No office rate
Use 55040 for unilateral hydrocele excision; use 55041 when the procedure is performed on both sides.
On this page
CMS RVU26D · Effective 2026-10-01
55041 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$473.79
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Urology surgery
About 55041: Bilateral hydrocele sac excision
Bilateral hydrocele excision treats symptomatic fluid collections around both testicles through surgery, typically performed by a urologist in an operating-room setting.
This code represents surgery to remove or address hydrocele sacs on both sides of the scrotum. A hydrocele is a fluid collection surrounding a testicle; bilateral surgery may be chosen when both collections cause symptoms or otherwise warrant operative treatment. Urologists commonly perform the procedure in a hospital or ambulatory surgery center.
Report 55041 when the operation treats both sides, rather than reporting the unilateral code twice. The operative note should support treatment of a hydrocele on each side and describe the procedures performed. CMS assigns this code a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. The code is priced as bilateral, so modifier 50 does not increase payment. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 55041
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- The code is already priced as bilateral; modifier 50 does not increase payment.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.33 · 59%
- Practice expense (office) RVU4.67 · 33%
- Malpractice RVU1.10 · 8%
747
Medicare services in 2024 · #3211 by national volume
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.
55041 compared with similar codes
Office rates for El Centro, from the same CMS release.
$131.37
55000 describes drainage of a hydrocele, while 55041 represents operative treatment of hydroceles on both sides.
No office rate
55060 describes hydrocele repair. Choose 55041 when the documented procedure is bilateral hydrocele excision.
The same code, a different location
How does El Centro compare?
55041 across payment areas
Same release and payment basis · bars start at $0
El Centro · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 55041
Office
Unavailable
Facility
$473.61
No comparable office rate is available.
Modesto
California · 55041
Office
Unavailable
Facility
$473.61
No comparable office rate is available.
Napa
California · 55041
Office
Unavailable
Facility
$520.01
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 55041
Office
Unavailable
Facility
$493.28
No comparable office rate is available.
Redding
California · 55041
Office
Unavailable
Facility
$473.61
No comparable office rate is available.
Rest Of California
California · 55041
Office
Unavailable
Facility
$473.61
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 55041
Office
Unavailable
Facility
$485.53
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 55041
Office
Unavailable
Facility
$489.35
No comparable office rate is available.
Salinas
California · 55041
Office
Unavailable
Facility
$487.33
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 55041
Office
Unavailable
Facility
$493.04
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 55041
Office
Unavailable
Facility
$541.46
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 55041
Office
Unavailable
Facility
$540.21
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 55041
Office
Unavailable
Facility
$553.45
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 55041
Office
Unavailable
Facility
$548.35
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 55041
Office
Unavailable
Facility
$480.32
No comparable office rate is available.
Santa Cruz-Watsonville
California · 55041
Office
Unavailable
Facility
$493.28
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 55041
Office
Unavailable
Facility
$487.59
No comparable office rate is available.
Santa Rosa-Petaluma
California · 55041
Office
Unavailable
Facility
$497.82
No comparable office rate is available.
Stockton
California · 55041
Office
Unavailable
Facility
$473.61
No comparable office rate is available.
Vallejo
California · 55041
Office
Unavailable
Facility
$518.21
No comparable office rate is available.
Visalia
California · 55041
Office
Unavailable
Facility
$473.61
No comparable office rate is available.
Yuba City
California · 55041
Office
Unavailable
Facility
$473.61
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 55041
Office
Unavailable
Facility
$517.89
No comparable office rate is available.
Miami
Florida · 55041
Office
Unavailable
Facility
$533.52
No comparable office rate is available.
Chicago
Illinois · 55041
Office
Unavailable
Facility
$521.26
No comparable office rate is available.
Manhattan
New York · 55041
Office
Unavailable
Facility
$535.56
No comparable office rate is available.
Alaska*
Alaska · 55041
Office
Unavailable
Facility
$603.71
No comparable office rate is available.
Alabama
Alabama · 55041
Office
Unavailable
Facility
$435.51
No comparable office rate is available.
Arkansas
Arkansas · 55041
Office
Unavailable
Facility
$431.14
No comparable office rate is available.
Arizona
Arizona · 55041
Office
Unavailable
Facility
$460.83
No comparable office rate is available.
Colorado
Colorado · 55041
Office
Unavailable
Facility
$476.23
No comparable office rate is available.
Connecticut
Connecticut · 55041
Office
Unavailable
Facility
$496.24
No comparable office rate is available.
Delaware
Delaware · 55041
Office
Unavailable
Facility
$466.76
No comparable office rate is available.
Fort Lauderdale
Florida · 55041
Office
Unavailable
Facility
$502.67
No comparable office rate is available.
Rest Of Florida
Florida · 55041
Office
Unavailable
Facility
$482.57
No comparable office rate is available.
Atlanta
Georgia · 55041
Office
Unavailable
Facility
$481.67
No comparable office rate is available.
Rest Of Georgia
Georgia · 55041
Office
Unavailable
Facility
$461.16
No comparable office rate is available.
Hawaii, Guam
Hawaii · 55041
Office
Unavailable
Facility
$476.85
No comparable office rate is available.
Iowa
Iowa · 55041
Office
Unavailable
Facility
$435.54
No comparable office rate is available.
Idaho
Idaho · 55041
Office
Unavailable
Facility
$439.11
No comparable office rate is available.
East St. Louis
Illinois · 55041
Office
Unavailable
Facility
$495.73
No comparable office rate is available.
Rest Of Illinois
Illinois · 55041
Office
Unavailable
Facility
$478.07
No comparable office rate is available.
Suburban Chicago
Illinois · 55041
Office
Unavailable
Facility
$505.48
No comparable office rate is available.
Indiana
Indiana · 55041
Office
Unavailable
Facility
$440.68
No comparable office rate is available.
Kansas
Kansas · 55041
Office
Unavailable
Facility
$437.75
No comparable office rate is available.
Kentucky
Kentucky · 55041
Office
Unavailable
Facility
$450.52
No comparable office rate is available.
New Orleans
Louisiana · 55041
Office
Unavailable
Facility
$466.75
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 55041
Office
Unavailable
Facility
$451.47
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 55041
Office
Unavailable
Facility
$508.58
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 55041
Office
Unavailable
Facility
$476.21
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 55041
Office
Unavailable
Facility
$495.50
No comparable office rate is available.
Rest Of Maryland
Maryland · 55041
Office
Unavailable
Facility
$472.59
No comparable office rate is available.
Rest Of Maine
Maine · 55041
Office
Unavailable
Facility
$444.59
No comparable office rate is available.
Southern Maine
Maine · 55041
Office
Unavailable
Facility
$455.99
No comparable office rate is available.
Detroit
Michigan · 55041
Office
Unavailable
Facility
$490.70
No comparable office rate is available.
Rest Of Michigan
Michigan · 55041
Office
Unavailable
Facility
$462.12
No comparable office rate is available.
Minnesota
Minnesota · 55041
Office
Unavailable
Facility
$449.61
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 55041
Office
Unavailable
Facility
$460.59
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 55041
Office
Unavailable
Facility
$463.54
No comparable office rate is available.
Rest Of Missouri
Missouri · 55041
Office
Unavailable
Facility
$448.47
No comparable office rate is available.
Mississippi
Mississippi · 55041
Office
Unavailable
Facility
$439.68
No comparable office rate is available.
Montana**
Montana · 55041
Office
Unavailable
Facility
$470.88
No comparable office rate is available.
North Carolina
North Carolina · 55041
Office
Unavailable
Facility
$447.24
No comparable office rate is available.
North Dakota**
North Dakota · 55041
Office
Unavailable
Facility
$449.13
No comparable office rate is available.
Nebraska
Nebraska · 55041
Office
Unavailable
Facility
$436.09
No comparable office rate is available.
New Hampshire
New Hampshire · 55041
Office
Unavailable
Facility
$472.76
No comparable office rate is available.
Northern Nj
New Jersey · 55041
Office
Unavailable
Facility
$515.94
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 55041
Office
Unavailable
Facility
$500.00
No comparable office rate is available.
New Mexico
New Mexico · 55041
Office
Unavailable
Facility
$465.39
No comparable office rate is available.
Nevada**
Nevada · 55041
Office
Unavailable
Facility
$464.97
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 55041
Office
Unavailable
Facility
$549.73
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 55041
Office
Unavailable
Facility
$506.01
No comparable office rate is available.
Queens
New York · 55041
Office
Unavailable
Facility
$533.39
No comparable office rate is available.
Rest Of New York
New York · 55041
Office
Unavailable
Facility
$452.24
No comparable office rate is available.
Ohio
Ohio · 55041
Office
Unavailable
Facility
$457.68
No comparable office rate is available.
Oklahoma
Oklahoma · 55041
Office
Unavailable
Facility
$446.07
No comparable office rate is available.
Portland
Oregon · 55041
Office
Unavailable
Facility
$483.31
No comparable office rate is available.
Rest Of Oregon
Oregon · 55041
Office
Unavailable
Facility
$459.42
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 55041
Office
Unavailable
Facility
$489.45
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 55041
Office
Unavailable
Facility
$456.14
No comparable office rate is available.
Puerto Rico
Puerto Rico · 55041
Office
Unavailable
Facility
$472.12
No comparable office rate is available.
Rhode Island
Rhode Island · 55041
Office
Unavailable
Facility
$477.42
No comparable office rate is available.
South Carolina
South Carolina · 55041
Office
Unavailable
Facility
$453.59
No comparable office rate is available.
South Dakota**
South Dakota · 55041
Office
Unavailable
Facility
$446.56
No comparable office rate is available.
Tennessee
Tennessee · 55041
Office
Unavailable
Facility
$439.75
No comparable office rate is available.
Austin
Texas · 55041
Office
Unavailable
Facility
$476.37
No comparable office rate is available.
Beaumont
Texas · 55041
Office
Unavailable
Facility
$454.31
No comparable office rate is available.
Brazoria
Texas · 55041
Office
Unavailable
Facility
$463.69
No comparable office rate is available.
Dallas
Texas · 55041
Office
Unavailable
Facility
$467.62
No comparable office rate is available.
Fort Worth
Texas · 55041
Office
Unavailable
Facility
$466.53
No comparable office rate is available.
Galveston
Texas · 55041
Office
Unavailable
Facility
$465.77
No comparable office rate is available.
Houston
Texas · 55041
Office
Unavailable
Facility
$485.90
No comparable office rate is available.
Rest Of Texas
Texas · 55041
Office
Unavailable
Facility
$459.43
No comparable office rate is available.
Utah
Utah · 55041
Office
Unavailable
Facility
$457.85
No comparable office rate is available.
Virginia
Virginia · 55041
Office
Unavailable
Facility
$457.50
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 55041
Office
Unavailable
Facility
$472.12
No comparable office rate is available.
Vermont
Vermont · 55041
Office
Unavailable
Facility
$451.24
No comparable office rate is available.
Rest Of Washington
Washington · 55041
Office
Unavailable
Facility
$474.06
No comparable office rate is available.
Seattle (King Cnty)
Washington · 55041
Office
Unavailable
Facility
$513.55
No comparable office rate is available.
Wisconsin
Wisconsin · 55041
Office
Unavailable
Facility
$438.98
No comparable office rate is available.
West Virginia
West Virginia · 55041
Office
Unavailable
Facility
$466.35
No comparable office rate is available.
Wyoming**
Wyoming · 55041
Office
Unavailable
Facility
$461.40
No comparable office rate is available.
See how rates vary across the country
55041 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 55041 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$521.17
$473.79 × 110% = $521.17
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 55041 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
6,338
- Code
- 55041
- Physician work
- 8.33
- Practice expense
- 4.67
- Malpractice
- 1.10
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.33 | × 1.017 | 8.4716 |
| Practice expense | 4.67 | × 1.096 | 5.1183 |
| Malpractice | 1.10 | × 0.541 | 0.5951 |
| Total RVUs | 14.1850 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$473.79
Open 55041 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.33 | 1.017 |
| Practice expense | 4.67 | 1.096 |
| Malpractice | 1.1 | 0.541 |
(8.33 × 1.017 + 4.67 × 1.096 + 1.1 × 0.541) × $33.4009 = $473.79
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
55041 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $473.79 | RVU26D |
| 2026-07-01 | Not available in this setting | $473.79 | RVU26C |
| 2026-04-01 | Not available in this setting | $473.79 | RVU26B |
| 2026-01-01 | Not available in this setting | $473.79 | RVU26A |
| 2025-10-01 | Not available in this setting | $507.17 | RVU25D |
| 2025-07-01 | Not available in this setting | $507.17 | RVU25C |
| 2025-04-01 | Not available in this setting | $507.17 | RVU25B |
| 2025-01-01 | Not available in this setting | $507.17 | RVU25A |
55041 billing questions
When should 55041 be used instead of 55040?
Use 55041 when hydrocele surgery is performed on both sides. Code 55040 is for unilateral excision.
Should modifier 50 be appended to 55041?
The code is already priced as bilateral. Modifier 50 does not increase payment.
Can 55041 be reported with hydrocele drainage?
Drainage is a different service from operative treatment of hydroceles. If both services are performed, documentation must support each, and same-session multiple-procedure payment rules may apply.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant surgeon or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,33554901,,Fusion of spermatic ducts,A,,18.62,7.46,NA,7.46,,2.40,28.48,28.48,0,090,0.10,0.80,0.10,2,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,33655000,,Drainage of hydrocele,A,,1.39,2.21,,0.74,,0.18,3.78,2.31,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,33755040,,Removal of hydrocele,A,,5.31,3.41,NA,3.41,,0.71,9.43,9.43,0,090,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,33855041,,Removal of hydroceles,A,,8.33,4.67,NA,4.67,,1.10,14.10,14.10,0,090,0.10,0.80,0.10,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,33955060,,Repair of hydrocele,A,,6.00,3.81,NA,3.81,,0.79,10.60,10.60,0,090,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,34055100,,Drainage of scrotum abscess,A,,2.39,4.66,,2.14,,0.38,7.43,4.91,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,34155110,,Explore scrotum,A,,6.17,3.84,NA,3.84,,0.86,10.87,10.87,0,090,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664