# CPT 50432: Nephrostomy placement, percutaneous

Medicare CPT 50432 pays $864.08 in a non-facility setting and $177.69 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $755.67 in Arkansas to $1,000.80 in District of Columbia, a 32% spread.

Web page: https://www.med-reveal.com/rates/50432-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $864.08 |
| National facility | $177.69 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $1,000.80 | $192.24 |
| California | $994.03 | $181.85 |
| Alaska | $969.53 | $238.53 |
| Washington | $965.88 | $183.40 |
| New Jersey | $962.63 | $189.76 |
| New York | $958.59 | $192.85 |
| Hawaii | $956.60 | $176.18 |
| Massachusetts | $954.40 | $183.24 |
| Connecticut | $925.10 | $185.86 |
| Colorado | $908.54 | $178.23 |
| Oregon | $899.65 | $176.53 |
| Maryland | $897.47 | $181.90 |
| New Hampshire | $891.78 | $177.25 |
| Rhode Island | $888.75 | $179.71 |
| Florida | $880.08 | $191.40 |
| Minnesota | $874.83 | $168.54 |
| Puerto Rico | $871.78 | $177.84 |
| Virgin Islands | $871.78 | $177.84 |
| Montana | $864.05 | $177.66 |
| Nevada | $862.40 | $175.33 |
| Wyoming | $860.35 | $173.96 |
| North Dakota | $855.55 | $169.16 |
| Delaware | $854.65 | $176.50 |
| South Dakota | $854.54 | $168.16 |
| Illinois | $853.34 | $190.12 |
| Texas | $852.63 | $176.87 |
| Pennsylvania | $851.50 | $179.18 |
| Vermont | $849.79 | $170.27 |
| Virginia | $847.63 | $172.91 |
| Arizona | $839.71 | $174.60 |
| Georgia | $834.01 | $179.19 |
| Maine | $826.71 | $170.86 |
| Michigan | $826.05 | $181.53 |
| Wisconsin | $823.93 | $166.37 |
| Utah | $819.45 | $174.24 |
| North Carolina | $810.69 | $170.29 |
| New Mexico | $807.25 | $177.84 |
| South Carolina | $807.25 | $173.03 |
| Missouri | $804.62 | $174.75 |
| Indiana | $804.18 | $167.90 |
| Louisiana | $802.17 | $175.50 |
| Ohio | $801.60 | $174.93 |
| Nebraska | $799.75 | $166.21 |
| Idaho | $798.96 | $167.48 |
| Iowa | $794.27 | $166.22 |
| Tennessee | $791.96 | $168.03 |
| Kansas | $787.89 | $167.39 |
| Oklahoma | $783.90 | $170.95 |
| Kentucky | $783.00 | $172.80 |
| West Virginia | $776.02 | $179.55 |
| Alabama | $767.92 | $167.33 |
| Mississippi | $760.33 | $169.35 |
| Arkansas | $755.67 | $166.06 |

## Related codes

- 36901: Introduction of needle/catheter, dialysis circuit, imaging, diagnostic — https://www.med-reveal.com/rates/36901-cpt-fee-schedule
- 36902: Dialysis circuit, transluminal balloon angioplasty — https://www.med-reveal.com/rates/36902-cpt-fee-schedule
- 36905: Dialysis circuit, transluminal balloon angioplasty and thrombectomy — https://www.med-reveal.com/rates/36905-cpt-fee-schedule
- 37184: Primary percutaneous transluminal mechanical thrombectomy, non-coronary, initial vessel — https://www.med-reveal.com/rates/37184-cpt-fee-schedule
- 37191: Insertion of intravascular vena cava filter — https://www.med-reveal.com/rates/37191-cpt-fee-schedule
- 37193: Retrieval of intravascular vena cava filter, endovascular approach — https://www.med-reveal.com/rates/37193-cpt-fee-schedule
- 37211: Transcatheter thrombolytic infusion, arterial, initial treatment day — https://www.med-reveal.com/rates/37211-cpt-fee-schedule
- 37241: Vascular embolization/occlusion, venous — https://www.med-reveal.com/rates/37241-cpt-fee-schedule

Commercial negotiated rates for 50432 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