| Code | Description | States | Median rate |
|---|---|---|---|
| 50010 | Surgical exploration of the kidney | 47 | $569.06 |
| 50020 | Open drainage of a kidney abscess | 48 | $755.76 |
| 50060 | Open kidney stone removal | 47 | $886.15 |
| 50065 | Open kidney stone removal, repeat surgery | 47 | $943.80 |
| 50075 | Open removal of a large staghorn kidney stone | 47 | $1,148.89 |
| 50080 | Kidney stone removal through the skin, simple (up to 2 cm) | 48 | $671.76 |
| 50081 | Kidney stone removal through the skin, complex (over 2 cm) | 48 | $992.59 |
| 50130 | Open kidney pelvis stone removal | 46 | $829.48 |
| 50200 | Needle biopsy of the kidney | 48 | $326.94 |
| 50205 | Open kidney biopsy | 47 | $565.66 |
| 50220 | Open kidney removal | 47 | $857.26 |
| 50225 | Open kidney removal, complicated by prior surgery | 46 | $949.87 |
| 50230 | Radical open kidney removal with lymph nodes | 46 | $1,038.72 |
| 50240 | Partial kidney removal, open | 46 | $1,046.80 |
| 50250 | Open freezing of kidney tumors | 45 | $942.71 |
| 50280 | Kidney cyst removal or unroofing, open | 47 | $757.29 |
| 50290 | Removal of a cyst next to the kidney | 47 | $712.35 |
| 50300 | Donor kidney removal, deceased donor | 20 | $670.00 |
| 50320 | Open kidney removal from a living donor | 42 | $1,174.98 |
| 50323 | Donor kidney preparation before transplant, deceased donor | 20 | $155.16 |
| 50325 | Donor kidney preparation before transplant, living donor | 18 | $154.86 |
| 50327 | Donor kidney vein reconstruction before transplant, each | 32 | $168.69 |
| 50328 | Donor kidney artery reconstruction before transplant, each | 32 | $147.28 |
| 50329 | Donor kidney ureter reconstruction before transplant, each | 31 | $143.38 |
| 50340 | Removal of the recipient's kidney before transplant | 45 | $757.60 |
| 50370 | Removal of a transplanted kidney | 46 | $914.97 |
| 50380 | Kidney reimplant (autotransplant) | 44 | $1,539.07 |
| 50390 | Needle drainage or injection of a kidney cyst | 48 | $85.47 |
| 50432 | Kidney drainage tube placement through the skin | 47 | $687.43 |
| 50435 | Kidney drainage tube exchange | 47 | $436.35 |
| 50500 | Repair of a kidney wound or injury | 46 | $962.16 |
| 50520 | Closure of a kidney-to-skin fistula | 47 | $856.46 |
| 50541 | Laparoscopic kidney cyst ablation | 48 | $735.71 |
| 50542 | Laparoscopic kidney tumor ablation | 46 | $938.54 |
| 50543 | Laparoscopic partial kidney removal | 48 | $1,183.93 |
| 50545 | Laparoscopic radical kidney removal | 46 | $1,092.77 |
| 50546 | Laparoscopic kidney removal | 47 | $938.07 |
| 50547 | Laparoscopic kidney removal from a living donor | 43 | $1,218.67 |
| 50548 | Laparoscopic kidney and ureter removal | 47 | $1,035.27 |
| 50549 | Unlisted laparoscopic kidney procedure | 11 | $2,565.07 |
| 50590 | Kidney stone fragmentation by shock waves (lithotripsy) | 48 | $627.14 |
| 50592 | Kidney tumor radiofrequency ablation through the skin | 46 | $2,214.15 |
| 50593 | Kidney tumor freezing (cryoablation) through the skin | 45 | $2,794.92 |
| 50610 | Open ureter stone removal, upper third | 46 | $780.17 |
| 50620 | Open ureter stone removal, middle third | 46 | $730.00 |
| 50630 | Open ureter stone removal, lower third | 47 | $735.23 |
| 50727 | Urostomy revision | 47 | $417.68 |
| 50728 | Urostomy revision with hernia repair | 47 | $558.28 |
| 50780 | Reimplanting one ureter into the bladder | 47 | $902.73 |
| 50820 | Urinary diversion with a bowel segment (ileal conduit) | 47 | $1,066.93 |
| 50830 | Reversal of a urinary diversion | 45 | $1,432.48 |
| 50900 | Repair of a ureter wound or injury | 46 | $688.53 |
| 50920 | Closure of a ureter-to-skin fistula | 47 | $707.88 |
| 50930 | Closure of a ureter-to-bowel fistula | 46 | $886.90 |
| 50945 | Laparoscopic ureter stone removal | 48 | $777.60 |
| 50948 | Laparoscopic ureter reimplant with stent | 47 | $1,065.97 |
| 50949 | Unlisted laparoscopic ureter procedure | 10 | $2,948.69 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.