# CPT 54650: Orchiopexy Abdl Approach Intra-abdominal Testis

Medicare CPT 54650 pays $647.98 in a non-facility setting and $647.98 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $595.81 in Arkansas to $839.17 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/54650-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Urology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $647.98 |
| National facility | $647.98 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $839.17 | $839.17 |
| District of Columbia | $709.94 | $709.94 |
| New York | $707.92 | $707.92 |
| New Jersey | $697.33 | $697.33 |
| Florida | $697.32 | $697.32 |
| Illinois | $689.73 | $689.73 |
| Connecticut | $681.71 | $681.71 |
| Washington | $676.86 | $676.86 |
| Massachusetts | $675.27 | $675.27 |
| California | $674.27 | $674.27 |
| Maryland | $665.42 | $665.42 |
| Michigan | $657.17 | $657.17 |
| Rhode Island | $656.46 | $656.46 |
| Colorado | $653.91 | $653.91 |
| Hawaii | $652.77 | $652.77 |
| Pennsylvania | $651.20 | $651.20 |
| Georgia | $649.81 | $649.81 |
| New Hampshire | $649.46 | $649.46 |
| Puerto Rico | $649.33 | $649.33 |
| Virgin Islands | $649.33 | $649.33 |
| Montana | $647.87 | $647.87 |
| Oregon | $647.31 | $647.31 |
| West Virginia | $644.86 | $644.86 |
| Texas | $643.55 | $643.55 |
| Delaware | $642.48 | $642.48 |
| New Mexico | $642.29 | $642.29 |
| Nevada | $639.58 | $639.58 |
| Wyoming | $634.60 | $634.60 |
| Arizona | $634.59 | $634.59 |
| Louisiana | $633.60 | $633.60 |
| Ohio | $631.59 | $631.59 |
| Missouri | $631.28 | $631.28 |
| Utah | $631.15 | $631.15 |
| Virginia | $629.57 | $629.57 |
| South Carolina | $625.59 | $625.59 |
| Kentucky | $622.18 | $622.18 |
| Vermont | $620.64 | $620.64 |
| Maine | $620.17 | $620.17 |
| North Dakota | $617.42 | $617.42 |
| Minnesota | $617.36 | $617.36 |
| North Carolina | $616.47 | $616.47 |
| Oklahoma | $615.85 | $615.85 |
| South Dakota | $613.82 | $613.82 |
| Mississippi | $607.72 | $607.72 |
| Indiana | $607.45 | $607.45 |
| Tennessee | $606.59 | $606.59 |
| Idaho | $605.43 | $605.43 |
| Wisconsin | $604.27 | $604.27 |
| Kansas | $603.93 | $603.93 |
| Alabama | $601.52 | $601.52 |
| Nebraska | $601.12 | $601.12 |
| Iowa | $600.55 | $600.55 |
| Arkansas | $595.81 | $595.81 |

## 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 54650 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