CPT 52355 Surgery - Urinary
Cystouretero w/excise tumor Cost
Body System: Urinary
Medicare Facility Rate
$410
CMS PFS CY2026
Medicare Non-Facility Rate
$410
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
8.78
Work RVU
2.36
Facility PE RVU
1.13
Malpractice RVU
12.27
Total RVU
Frequently Asked Questions
How much does Cystouretero w/excise tumor cost?
The Medicare facility rate is $410. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Cystouretero w/excise tumor 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 $410.