Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

50546 Removal of kidney and partial removal of ureter using an endoscope CPT · Other Organ Systems procedure

Classification Procedure › Other Organ Systems (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 64 services · est. · 30 FFS beneficiaries (CY2024, all-Medicare estimate) — 32 observed fee-for-service services

Medicare paid $60K · est. · $933.41 avg / service, national — $30K observed FFS

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Estimated all-Medicare volume estimate

FFS + estimated MA

~64 services

32 observed fee-for-service (50%) · ~32 estimated Medicare Advantage.

Billing for this code concentrates in one state — scaled by the national payer mix (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Payments · FFS observed

$30K

all-Medicare ≈$60K — estimate; price parity assumed as well

Rate per 1,000 FFS

0.0

claims denominator · a rate — never scaled

Named groups

2 at the ≥11-service disclosure floor

Top states — 50546 (CY2024)

FL 41 MD 18

Est. all-Medicare services by billing state (scaled estimate — assumes MA utilization mirrors FFS); open a bar for that state's ranked market.

The 12-year rate

Declining on the honest basis across 12 years

Per 1,000 FFS beneficiaries, claims denominator · the dated per-year table is a Platform view

What they charge

Half the field lists between $4,052 and $4,817

$3,669–3,851

$3,851–4,033

$4,033–4,214

$4,214–4,396

$4,396–4,578

$4,578–4,760

$4,760–4,942

$4,942+

Submitted charges are provider-set list amounts, not payments · median $4,434 (named groups)

National benchmarks

Computed for this market — a Platform view

Market position

Computed for this market — a Platform view

The whole field, one canvas

Computed for this market — a Platform view

See it in full: nuclear heart imaging (78452) in Arizona is open as a live example — every paid panel, on real data.

View the live example →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

sorts locked on the free tier · services rank pinned · refine and export are Platform features

FLORIDA HOSPITAL MEDICAL GROUP INC

MAITLAND · FL · PHYSICIAN ASSISTANT · 1634 providers · hospital-affiliated · (407) 200-2700

18services 100.0%Share of state* $3,669avg list Medicare $

UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES PA

BALTIMORE · MD · GENERAL SURGERY · 101 providers · hospital-affiliated · (410) 328-5191

14services 100.0%Share of state* $5,200avg list Medicare $

Medicare $ counts 50546 payments in the market each row names, CY2024; avg list is that row's submitted charges per service on the same basis — list amounts, not payments.

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix — and the observed foundation every market figure here builds on. Market totals anchor on a labeled all-Medicare estimate scaled from that foundation, with the observed count disclosed beside it — Medicare only, never all-payer. Modeled all-payer databases project every payer statistically and typically run higher. Same market, different denominator. How the numbers reconcile →