How much does Medicare pay for CPT 50432?

Medicare allowed an average of $218.57 per service and paid $172.55 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1893.26, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 50432?

Placement of tube of kidney using imaging guidance with review by radiologist. It was billed 4,210 times to 3,966 Medicare beneficiaries by 290 providers in 2024.

Does 50432 pay differently in an office than a hospital?

Yes. The allowed amount averaged $947.93 in an office setting and $212.63 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 50432 most?

Diagnostic Radiology, with 2,357 services from 160 clinicians. Next are Interventional Radiology, Urology, Undefined Physician type.

CPT 50432

Placement of tube of kidney using imaging guidance with review by radiologist

$218.57Medicare-allowed amount per service, averaged across 4,210 services

Providers submitted

$1893.26

Asking price, not received

Medicare allowed

$218.57

The fee schedule figure

Medicare paid

$172.55

Balance is patient coinsurance

Providers submitted an average of $1893.26 for this code and Medicare allowed $218.57 — 8.7× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $172.55 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $947.93
Hospital / facility: $212.63

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 34 services were billed in an office setting and 4,176 in a facility.

Services: 4,210
Beneficiaries: 3,966
Providers billing it: 290
Total allowed: $920,180

What Medicare pays for CPT 50432

Across 4,210 services billed by 290 providers to 3,966 beneficiaries, Medicare allowed an average of $218.57 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 50432

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	2,357	2,214	$221.78	160
Interventional Radiology	1,734	1,638	$220.11	122
Urology	91	86	$108.78	6
Undefined Physician type	15	15	$211.06	1
Interventional Cardiology	13	13	$209.69	1

50432 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	716	$216.67	$156.62	49
New York	446	$257.09	$185.34	29
Florida	276	$217.44	$162.61	20
New Jersey	228	$222.30	$161.42	16
Maryland	219	$260.44	$196.51	15
Ohio	198	$200.33	$161.30	13
Massachusetts	164	$234.49	$170.72	11
Pennsylvania	155	$215.56	$167.89	11
Texas	133	$205.30	$166.16	9
Illinois	133	$212.17	$159.51	10
Minnesota	125	$205.77	$149.48	7
Tennessee	120	$193.83	$162.83	9
Arizona	114	$215.54	$166.11	9
Virginia	111	$196.16	$151.71	7
Indiana	100	$189.49	$154.95	7
Iowa	79	$200.59	$165.58	4
Arkansas	76	$205.92	$175.38	6
Georgia	70	$213.90	$167.90	5
Nebraska	67	$189.17	$142.44	4
New Hampshire	65	$221.07	$172.72	5
Connecticut	63	$198.67	$152.23	3
Washington	62	$217.09	$168.30	5
North Carolina	49	$196.54	$165.99	4
South Carolina	49	$205.51	$163.04	3
Missouri	42	$202.82	$165.12	3
Nevada	40	$218.59	$176.33	3
Oklahoma	37	$208.52	$171.84	3
Kansas	33	$189.63	$150.09	2
Michigan	29	$166.95	$115.05	2
Vermont	27	$195.46	$157.76	2
South Dakota	26	$212.20	$170.32	2
Mississippi	25	$211.47	$178.16	2
Oregon	25	$222.36	$175.20	2
New Mexico	18	$225.84	$177.00	1
District of Columbia	15	$223.50	$170.33	1
Colorado	15	$223.25	$175.34	1
Rhode Island	14	$211.12	$160.73	1
Utah	13	$190.51	$171.01	1
Montana	11	$220.31	$170.79	1
Delaware	11	$230.11	$183.24	1
Louisiana	11	$297.26	$204.68	1

Related codes

50435Replacement of kidney drainage tube$112.36
50437Dilation of existing opening into urinary tract and creation of new ac$202.87

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.