CPT 50430 Surgery - Urinary
Njx px nfrosgrm &/urtrgrm Cost
Body System: Urinary
Medicare Facility Rate
$136
CMS PFS CY2026
Medicare Non-Facility Rate
$617
Office/clinic setting
Hospital Outpatient
$712
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.83
Work RVU
0.89
Facility PE RVU
0.34
Malpractice RVU
18.47
Total RVU
Frequently Asked Questions
How much does Njx px nfrosgrm &/urtrgrm cost?
The Medicare facility rate is $136. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $712.
How much does Njx px nfrosgrm &/urtrgrm 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 $136.