CPT 50391 Surgery - Urinary

How Much Does Instll Rx Agnt into Rnal Tub Cost?

Also known as: Instll rx agnt into rnal tub (CPT 50391)

Instll Rx Agnt into Rnal Tub (CPT 50391) costs $85 at Medicare rates. Hospital outpatient rate: $255.

Cost Comparison by Payer

How much Instll rx agnt into rnal tub costs across different settings and payers

Medicare
Facility rate
$85
Hospital Outpatient
OPPS rate
$255
Surgery Center
ASC rate
$56
Medicare (Facility)
$85
CMS PFS 2026 national rate
Medicare (Office/Clinic)
$127
Non-facility setting
Hospital Outpatient
$255
OPPS rate
Surgery Center (ASC)
$56
Ambulatory surgery center

Procedures Commonly Done Together

These procedures are frequently performed alongside Instll rx agnt into rnal tub

Loading related procedures...

How to Reduce Your Cost for Instll rx agnt into rnal tub

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($127) differs from the facility rate ($85). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

  • 4
    Check ambulatory surgery centers (ASCs)

    This procedure is available at ASCs for $56, compared to $255 at hospital outpatient departments. ASCs often offer lower costs with comparable quality.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

1.91
Work RVU
0.39
Practice Expense RVU
0.24
Malpractice RVU
3.81
Total RVU

Payment = Total RVU (3.81) x CF ($33.40) = $127

Frequently Asked Questions

How much does Instll rx agnt into rnal tub cost?

The Medicare facility rate for Instll rx agnt into rnal tub is $85. In a hospital outpatient setting, the rate is $255. At an ambulatory surgery center, the rate is $56. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Instll rx agnt into rnal tub cost without insurance?

Without insurance, the cost of Instll rx agnt into rnal tub can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Instll rx agnt into rnal tub?

Most commercial health insurance plans and Medicare cover Instll rx agnt into rnal tub when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

Share This Cost Information

My Cost List

0 procedures

No procedures added yet

Click "Add to My List" on any procedure to start building your estimate.