# CPT 55821: Prostatectomy Suprapubic Subtotal 1/2 Stages

Medicare CPT 55821 pays $755.19 in a non-facility setting and $755.19 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $696.47 in Arkansas to $986.53 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/55821-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Urology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $755.19 |
| National facility | $755.19 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $986.53 | $986.53 |
| New York | $824.35 | $824.35 |
| District of Columbia | $824.17 | $824.17 |
| Florida | $816.24 | $816.24 |
| New Jersey | $810.75 | $810.75 |
| Illinois | $808.40 | $808.40 |
| Connecticut | $793.65 | $793.65 |
| Washington | $784.90 | $784.90 |
| Massachusetts | $783.64 | $783.64 |
| California | $779.83 | $779.83 |
| Maryland | $774.94 | $774.94 |
| Michigan | $769.17 | $769.17 |
| Rhode Island | $764.20 | $764.20 |
| Pennsylvania | $760.01 | $760.01 |
| Colorado | $759.77 | $759.77 |
| Georgia | $759.41 | $759.41 |
| West Virginia | $756.87 | $756.87 |
| Puerto Rico | $756.41 | $756.41 |
| Virgin Islands | $756.41 | $756.41 |
| Hawaii | $755.33 | $755.33 |
| New Hampshire | $755.30 | $755.30 |
| Montana | $755.07 | $755.07 |
| Oregon | $752.06 | $752.06 |
| New Mexico | $751.66 | $751.66 |
| Texas | $750.32 | $750.32 |
| Delaware | $748.86 | $748.86 |
| Nevada | $744.74 | $744.74 |
| Louisiana | $741.05 | $741.05 |
| Arizona | $739.90 | $739.90 |
| Wyoming | $738.61 | $738.61 |
| Ohio | $738.56 | $738.56 |
| Missouri | $737.97 | $737.97 |
| Utah | $736.86 | $736.86 |
| Virginia | $733.09 | $733.09 |
| South Carolina | $730.65 | $730.65 |
| Kentucky | $727.90 | $727.90 |
| Maine | $722.60 | $722.60 |
| Vermont | $721.71 | $721.71 |
| Oklahoma | $719.88 | $719.88 |
| North Carolina | $718.96 | $718.96 |
| North Dakota | $717.30 | $717.30 |
| Minnesota | $716.00 | $716.00 |
| South Dakota | $712.83 | $712.83 |
| Mississippi | $711.15 | $711.15 |
| Indiana | $708.02 | $708.02 |
| Tennessee | $707.72 | $707.72 |
| Idaho | $705.81 | $705.81 |
| Kansas | $704.63 | $704.63 |
| Alabama | $702.87 | $702.87 |
| Wisconsin | $702.77 | $702.77 |
| Nebraska | $700.34 | $700.34 |
| Iowa | $699.97 | $699.97 |
| Arkansas | $696.47 | $696.47 |

## 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 55821 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