# CPT 52356: Cystourethroscopy with ureteroscopy, lithotripsy, and stent placement

Medicare CPT 52356 pays $365.07 in a non-facility setting and $365.07 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $338.45 in Nebraska to $484.62 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/52356-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Urology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $365.07 |
| National facility | $365.07 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $484.62 | $484.62 |
| New York | $397.82 | $397.82 |
| Florida | $397.56 | $397.56 |
| District of Columbia | $395.53 | $395.53 |
| Illinois | $394.64 | $394.64 |
| New Jersey | $390.18 | $390.18 |
| Connecticut | $382.86 | $382.86 |
| Washington | $375.96 | $375.96 |
| Massachusetts | $375.87 | $375.87 |
| Michigan | $374.66 | $374.66 |
| Maryland | $374.10 | $374.10 |
| California | $371.73 | $371.73 |
| West Virginia | $370.52 | $370.52 |
| Georgia | $368.92 | $368.92 |
| Rhode Island | $368.67 | $368.67 |
| Pennsylvania | $368.33 | $368.33 |
| New Mexico | $366.07 | $366.07 |
| Puerto Rico | $365.34 | $365.34 |
| Virgin Islands | $365.34 | $365.34 |
| Colorado | $365.25 | $365.25 |
| Montana | $365.00 | $365.00 |
| New Hampshire | $363.70 | $363.70 |
| Texas | $362.99 | $362.99 |
| Delaware | $362.09 | $362.09 |
| Oregon | $361.51 | $361.51 |
| Louisiana | $360.55 | $360.55 |
| Hawaii | $360.38 | $360.38 |
| Nevada | $359.45 | $359.45 |
| Ohio | $359.21 | $359.21 |
| Missouri | $358.74 | $358.74 |
| Arizona | $357.98 | $357.98 |
| Utah | $357.37 | $357.37 |
| Wyoming | $356.21 | $356.21 |
| South Carolina | $354.61 | $354.61 |
| Kentucky | $354.35 | $354.35 |
| Virginia | $353.86 | $353.86 |
| Oklahoma | $349.93 | $349.93 |
| Maine | $349.22 | $349.22 |
| North Carolina | $348.05 | $348.05 |
| Vermont | $347.54 | $347.54 |
| Mississippi | $346.38 | $346.38 |
| North Dakota | $344.83 | $344.83 |
| Minnesota | $343.13 | $343.13 |
| Tennessee | $342.88 | $342.88 |
| South Dakota | $342.45 | $342.45 |
| Indiana | $342.42 | $342.42 |
| Alabama | $341.48 | $341.48 |
| Idaho | $341.48 | $341.48 |
| Kansas | $341.41 | $341.41 |
| Arkansas | $338.61 | $338.61 |
| Iowa | $338.54 | $338.54 |
| Wisconsin | $338.54 | $338.54 |
| Nebraska | $338.45 | $338.45 |

## 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 52356 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