# CPT 50545: Laparoscopy Radical Nephrectomy

Medicare CPT 50545 pays $1,186.40 in a non-facility setting and $1,186.40 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,097.63 in Arkansas to $1,563.87 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/50545-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Urology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,186.40 |
| National facility | $1,186.40 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,563.87 | $1,563.87 |
| New York | $1,293.81 | $1,293.81 |
| District of Columbia | $1,289.49 | $1,289.49 |
| Florida | $1,287.83 | $1,287.83 |
| Illinois | $1,277.10 | $1,277.10 |
| New Jersey | $1,270.47 | $1,270.47 |
| Connecticut | $1,245.37 | $1,245.37 |
| Washington | $1,226.69 | $1,226.69 |
| Massachusetts | $1,225.67 | $1,225.67 |
| Maryland | $1,216.47 | $1,216.47 |
| California | $1,215.45 | $1,215.45 |
| Michigan | $1,213.57 | $1,213.57 |
| Rhode Island | $1,199.15 | $1,199.15 |
| West Virginia | $1,197.57 | $1,197.57 |
| Georgia | $1,196.34 | $1,196.34 |
| Pennsylvania | $1,195.66 | $1,195.66 |
| Colorado | $1,189.84 | $1,189.84 |
| Puerto Rico | $1,187.71 | $1,187.71 |
| Virgin Islands | $1,187.71 | $1,187.71 |
| Montana | $1,186.19 | $1,186.19 |
| New Mexico | $1,185.82 | $1,185.82 |
| New Hampshire | $1,183.96 | $1,183.96 |
| Texas | $1,179.24 | $1,179.24 |
| Hawaii | $1,177.88 | $1,177.88 |
| Oregon | $1,177.70 | $1,177.70 |
| Delaware | $1,176.58 | $1,176.58 |
| Nevada | $1,168.93 | $1,168.93 |
| Louisiana | $1,168.41 | $1,168.41 |
| Ohio | $1,164.26 | $1,164.26 |
| Missouri | $1,162.98 | $1,162.98 |
| Arizona | $1,162.91 | $1,162.91 |
| Utah | $1,159.71 | $1,159.71 |
| Wyoming | $1,158.78 | $1,158.78 |
| Virginia | $1,150.68 | $1,150.68 |
| South Carolina | $1,150.39 | $1,150.39 |
| Kentucky | $1,148.05 | $1,148.05 |
| Maine | $1,134.97 | $1,134.97 |
| Oklahoma | $1,134.44 | $1,134.44 |
| Vermont | $1,131.29 | $1,131.29 |
| North Carolina | $1,130.35 | $1,130.35 |
| North Dakota | $1,123.31 | $1,123.31 |
| Mississippi | $1,121.95 | $1,121.95 |
| Minnesota | $1,119.29 | $1,119.29 |
| South Dakota | $1,115.87 | $1,115.87 |
| Tennessee | $1,113.18 | $1,113.18 |
| Indiana | $1,112.52 | $1,112.52 |
| Idaho | $1,109.29 | $1,109.29 |
| Kansas | $1,108.35 | $1,108.35 |
| Alabama | $1,107.28 | $1,107.28 |
| Wisconsin | $1,101.80 | $1,101.80 |
| Nebraska | $1,099.99 | $1,099.99 |
| Iowa | $1,099.90 | $1,099.90 |
| Arkansas | $1,097.63 | $1,097.63 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 50545 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