# CPT 60650: Laparoscopy, surgical, adrenalectomy

Medicare CPT 60650 pays $1,103.90 in a non-facility setting and $1,103.90 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $986.02 in Wisconsin to $1,390.32 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/60650-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,103.90 |
| National facility | $1,103.90 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,390.32 | $1,390.32 |
| Florida | $1,250.27 | $1,250.27 |
| Illinois | $1,236.95 | $1,236.95 |
| New York | $1,222.96 | $1,222.96 |
| District of Columbia | $1,206.70 | $1,206.70 |
| New Jersey | $1,186.02 | $1,186.02 |
| Connecticut | $1,170.86 | $1,170.86 |
| Michigan | $1,149.72 | $1,149.72 |
| Maryland | $1,136.28 | $1,136.28 |
| West Virginia | $1,134.07 | $1,134.07 |
| Massachusetts | $1,133.09 | $1,133.09 |
| Washington | $1,131.28 | $1,131.28 |
| Georgia | $1,122.45 | $1,122.45 |
| Pennsylvania | $1,114.94 | $1,114.94 |
| New Mexico | $1,111.94 | $1,111.94 |
| Rhode Island | $1,109.21 | $1,109.21 |
| California | $1,108.21 | $1,108.21 |
| Puerto Rico | $1,104.62 | $1,104.62 |
| Virgin Islands | $1,104.62 | $1,104.62 |
| Montana | $1,103.59 | $1,103.59 |
| New Hampshire | $1,095.98 | $1,095.98 |
| Colorado | $1,095.97 | $1,095.97 |
| Texas | $1,092.42 | $1,092.42 |
| Delaware | $1,088.45 | $1,088.45 |
| Louisiana | $1,087.18 | $1,087.18 |
| Oregon | $1,081.55 | $1,081.55 |
| Ohio | $1,081.18 | $1,081.18 |
| Missouri | $1,078.83 | $1,078.83 |
| Nevada | $1,078.52 | $1,078.52 |
| Hawaii | $1,076.92 | $1,076.92 |
| Arizona | $1,073.24 | $1,073.24 |
| Utah | $1,071.71 | $1,071.71 |
| Wyoming | $1,063.95 | $1,063.95 |
| Kentucky | $1,060.29 | $1,060.29 |
| South Carolina | $1,059.94 | $1,059.94 |
| Virginia | $1,054.05 | $1,054.05 |
| Oklahoma | $1,040.19 | $1,040.19 |
| Maine | $1,034.26 | $1,034.26 |
| North Carolina | $1,029.99 | $1,029.99 |
| Mississippi | $1,025.54 | $1,025.54 |
| Vermont | $1,025.25 | $1,025.25 |
| North Dakota | $1,012.64 | $1,012.64 |
| Tennessee | $1,007.72 | $1,007.72 |
| Indiana | $1,004.84 | $1,004.84 |
| Minnesota | $1,003.72 | $1,003.72 |
| Alabama | $1,002.82 | $1,002.82 |
| South Dakota | $1,001.88 | $1,001.88 |
| Kansas | $1,001.27 | $1,001.27 |
| Idaho | $1,000.91 | $1,000.91 |
| Arkansas | $990.58 | $990.58 |
| Iowa | $987.86 | $987.86 |
| Nebraska | $987.14 | $987.14 |
| Wisconsin | $986.02 | $986.02 |

## Related codes

- 19000: Puncture aspiration of cyst of breast — https://www.med-reveal.com/rates/19000-cpt-fee-schedule
- 19020: Mastotomy with exploration or drainage of abscess — https://www.med-reveal.com/rates/19020-cpt-fee-schedule
- 19081: Biopsy, breast, with placement of localization device, stereotactic guidance, first lesion — https://www.med-reveal.com/rates/19081-cpt-fee-schedule
- 19083: Biopsy, breast, with placement of localization device, ultrasound guidance, first lesion — https://www.med-reveal.com/rates/19083-cpt-fee-schedule
- 19100: Biopsy of breast, percutaneous, needle core — https://www.med-reveal.com/rates/19100-cpt-fee-schedule
- 19120: Excision of cyst/fibroadenoma/lesion of breast — https://www.med-reveal.com/rates/19120-cpt-fee-schedule
- 19301: Mastectomy, partial (lumpectomy) — https://www.med-reveal.com/rates/19301-cpt-fee-schedule
- 19303: Mastectomy, simple, complete — https://www.med-reveal.com/rates/19303-cpt-fee-schedule

Commercial negotiated rates for 60650 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