CPT code 50740: Pyeloplasty, standard complexity2026 Medicare rate & RVUs in North Dakota
Reports reconstruction of the renal pelvis and ureter, typically to correct narrowing where the ureter joins the kidney in a pyeloplasty.
In North Dakota, Medicare pays $1,050.10 for 50740 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 50740 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 50740 covers
A pyeloplasty reshapes the renal pelvis and reconstructs its junction with the ureter to improve urine drainage, commonly for obstruction at the ureteropelvic junction. The surgeon may remove a narrowed segment and reconnect the ureter to the renal pelvis. Urologists typically perform this operation in a hospital operating room; the approach may be open, laparoscopic, or robotic.
Select 50740 when the documented operation is a pyeloplasty of standard complexity; a complicated or secondary repair may fit 50750 instead. The operative report should identify the reconstruction and the anatomy treated. CMS assigns this major surgery a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment is 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 North Dakota compares for 50740
Across 109 of 109 payment localities, the facility rate for 50740 runs from $1,019.34 in Wisconsin to $1,433.60 in Miami, FL. North Dakota pays $1,050.10. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$1,050.10
- Los Angeles, CA · California$1,181.48+$131.38
- Washington, DC area · District of Columbia$1,266.63+$216.53
- Miami, FL · Florida$1,433.60+$383.50
- Chicago, IL · Illinois$1,385.66+$335.56
- Manhattan, NY · New York$1,350.43+$300.33
- Alaska · Alaska$1,423.38+$373.28
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,037.29 |
| ArkansasArkansas | — | $1,023.19 |
| ArizonaArizona | — | $1,118.46 |
| Bakersfield, CACalifornia | — | $1,129.18 |
| Chico, CACalifornia | — | $1,115.14 |
| El Centro, CACalifornia | — | $1,116.01 |
| Fresno, CACalifornia | — | $1,115.14 |
| Hanford, CACalifornia | — | $1,115.14 |
| Madera, CACalifornia | — | $1,115.14 |
| Merced, CACalifornia | — | $1,115.14 |
| Modesto, CACalifornia | — | $1,115.14 |
| Napa, CACalifornia | — | $1,212.63 |
| Oxnard, CACalifornia | — | $1,165.51 |
| Redding, CACalifornia | — | $1,115.14 |
| Rest of CaliforniaCalifornia | — | $1,115.14 |
| Riverside, CACalifornia | — | $1,171.07 |
| Sacramento, CACalifornia | — | $1,149.38 |
| Salinas, CACalifornia | — | $1,144.81 |
| San Diego, CACalifornia | — | $1,157.25 |
| Marin County, CACalifornia | — | $1,254.96 |
| San Francisco, CACalifornia | — | $1,249.03 |
| San Benito County, CACalifornia | — | $1,288.61 |
| Santa Clara County, CACalifornia | — | $1,264.38 |
| San Luis Obispo, CACalifornia | — | $1,129.15 |
| Santa Cruz, CACalifornia | — | $1,156.51 |
| Santa Maria, CACalifornia | — | $1,145.13 |
| Santa Rosa, CACalifornia | — | $1,166.63 |
| Stockton, CACalifornia | — | $1,115.14 |
| Vallejo, CACalifornia | — | $1,204.08 |
| Visalia, CACalifornia | — | $1,115.14 |
| Yuba City, CACalifornia | — | $1,115.14 |
| ColoradoColorado | — | $1,144.17 |
| ConnecticutConnecticut | — | $1,228.43 |
| DelawareDelaware | — | $1,135.42 |
| Fort Lauderdale, FLFlorida | — | $1,298.78 |
| Rest of FloridaFlorida | — | $1,227.04 |
| Atlanta, GAGeorgia | — | $1,195.88 |
| Rest of GeorgiaGeorgia | — | $1,151.97 |
| Hawaii, Guam, HIHawaii | — | $1,124.88 |
| IowaIowa | — | $1,020.85 |
| IdahoIdaho | — | $1,035.73 |
| East St. Louis, ILIllinois | — | $1,304.41 |
| Rest of IllinoisIllinois | — | $1,223.50 |
| Suburban Chicago, ILIllinois | — | $1,301.64 |
| IndianaIndiana | — | $1,040.28 |
| KansasKansas | — | $1,035.92 |
| KentuckyKentucky | — | $1,102.70 |
| New Orleans, LALouisiana | — | $1,158.17 |
| Rest of LouisianaLouisiana | — | $1,108.89 |
| Metropolitan Boston, MAMassachusetts | — | $1,224.47 |
| Rest of MassachusettsMassachusetts | — | $1,145.99 |
| Baltimore area, MDMaryland | — | $1,229.22 |
| Rest of MarylandMaryland | — | $1,149.81 |
| Rest of MaineMaine | — | $1,061.71 |
| Southern Maine, MEMaine | — | $1,086.40 |
| Detroit, MIMichigan | — | $1,261.87 |
| Rest of MichiganMichigan | — | $1,147.83 |
| MinnesotaMinnesota | — | $1,040.37 |
| Metropolitan Kansas City, MOMissouri | — | $1,129.79 |
| Metropolitan St. Louis, MOMissouri | — | $1,138.38 |
| Rest of MissouriMissouri | — | $1,104.19 |
| MississippiMississippi | — | $1,062.89 |
| MontanaMontana | — | $1,153.32 |
| North CarolinaNorth Carolina | — | $1,068.91 |
| NebraskaNebraska | — | $1,020.14 |
| New HampshireNew Hampshire | — | $1,145.23 |
| Northern New JerseyNew Jersey | — | $1,258.81 |
| Rest of New JerseyNew Jersey | — | $1,226.69 |
| New MexicoNew Mexico | — | $1,161.68 |
| NevadaNevada | — | $1,124.88 |
| NYC suburbs and Long Island, NYNew York | — | $1,406.47 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,250.63 |
| Queens, NYNew York | — | $1,331.83 |
| Rest of New YorkNew York | — | $1,085.60 |
| OhioOhio | — | $1,126.73 |
| OklahomaOklahoma | — | $1,079.94 |
| Portland, OROregon | — | $1,155.64 |
| Rest of OregonOregon | — | $1,100.58 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,212.43 |
| Rest of PennsylvaniaPennsylvania | — | $1,117.37 |
| Puerto RicoPuerto Rico | — | $1,154.63 |
| Rhode IslandRhode Island | — | $1,158.00 |
| South CarolinaSouth Carolina | — | $1,102.76 |
| South DakotaSouth Dakota | — | $1,037.90 |
| TennesseeTennessee | — | $1,043.31 |
| Austin, TXTexas | — | $1,153.99 |
| Beaumont, TXTexas | — | $1,111.98 |
| Brazoria, TXTexas | — | $1,117.61 |
| Dallas, TXTexas | — | $1,133.49 |
| Fort Worth, TXTexas | — | $1,132.50 |
| Galveston, TXTexas | — | $1,126.63 |
| Houston, TXTexas | — | $1,222.17 |
| Rest of TexasTexas | — | $1,120.15 |
| UtahUtah | — | $1,116.34 |
| VirginiaVirginia | — | $1,096.87 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,154.63 |
| VermontVermont | — | $1,064.28 |
| Rest of WashingtonWashington | — | $1,137.75 |
| King County, WAWashington | — | $1,228.37 |
| WisconsinWisconsin | — | $1,019.34 |
| West VirginiaWest Virginia | — | $1,186.15 |
| WyomingWyoming | — | $1,108.34 |
50740 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 50740 rate is calculated
Each of 50740’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 · 50740
RVUs × geographic indexes × conversion factor
Work19.57
19.57 RVUs× 1.000 GPCI
Practice expense9.75
9.75 RVUs× 1.000 GPCI
Malpractice5.22
5.22 RVUs× 1.000 GPCI
Adjusted RVUs
34.5400
Conversion factor
$33.4009
Medicare rate
$1,153.67
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,980
- Code
- 50740
- Physician work
- 19.57
- Practice expense
- 9.75
- Malpractice
- 5.22
GPCI2026.csv
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.57 | × 1.000 | 19.5700 |
| Practice expense | 9.75 | × 1.000 | 9.7500 |
| Malpractice | 5.22 | × 0.406 | 2.1193 |
| Total RVUs | 31.4393 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, North Dakota$1050.10
Facility: (19.57 × 1 + 9.75 × 1 + 5.22 × 0.406) × $33.4009 = $1050.10
Payment rules and modifiers for 50740
50740 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 50740
Pyeloplasty, standard complexity
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.08/0.83/0.09 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 50740
Pyeloplasty, standard complexity
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
50740 without 50 · national facility
$1,153.67
Pyeloplasty, standard complexity
50740-50 · Bilateral: 150%
$1,730.51
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 50740 has changed in North Dakota
50740 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,050.10 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,050.10 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,050.10 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,050.10 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,117.96 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,117.96 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,117.96 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,117.96 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,142.70 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,142.70 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,142.70 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,142.70 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,124.04 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,150.63 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,150.63 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,150.63 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,150.63 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,166.60 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,166.60 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,166.60 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,166.60 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,166.89 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,166.89 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,166.89 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,166.89 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,196.27 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,196.27 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,196.27 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,196.27 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,198.10 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,198.10 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,198.10 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,198.10 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,195.32 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,195.32 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,195.32 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,195.32 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,184.10 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,184.10 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,184.10 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,184.10 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,191.89 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,191.89 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,191.89 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,191.89 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,194.44 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,194.44 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,188.50 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,188.50 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,176.33 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,176.33 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,176.33 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,176.33 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,158.07 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,158.07 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,158.07 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,158.07 | RVU13AR |
Where the North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
50740 billing questions
How do I choose between 50740 and 50750?
Use 50740 for a pyeloplasty of standard complexity. The documented operation must support 50750 when the repair is complicated, such as a secondary repair or urinary diversion.
Is this code for a ureter implanted into the bladder?
No. 50740 addresses reconstruction of the renal pelvis and its junction with the ureter. Ureteral reimplantation into the bladder is represented by a different code family, including 50780 and its related codes.
What does the 90-day global period include?
CMS includes the day-before preoperative visit and 90 days of related postoperative care in the global period for this major surgery.
Can modifier 50 be used for bilateral pyeloplasty?
For bilateral surgery, CMS pays 50740 with modifier 50 at 150% of the payment for a single-side service.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, while team-surgery payment is not permitted for this code.
How is 50740 affected when other procedures are performed in the same session?
Under the standard multiple procedure reduction, CMS pays the highest-valued procedure in full and reduces the other procedures to 50% when performed in the same session.
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
Fee sheets · Coming soon
Put 50740 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist