# CPT 50546: Laparoscopic nephrectomy

Medicare CPT 50546 pays $1,079.18 in a non-facility setting and $1,079.18 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $993.42 in Arkansas to $1,408.28 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/50546-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,079.18 |
| National facility | $1,079.18 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,408.28 | $1,408.28 |
| New York | $1,179.49 | $1,179.49 |
| District of Columbia | $1,176.55 | $1,176.55 |
| Florida | $1,173.67 | $1,173.67 |
| Illinois | $1,162.69 | $1,162.69 |
| New Jersey | $1,157.81 | $1,157.81 |
| Connecticut | $1,134.84 | $1,134.84 |
| Washington | $1,118.30 | $1,118.30 |
| Massachusetts | $1,117.13 | $1,117.13 |
| California | $1,108.60 | $1,108.60 |
| Maryland | $1,107.51 | $1,107.51 |
| Michigan | $1,103.11 | $1,103.11 |
| Rhode Island | $1,090.89 | $1,090.89 |
| Georgia | $1,087.34 | $1,087.34 |
| Pennsylvania | $1,086.92 | $1,086.92 |
| West Virginia | $1,086.66 | $1,086.66 |
| Colorado | $1,083.24 | $1,083.24 |
| Puerto Rico | $1,080.65 | $1,080.65 |
| Virgin Islands | $1,080.65 | $1,080.65 |
| Montana | $1,078.99 | $1,078.99 |
| New Hampshire | $1,077.82 | $1,077.82 |
| New Mexico | $1,076.79 | $1,076.79 |
| Hawaii | $1,074.30 | $1,074.30 |
| Texas | $1,071.91 | $1,071.91 |
| Oregon | $1,071.90 | $1,071.90 |
| Delaware | $1,069.54 | $1,069.54 |
| Nevada | $1,062.94 | $1,062.94 |
| Louisiana | $1,060.49 | $1,060.49 |
| Ohio | $1,056.64 | $1,056.64 |
| Arizona | $1,056.63 | $1,056.63 |
| Missouri | $1,055.55 | $1,055.55 |
| Wyoming | $1,053.48 | $1,053.48 |
| Utah | $1,053.01 | $1,053.01 |
| Virginia | $1,045.56 | $1,045.56 |
| South Carolina | $1,043.97 | $1,043.97 |
| Kentucky | $1,041.01 | $1,041.01 |
| Maine | $1,030.32 | $1,030.32 |
| Oklahoma | $1,028.44 | $1,028.44 |
| Vermont | $1,027.66 | $1,027.66 |
| North Carolina | $1,025.52 | $1,025.52 |
| North Dakota | $1,020.46 | $1,020.46 |
| Minnesota | $1,017.36 | $1,017.36 |
| Mississippi | $1,016.10 | $1,016.10 |
| South Dakota | $1,013.54 | $1,013.54 |
| Tennessee | $1,009.00 | $1,009.00 |
| Indiana | $1,008.79 | $1,008.79 |
| Idaho | $1,005.62 | $1,005.62 |
| Kansas | $1,004.40 | $1,004.40 |
| Alabama | $1,002.75 | $1,002.75 |
| Wisconsin | $999.50 | $999.50 |
| Nebraska | $997.04 | $997.04 |
| Iowa | $996.77 | $996.77 |
| Arkansas | $993.42 | $993.42 |

## 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
- 50230: Nephrectomy, radical, transperitoneal or retroperitoneal — https://www.med-reveal.com/rates/50230-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

Commercial negotiated rates for 50546 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