FeeBase
Log inGet started
Menu

CPT code 32550: Pleural catheter, tunneled catheter with cuff2026 Medicare rate & RVUs in Hawaii, Guam, HI

Report tunneled pleural catheter placement when a cuffed, indwelling catheter is inserted to manage recurrent fluid in the pleural space.

CMS RVU26DEffective Oct 1, 2026One payment locality13.2K Medicare services in 2024

In Hawaii, Guam, HI, Medicare pays $863.95 for 32550 in the office and $179.23 when it’s performed in a hospital or facility.

$863.95Office (non-facility)
$179.23Hospital or facility
+10.3%vs the national office rate ($783.59)

Check a contract rate as a % of Medicare · 32550 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 32550 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Hawaii, Guam, HI
  2. What 32550 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 32550 covers

This service places a cuffed catheter through a subcutaneous tunnel into the pleural space, leaving it in place for repeated drainage. Pulmonologists, thoracic surgeons, and interventional radiologists commonly perform the procedure for recurrent pleural effusions, including malignant effusions, in hospital outpatient or office settings. The tunneled route and cuff distinguish this device from a temporary pleural drain.

Select the code when the documentation supports placement of an indwelling tunneled catheter with a cuff, rather than a non-tunneled catheter or a one-time pleural aspiration. Record the indication, catheter type and placement, and the pleural space treated. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Hawaii, Guam, HI compares for 32550

Across 109 of 109 payment localities, the office rate for 32550 runs from $685.23 in Arkansas to $1,072.14 in San Benito County, CA. Hawaii, Guam, HI pays $863.95. The RVUs are the same everywhere; the geographic indexes change the dollars.

32550 in Hawaii, Guam, HI vs other payment areas
  1. Hawaii, Guam, HI · this page$863.95
  2. Los Angeles, CA · California$900.02+$36.07
  3. Washington, DC area · District of Columbia$906.13+$42.18
  4. Miami, FL · Florida$835.83−$28.12
  5. Chicago, IL · Illinois$809.73−$54.22
  6. Manhattan, NY · New York$905.24+$41.29
  7. Alaska · Alaska$881.26+$17.31

Other areas in Hawaii first, then benchmark localities. Bars start at $0.

Every other payment area

32550 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$696.32$169.38
ArkansasArkansas$685.23$167.92
ArizonaArizona$761.32$177.77
Bakersfield, CACalifornia$840.69$180.66
Chico, CACalifornia$839.19$179.16
El Centro, CACalifornia$839.28$179.24
Fresno, CACalifornia$839.19$179.16
Hanford, CACalifornia$839.19$179.16

32550 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$685.23

$955.67

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
32550 office rate range by state
State / territoryOffice rate rangeLocalities
AK$881.261
AL$696.321
AR$685.231
AZ$761.321
CA$839.19–$1,072.1429
CO$822.281
CT$838.911
DC$906.131
DE$774.841
FL$764.04–$835.833
GA$717.85–$797.622
GU$863.951
HI$863.951
IA$719.001
ID$723.491
IL$737.59–$814.884
IN$728.191
KS$713.801
KY$711.211
LA$709.39–$748.202
MA$816.03–$910.902
MD$791.13–$906.133
ME$726.03–$771.552
MI$730.19–$772.912
MN$790.121
MO$694.97–$752.953
MS$690.321
MT$783.551
NC$734.631
ND$773.471
NE$723.791
NH$807.651
NJ$849.13–$895.022
NM$733.981
NV$781.381
NY$746.58–$927.115
OH$728.131
OK$711.421
OR$775.97–$852.192
PA$730.25–$815.372
PR$790.361
RI$805.261
SC$732.471
SD$772.271
TN$717.551
TX$724.87–$818.968
UT$743.511
VA$767.71–$906.132
VI$790.361
VT$768.781
WA$815.04–$931.892
WI$744.961
WV$707.221
WY$779.161

See 32550 in every payment locality

How the 32550 rate is calculated

Each of 32550’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 32550

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.82

3.82 RVUs× 1.000 GPCI

Practice expense19.13

19.13 RVUs× 1.000 GPCI

Malpractice0.51

0.51 RVUs× 1.000 GPCI

Adjusted RVUs

23.4600

Conversion factor

$33.4009

Medicare rate

$783.59

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Hawaii, Guam, HI inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,729

Code
32550
Physician work
3.82
Practice expense
19.13
Malpractice
0.51

GPCI2026.csv

46

Locality
Hawaii, Guam, HI
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Office calculation for 32550 in Hawaii, Guam, HI
ComponentRVULocality factorAdjusted
Physician work3.82× 1.0003.8200
Practice expense19.13× 1.13721.7508
Malpractice0.51× 0.5790.2953
Total RVUs25.8661
Conversion factor× 33.4009

Office rate, Hawaii, Guam, HI$863.95

Office: (3.82 × 1 + 19.13 × 1.137 + 0.51 × 0.579) × $33.4009 = $863.95

Facility: (3.82 × 1 + 1.1 × 1.137 + 0.51 × 0.579) × $33.4009 = $179.23

Open 32550 in the RVU calculator

Payment rules and modifiers for 32550

The CMS indicators that decide how 32550 is paid alongside other services.

CMS payment indicators · 32550

Pleural catheter, tunneled catheter with cuff

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

Codes related to 32550

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 32550
CodeHow it relatesOffice range, Hawaii, Guam, HI
Used instead
32556Pleural catheter, without imaging guidanceNon-tunneled pleural catheter insertion without imaging guidance.$938.20
32557Pleural catheter, with imaging guidanceNon-tunneled pleural catheter insertion with imaging guidance.$716.69
32551Chest tube, open thoracostomyChest tube insertion for pleural drainage rather than tunneled indwelling catheter placement.No office rate
32554Thoracentesis, without imaging guidancePleural fluid aspiration without imaging, rather than leaving a catheter in place.$284.21
32555Thoracentesis, with imaging guidancePleural fluid aspiration with imaging, rather than leaving a catheter in place.$339.35

How 32550 has changed in Hawaii, Guam, HI

32550 · Office / nonfacility

$863.95

Effective 2026-10-01

The base rate is $66.90 higher than on 2025-10-01, moving from $797.05 to $863.95 (8.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $797.05changed to$863.95

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.92 changed to 3.82
    • Practice expense RVU 17.78 changed to 19.13
    • Malpractice RVU 0.52 changed to 0.51
    • Practice expense GPCI 1.149 changed to 1.137
    • Malpractice GPCI 0.561 changed to 0.579

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $851.21changed to$797.05

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 18.58 changed to 17.78
    • Malpractice RVU 0.54 changed to 0.52

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $837.31changed to$851.21

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $894.06changed to$837.31

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 19.30 changed to 18.58
    • Work GPCI 1.003 changed to 1.000
    • Practice expense GPCI 1.146 changed to 1.149
    • Malpractice GPCI 0.618 changed to 0.561

  5. January 1, 2023

    RVU23A

    $947.84changed to$894.06

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 20.18 changed to 19.30
    • Work GPCI 1.010 changed to 1.003
    • Practice expense GPCI 1.143 changed to 1.146
    • Malpractice GPCI 0.675 changed to 0.618

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $955.47changed to$947.84

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice RVU 0.53 changed to 0.54

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $897.80changed to$955.47

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 18.00 changed to 20.18
    • Work GPCI 1.006 changed to 1.010
    • Practice expense GPCI 1.144 changed to 1.143
    • Malpractice GPCI 0.644 changed to 0.675

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $848.46changed to$897.80

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 16.83 changed to 18.00
    • Malpractice RVU 0.54 changed to 0.53
    • Work GPCI 1.001 changed to 1.006
    • Practice expense GPCI 1.146 changed to 1.144
    • Malpractice GPCI 0.614 changed to 0.644

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $802.59changed to$848.46

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 15.73 changed to 16.83
    • Malpractice RVU 0.56 changed to 0.54

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $804.84changed to$802.59

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 15.72 changed to 15.73
    • Malpractice RVU 0.58 changed to 0.56
    • Work GPCI 1.002 changed to 1.001
    • Practice expense GPCI 1.154 changed to 1.146
    • Malpractice GPCI 0.616 changed to 0.614

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $890.11changed to$804.84

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 4.17 changed to 3.92
    • Practice expense RVU 17.46 changed to 15.72
    • Malpractice RVU 0.63 changed to 0.58
    • Work GPCI 1.003 changed to 1.002
    • Practice expense GPCI 1.162 changed to 1.154
    • Malpractice GPCI 0.618 changed to 0.616

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $894.40changed to$890.11

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 17.47 changed to 17.46
    • Malpractice RVU 0.66 changed to 0.63

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $889.95changed to$894.40

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $885.40changed to$889.95

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 17.36 changed to 17.47
    • Work GPCI 1.002 changed to 1.003
    • Practice expense GPCI 1.158 changed to 1.162
    • Malpractice GPCI 0.659 changed to 0.618

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $922.75changed to$885.40

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 19.47 changed to 17.36
    • Malpractice RVU 0.69 changed to 0.66
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.700 changed to 0.659

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$922.75

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$863.95$179.23RVU26D
2026-07-01$863.95$179.23RVU26C
2026-04-01$863.95$179.23RVU26B
2026-01-01$863.95$179.23RVU26A
2025-10-01$797.05$194.96RVU25D
2025-07-01$797.05$194.96RVU25C
2025-04-01$797.05$194.96RVU25B
2025-01-01$797.05$194.96RVU25A
2024-10-01$851.21$199.47RVU24D
2024-07-01$851.21$199.47RVU24C
2024-04-01$851.21$199.47RVU24B
2024-03-09$851.21$199.47RVU24AR
2024-01-01$837.31$196.22RVU24A
2023-10-01$894.06$204.35RVU23D
2023-07-01$894.06$204.35RVU23C
2023-04-01$894.06$204.35RVU23B
2023-01-01$894.06$204.35RVU23A
2022-10-01$947.84$210.15RVU22D
2022-07-01$947.84$210.15RVU22C
2022-04-01$947.84$210.15RVU22B
2022-01-01$947.84$210.15RVU22A
2021-10-01$955.47$212.05RVU21D
2021-07-01$955.47$212.05RVU21C
2021-04-01$955.47$212.05RVU21B
2021-01-01$955.47$212.05RVU21A
2020-10-01$897.80$217.39RVU20D
2020-07-01$897.80$217.39RVU20C
2020-04-01$897.80$217.39RVU20B
2020-01-01$897.80$217.39RVU20A
2019-10-01$848.46$216.14RVU19D
2019-07-01$848.46$216.14RVU19C
2019-04-01$848.46$216.14RVU19B
2019-01-01$848.46$216.14RVU19A
2018-10-01$802.59$216.76RVU18D
2018-07-01$802.59$216.76RVU18C
2018-04-01$802.59$216.76RVU18B
2018-01-01$802.59$216.76RVU18AR1
2017-10-01$804.84$217.98RVU17D
2017-07-01$804.84$217.98RVU17C
2017-04-01$804.84$217.98RVU17B
2017-01-01$804.84$217.98RVU17A
2016-10-01$890.11$231.51RVU16D
2016-07-01$890.11$231.51RVU16C
2016-04-01$890.11$231.51RVU16B
2016-01-01$890.11$231.51RVU16A
2015-10-01$894.40$233.43RVU15D
2015-07-01$894.40$233.43RVU15C
2015-04-01$889.95$232.27RVU15B
2015-01-01$889.95$232.27RVU15A
2014-10-01$885.40$233.71RVU14D
2014-07-01$885.40$233.71RVU14C
2014-04-01$885.40$233.71RVU14B
2014-01-01$885.40$233.71RVU14A
2013-10-01$922.75$227.80RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 32550 for an earlier date of service

Where the Hawaii, Guam, HI rate applies

Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.

  • Ahuimanu
  • Aiea
  • Ainaloa
  • Anahola
  • Black Sands
  • Captain Cook
  • Discovery Harbour
  • East Honolulu

Browse all communities in Hawaii

32550 billing questions

How does this differ from codes 32556 and 32557?

Code 32550 describes placement of an indwelling tunneled catheter with a cuff. Codes 32556 and 32557 describe pleural catheter insertion without that tunneled-cuff distinction, with imaging status distinguishing those two codes.

When would a pleural aspiration code be more appropriate?

Use 32554 or 32555 for aspiration of pleural fluid rather than placement of a catheter intended to remain for repeated drainage. The aspiration codes differ according to imaging guidance.

Is same-day preoperative or postoperative care separately included?

CMS assigns 32550 a 0-day global period. Same-day preoperative and postoperative care is included in the procedure.

Can an assistant, co-surgeon, or surgical team be paid?

CMS does not pay for an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

What documentation supports reporting 32550?

Document the recurrent pleural-fluid indication and that a cuffed catheter was placed through a tunnel and left indwelling in the pleural space. A temporary drain or one-time aspiration supports a different service.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 32550PPRRVU2026_Oct_nonQPP.csv, line 3,729 (RVU26D)
Geographic factors for Hawaii, Guam, HIGPCI2026.csv, line 46 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 32550 pays in Hawaii, Guam, HI?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 32550 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist