CPT 52300

Cysto W/Rescj/Fulg Orthopic Ureterocele Uni/Bi

CPT 52300 pays $247.17 in a non-facility setting and $247.17 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $229.08 in Arkansas to $327.02 in Alaska, a 43% spread.

National non-facility rate

$247.17

Office and other outpatient settings

Facility rate
$247.17

Hospital and ASC settings

Highest state
$327.02

Alaska

Lowest state
$229.08

Arkansas · 43% 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 $247.17
CPT 52300 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $247.17, national facility $247.17.
StateRate compared visuallyNon-facilityFacility
Alaska
$327.02$327.02
New York
$269.34$269.34
District of Columbia
$268.32$268.32
Florida
$268.21$268.21
Illinois
$266.08$266.08
New Jersey
$264.49$264.49
Connecticut
$259.29$259.29
Washington
$255.30$255.30
Massachusetts
$255.11$255.11
Maryland
$253.35$253.35
Michigan
$252.95$252.95
California
$252.88$252.88
Rhode Island
$249.80$249.80
West Virginia
$249.80$249.80
Georgia
$249.35$249.35
Pennsylvania
$249.17$249.17
Colorado
$247.77$247.77
Puerto Rico
$247.41$247.41
Virgin Islands
$247.41$247.41
New Mexico
$247.25$247.25
Montana
$247.12$247.12
New Hampshire
$246.56$246.56
Texas
$245.74$245.74
Oregon
$245.26$245.26
Delaware
$245.17$245.17
Hawaii
$245.07$245.07
Louisiana
$243.64$243.64
Nevada
$243.54$243.54
Ohio
$242.78$242.78
Missouri
$242.50$242.50
Arizona
$242.37$242.37
Utah
$241.77$241.77
Wyoming
$241.44$241.44
South Carolina
$239.87$239.87
Virginia
$239.79$239.79
Kentucky
$239.47$239.47
Oklahoma
$236.64$236.64
Maine
$236.60$236.60
Vermont
$235.75$235.75
North Carolina
$235.70$235.70
Mississippi
$234.12$234.12
North Dakota
$234.07$234.07
Minnesota
$233.17$233.17
South Dakota
$232.53$232.53
Tennessee
$232.19$232.19
Indiana
$232.01$232.01
Idaho
$231.35$231.35
Kansas
$231.20$231.20
Alabama
$231.04$231.04
Wisconsin
$229.71$229.71
Iowa
$229.42$229.42
Nebraska
$229.42$229.42
Arkansas
$229.08$229.08

Billed by 1 specialties

Commercial rates for 52300

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

See negotiated rates