in Arkansas to $1,498.00 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/50230-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Urology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,142.64 |
| National facility | $1,142.64 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,498.00 | $1,498.00 |
| New York | $1,248.51 | $1,248.51 |
| Florida | $1,246.90 | $1,246.90 |
| District of Columbia | $1,242.81 | $1,242.81 |
| Illinois | $1,236.14 | $1,236.14 |
| New Jersey | $1,224.11 | $1,224.11 |
| Connecticut | $1,200.97 | $1,200.97 |
| Washington | $1,180.17 | $1,180.17 |
| Massachusetts | $1,179.53 | $1,179.53 |
| Maryland | $1,172.16 | $1,172.16 |
| Michigan | $1,171.40 | $1,171.40 |
| California | $1,167.75 | $1,167.75 |
| West Virginia | $1,155.90 | $1,155.90 |
| Rhode Island | $1,154.10 | $1,154.10 |
| Georgia | $1,153.39 | $1,153.39 |
| Pennsylvania | $1,151.87 | $1,151.87 |
| Colorado | $1,144.55 | $1,144.55 |
| Puerto Rico | $1,143.85 | $1,143.85 |
| Virgin Islands | $1,143.85 | $1,143.85 |
| New Mexico | $1,143.17 | $1,143.17 |
| Montana | $1,142.43 | $1,142.43 |
| New Hampshire | $1,139.58 | $1,139.58 |
| Texas | $1,135.14 | $1,135.14 |
| Oregon | $1,132.46 | $1,132.46 |
| Delaware | $1,132.39 | $1,132.39 |
| Hawaii | $1,132.03 | $1,132.03 |
| Louisiana | $1,125.32 | $1,125.32 |
| Nevada | $1,124.66 | $1,124.66 |
| Ohio | $1,121.06 | $1,121.06 |
| Missouri | $1,119.67 | $1,119.67 |
| Arizona | $1,118.91 | $1,118.91 |
| Utah | $1,116.01 | $1,116.01 |
| Wyoming | $1,114.25 | $1,114.25 |
| South Carolina | $1,106.64 | $1,106.64 |
| Virginia | $1,106.14 | $1,106.14 |
| Kentucky | $1,104.70 | $1,104.70 |
| Oklahoma | $1,090.66 | $1,090.66 |
| Maine | $1,090.36 | $1,090.36 |
| Vermont | $1,086.11 | $1,086.11 |
| North Carolina | $1,085.92 | $1,085.92 |
| Mississippi | $1,078.25 | $1,078.25 |
| North Dakota | $1,077.77 | $1,077.77 |
| Minnesota | $1,073.24 | $1,073.24 |
| South Dakota | $1,070.12 | $1,070.12 |
| Tennessee | $1,068.58 | $1,068.58 |
| Indiana | $1,067.66 | $1,067.66 |
| Idaho | $1,064.43 | $1,064.43 |
| Kansas | $1,063.69 | $1,063.69 |
| Alabama | $1,062.97 | $1,062.97 |
| Wisconsin | $1,056.22 | $1,056.22 |
| Iowa | $1,054.84 | $1,054.84 |
| Nebraska | $1,054.83 | $1,054.83 |
| Arkansas | $1,053.27 | $1,053.27 |

## Related codes

- 50010: Renal exploration, not necessitating other specific procedures — https://www.med-reveal.com/rates/50010-cpt-fee-schedule
- 50060: Nephrolithotomy, removal of calculus — https://www.med-reveal.com/rates/50060-cpt-fee-schedule
- 50120: Pyelotomy, with exploration — https://www.med-reveal.com/rates/50120-cpt-fee-schedule
- 50200: Renal biopsy, percutaneous, needle — https://www.med-reveal.com/rates/50200-cpt-fee-schedule
- 50240: Nephrectomy, partial — https://www.med-reveal.com/rates/50240-cpt-fee-schedule
- 50250: Cryosurgical ablation of renal mass, percutaneous — https://www.med-reveal.com/rates/50250-cpt-fee-schedule
- 50320: Donor nephrectomy, open, from living donor — https://www.med-reveal.com/rates/50320-cpt-fee-schedule
- 50390: Aspiration/injection of renal cyst — https://www.med-reveal.com/rates/50390-cpt-fee-schedule

Commercial negotiated rates for 50230 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules