CPT 51920 Surgery - Urinary
Close bladder-uterus fistula Cost
Body System: Urinary
Medicare Facility Rate
$693
CMS PFS CY2026
Medicare Non-Facility Rate
$693
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
13.07
Work RVU
5.99
Facility PE RVU
1.68
Malpractice RVU
20.74
Total RVU
Frequently Asked Questions
How much does Close bladder-uterus fistula cost?
The Medicare facility rate is $693. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Close bladder-uterus fistula 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 $693.