CPT 50081 Surgery - Urinary
Perq nl/pl lithotrp cplx>2cm Cost
Body System: Urinary
Medicare Facility Rate
$1,002
CMS PFS CY2026
Medicare Non-Facility Rate
$1,002
Office/clinic setting
Hospital Outpatient
$9
OPPS rate
Surgery Center (ASC)
$4
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
20.39
Work RVU
6.99
Facility PE RVU
2.61
Malpractice RVU
29.99
Total RVU
Frequently Asked Questions
How much does Perq nl/pl lithotrp cplx>2cm cost?
The Medicare facility rate is $1,002. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $9. Ambulatory surgery center rate: $4.
How much does Perq nl/pl lithotrp cplx>2cm cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $1,002.