No office rate
Choose 50328 for arterial preparation of a living-donor graft; 50327 describes the corresponding arterial work for a cadaver-donor graft.
On this page
CMS RVU26D · Effective 2026-10-01
50328 in Madera
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$161.25
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.
Transplant surgery
About 50328: Living donor renal graft arterial preparation
Reports backbench preparation of a living-donor kidney graft’s artery before transplantation, including work to prepare or reconstruct arterial inflow.
A transplant surgeon performs this backbench service on a kidney obtained from a living donor, after procurement and before the graft is implanted in the recipient. The work focuses on preparing the graft’s artery for the vascular connection needed at transplantation, with or without arterial reconstruction. It is distinct from removing the donor kidney and from implanting the kidney in the recipient.
Report the code when the operative record supports arterial preparation of a living-donor renal graft. Documentation should identify the living-donor graft and describe the arterial work performed, including any reconstruction. When other procedures are performed in the same session, CMS applies the standard multiple procedure reduction: the highest-valued procedure is paid in full, and the others are paid at 50%.
CMS billing rules for 50328
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Where the value comes from
- Work RVU3.41 · 67%
- Practice expense (office) RVU0.82 · 16%
- Malpractice RVU0.86 · 17%
813
Medicare services in 2024 · #3131 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.
50328 compared with similar codes
Office rates for Madera, from the same CMS release.
50325
No office ratePrep donor renal graft
Both concern living-donor graft backbench preparation, but 50325 addresses venous preparation rather than arterial preparation.
No office rate
50360 describes implantation of a kidney in the recipient without recipient nephrectomy; 50328 describes backbench arterial preparation of the living-donor graft.
The same code, a different location
How does Madera compare?
50328 across payment areas
Same release and payment basis · bars start at $0
Madera · 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.
Unavailable
No comparable rate is available in this setting.
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 · 50328
Office
Unavailable
Facility
$161.25
No comparable office rate is available.
Modesto
California · 50328
Office
Unavailable
Facility
$161.25
No comparable office rate is available.
Napa
California · 50328
Office
Unavailable
Facility
$171.76
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 50328
Office
Unavailable
Facility
$167.36
No comparable office rate is available.
Redding
California · 50328
Office
Unavailable
Facility
$161.25
No comparable office rate is available.
Rest Of California
California · 50328
Office
Unavailable
Facility
$161.25
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 50328
Office
Unavailable
Facility
$170.47
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 50328
Office
Unavailable
Facility
$165.25
No comparable office rate is available.
Salinas
California · 50328
Office
Unavailable
Facility
$164.57
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 50328
Office
Unavailable
Facility
$165.64
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 50328
Office
Unavailable
Facility
$176.52
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 50328
Office
Unavailable
Facility
$175.54
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 50328
Office
Unavailable
Facility
$181.32
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 50328
Office
Unavailable
Facility
$177.32
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 50328
Office
Unavailable
Facility
$162.43
No comparable office rate is available.
Santa Cruz-Watsonville
California · 50328
Office
Unavailable
Facility
$164.96
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 50328
Office
Unavailable
Facility
$164.42
No comparable office rate is available.
Santa Rosa-Petaluma
California · 50328
Office
Unavailable
Facility
$166.34
No comparable office rate is available.
Stockton
California · 50328
Office
Unavailable
Facility
$161.25
No comparable office rate is available.
Vallejo
California · 50328
Office
Unavailable
Facility
$170.36
No comparable office rate is available.
Visalia
California · 50328
Office
Unavailable
Facility
$161.25
No comparable office rate is available.
Yuba City
California · 50328
Office
Unavailable
Facility
$161.25
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 50328
Office
Unavailable
Facility
$184.28
No comparable office rate is available.
Miami
Florida · 50328
Office
Unavailable
Facility
$215.05
No comparable office rate is available.
Chicago
Illinois · 50328
Office
Unavailable
Facility
$208.14
No comparable office rate is available.
Manhattan
New York · 50328
Office
Unavailable
Facility
$198.57
No comparable office rate is available.
Alaska*
Alaska · 50328
Office
Unavailable
Facility
$215.84
No comparable office rate is available.
Alabama
Alabama · 50328
Office
Unavailable
Facility
$154.12
No comparable office rate is available.
Arkansas
Arkansas · 50328
Office
Unavailable
Facility
$152.22
No comparable office rate is available.
Arizona
Arizona · 50328
Office
Unavailable
Facility
$165.03
No comparable office rate is available.
Colorado
Colorado · 50328
Office
Unavailable
Facility
$166.84
No comparable office rate is available.
Connecticut
Connecticut · 50328
Office
Unavailable
Facility
$180.43
No comparable office rate is available.
Delaware
Delaware · 50328
Office
Unavailable
Facility
$167.35
No comparable office rate is available.
Fort Lauderdale
Florida · 50328
Office
Unavailable
Facility
$193.58
No comparable office rate is available.
Rest Of Florida
Florida · 50328
Office
Unavailable
Facility
$183.25
No comparable office rate is available.
Atlanta
Georgia · 50328
Office
Unavailable
Facility
$176.56
No comparable office rate is available.
Rest Of Georgia
Georgia · 50328
Office
Unavailable
Facility
$172.57
No comparable office rate is available.
Hawaii, Guam
Hawaii · 50328
Office
Unavailable
Facility
$161.67
No comparable office rate is available.
Iowa
Iowa · 50328
Office
Unavailable
Facility
$150.36
No comparable office rate is available.
Idaho
Idaho · 50328
Office
Unavailable
Facility
$152.68
No comparable office rate is available.
East St. Louis
Illinois · 50328
Office
Unavailable
Facility
$196.95
No comparable office rate is available.
Rest Of Illinois
Illinois · 50328
Office
Unavailable
Facility
$183.80
No comparable office rate is available.
Suburban Chicago
Illinois · 50328
Office
Unavailable
Facility
$193.72
No comparable office rate is available.
Indiana
Indiana · 50328
Office
Unavailable
Facility
$153.25
No comparable office rate is available.
Kansas
Kansas · 50328
Office
Unavailable
Facility
$153.13
No comparable office rate is available.
Kentucky
Kentucky · 50328
Office
Unavailable
Facility
$164.53
No comparable office rate is available.
New Orleans
Louisiana · 50328
Office
Unavailable
Facility
$172.30
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 50328
Office
Unavailable
Facility
$165.65
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 50328
Office
Unavailable
Facility
$176.83
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 50328
Office
Unavailable
Facility
$167.45
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 50328
Office
Unavailable
Facility
$180.64
No comparable office rate is available.
Rest Of Maryland
Maryland · 50328
Office
Unavailable
Facility
$169.12
No comparable office rate is available.
Rest Of Maine
Maine · 50328
Office
Unavailable
Facility
$156.96
No comparable office rate is available.
Southern Maine
Maine · 50328
Office
Unavailable
Facility
$159.16
No comparable office rate is available.
Detroit
Michigan · 50328
Office
Unavailable
Facility
$188.76
No comparable office rate is available.
Rest Of Michigan
Michigan · 50328
Office
Unavailable
Facility
$171.33
No comparable office rate is available.
Minnesota
Minnesota · 50328
Office
Unavailable
Facility
$150.58
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 50328
Office
Unavailable
Facility
$167.68
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 50328
Office
Unavailable
Facility
$168.75
No comparable office rate is available.
Rest Of Missouri
Missouri · 50328
Office
Unavailable
Facility
$165.48
No comparable office rate is available.
Mississippi
Mississippi · 50328
Office
Unavailable
Facility
$158.71
No comparable office rate is available.
Montana**
Montana · 50328
Office
Unavailable
Facility
$169.95
No comparable office rate is available.
North Carolina
North Carolina · 50328
Office
Unavailable
Facility
$157.81
No comparable office rate is available.
North Dakota**
North Dakota · 50328
Office
Unavailable
Facility
$152.95
No comparable office rate is available.
Nebraska
Nebraska · 50328
Office
Unavailable
Facility
$150.03
No comparable office rate is available.
New Hampshire
New Hampshire · 50328
Office
Unavailable
Facility
$167.54
No comparable office rate is available.
Northern Nj
New Jersey · 50328
Office
Unavailable
Facility
$183.52
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 50328
Office
Unavailable
Facility
$179.87
No comparable office rate is available.
New Mexico
New Mexico · 50328
Office
Unavailable
Facility
$173.51
No comparable office rate is available.
Nevada**
Nevada · 50328
Office
Unavailable
Facility
$165.24
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 50328
Office
Unavailable
Facility
$207.09
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 50328
Office
Unavailable
Facility
$183.77
No comparable office rate is available.
Queens
New York · 50328
Office
Unavailable
Facility
$194.98
No comparable office rate is available.
Rest Of New York
New York · 50328
Office
Unavailable
Facility
$160.11
No comparable office rate is available.
Ohio
Ohio · 50328
Office
Unavailable
Facility
$167.86
No comparable office rate is available.
Oklahoma
Oklahoma · 50328
Office
Unavailable
Facility
$160.67
No comparable office rate is available.
Portland
Oregon · 50328
Office
Unavailable
Facility
$167.52
No comparable office rate is available.
Rest Of Oregon
Oregon · 50328
Office
Unavailable
Facility
$161.37
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 50328
Office
Unavailable
Facility
$178.73
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 50328
Office
Unavailable
Facility
$166.18
No comparable office rate is available.
Puerto Rico
Puerto Rico · 50328
Office
Unavailable
Facility
$169.88
No comparable office rate is available.
Rhode Island
Rhode Island · 50328
Office
Unavailable
Facility
$169.98
No comparable office rate is available.
South Carolina
South Carolina · 50328
Office
Unavailable
Facility
$163.62
No comparable office rate is available.
South Dakota**
South Dakota · 50328
Office
Unavailable
Facility
$150.94
No comparable office rate is available.
Tennessee
Tennessee · 50328
Office
Unavailable
Facility
$154.22
No comparable office rate is available.
Austin
Texas · 50328
Office
Unavailable
Facility
$168.55
No comparable office rate is available.
Beaumont
Texas · 50328
Office
Unavailable
Facility
$165.51
No comparable office rate is available.
Brazoria
Texas · 50328
Office
Unavailable
Facility
$164.36
No comparable office rate is available.
Dallas
Texas · 50328
Office
Unavailable
Facility
$166.85
No comparable office rate is available.
Fort Worth
Texas · 50328
Office
Unavailable
Facility
$166.95
No comparable office rate is available.
Galveston
Texas · 50328
Office
Unavailable
Facility
$165.79
No comparable office rate is available.
Houston
Texas · 50328
Office
Unavailable
Facility
$181.53
No comparable office rate is available.
Rest Of Texas
Texas · 50328
Office
Unavailable
Facility
$165.83
No comparable office rate is available.
Utah
Utah · 50328
Office
Unavailable
Facility
$165.44
No comparable office rate is available.
Virginia
Virginia · 50328
Office
Unavailable
Facility
$161.10
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 50328
Office
Unavailable
Facility
$169.88
No comparable office rate is available.
Vermont
Vermont · 50328
Office
Unavailable
Facility
$155.55
No comparable office rate is available.
Rest Of Washington
Washington · 50328
Office
Unavailable
Facility
$166.08
No comparable office rate is available.
Seattle (King Cnty)
Washington · 50328
Office
Unavailable
Facility
$176.67
No comparable office rate is available.
Wisconsin
Wisconsin · 50328
Office
Unavailable
Facility
$148.98
No comparable office rate is available.
West Virginia
West Virginia · 50328
Office
Unavailable
Facility
$178.80
No comparable office rate is available.
Wyoming**
Wyoming · 50328
Office
Unavailable
Facility
$162.54
No comparable office rate is available.
See how rates vary across the country
50328 · 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?
Madera is a Medicare payment area. Our Census mapping connects it to 17 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 50328 in Madera. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$177.38
$161.25 × 110% = $177.38
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 50328 in Madera.
PPRRVU2026_Oct_nonQPP.csv
5,899
- Code
- 50328
- Physician work
- 3.41
- Practice expense
- 0.82
- Malpractice
- 0.86
GPCI2026.csv
14
- Locality
- Madera
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.41 | × 1.017 | 3.4680 |
| Practice expense | 0.82 | × 1.096 | 0.8987 |
| Malpractice | 0.86 | × 0.536 | 0.4610 |
| Total RVUs | 4.8277 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Madera$161.25
Open 50328 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.41 | 1.017 |
| Practice expense | 0.82 | 1.096 |
| Malpractice | 0.86 | 0.536 |
(3.41 × 1.017 + 0.82 × 1.096 + 0.86 × 0.536) × $33.4009 = $161.25
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
50328 · 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 | $161.25 | RVU26D |
| 2026-07-01 | Not available in this setting | $161.25 | RVU26C |
| 2026-04-01 | Not available in this setting | $161.25 | RVU26B |
| 2026-01-01 | Not available in this setting | $161.25 | RVU26A |
| 2025-10-01 | Not available in this setting | $176.33 | RVU25D |
| 2025-07-01 | Not available in this setting | $176.33 | RVU25C |
| 2025-04-01 | Not available in this setting | $176.33 | RVU25B |
| 2025-01-01 | Not available in this setting | $176.33 | RVU25A |
50328 billing questions
How does this differ from 50327?
Both codes describe backbench arterial preparation, but 50328 is for a living-donor renal graft and 50327 is for a cadaver-donor graft.
Is this the donor nephrectomy or the recipient transplant?
No. This code covers preparation of the living-donor graft’s artery before implantation; it does not describe removing the kidney from the donor or implanting it in the recipient.
What operative documentation supports reporting it?
The record should establish that the graft came from a living donor and describe the arterial preparation or reconstruction performed on the backbench.
How is it paid when other procedures occur in the same session?
CMS pays the highest-valued procedure in full and pays the other procedures at 50% under the standard multiple procedure reduction.
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.
5,89650323,,Prep cadaver renal allograft,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,89750325,,Prep donor renal graft,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,89850327,,Prep renal graft/venous,A,,3.90,0.93,NA,0.93,,1.00,5.83,5.83,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,89950328,,Prep renal graft/arterial,A,,3.41,0.82,NA,0.82,,0.86,5.09,5.09,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,90050329,,Prep renal graft/ureteral,A,,3.26,0.78,NA,0.78,,0.83,4.87,4.87,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,90150340,,Recipient nephrectomy,A,,13.69,10.74,NA,10.74,,3.65,28.08,28.08,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,90250360,,Rnl altrnsplj w/o rcp nfrct,A,,38.88,19.75,NA,19.75,,10.03,68.66,68.66,0,090,0.08,0.83,0.09,2,0,2,2,2,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508