No office rate
Both codes address prostate abscess drainage. This code is specific to the transurethral route; 55720 is used for drainage by another approach.
On this page
CMS RVU26D · Effective 2026-10-01
55725 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$549.65
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 55725: Transurethral prostate abscess drainage
Reports operative drainage of a prostate abscess through a transurethral route, typically performed by a urologist in a surgical setting.
A urologist uses a transurethral route to drain an abscess within the prostate. The procedure treats an established infection and collection; it is distinct from taking prostate tissue for cancer diagnosis. It is generally performed in a surgical setting when operative drainage is needed, with the operative report identifying the abscess and the route used to reach and drain it.
Report this code when the documented procedure is transurethral drainage, rather than drainage by another approach. The record should support the abscess diagnosis, operative findings, access route, and drainage performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 55725
- 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
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.80 · 60%
- Practice expense (office) RVU5.30 · 32%
- Malpractice RVU1.27 · 8%
17
Medicare services in 2024 · #6012 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.
55725 compared with similar codes
Office rates for Merced, from the same CMS release.
$246.26
This code treats a prostate abscess by drainage. 55705 describes an incisional prostate biopsy for tissue diagnosis.
The same code, a different location
How does Merced compare?
55725 across payment areas
Same release and payment basis · bars start at $0
Merced · 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
Madera
California · 55725
Office
Unavailable
Facility
$549.65
No comparable office rate is available.
Modesto
California · 55725
Office
Unavailable
Facility
$549.65
No comparable office rate is available.
Napa
California · 55725
Office
Unavailable
Facility
$602.82
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 55725
Office
Unavailable
Facility
$572.16
No comparable office rate is available.
Redding
California · 55725
Office
Unavailable
Facility
$549.65
No comparable office rate is available.
Rest Of California
California · 55725
Office
Unavailable
Facility
$549.65
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 55725
Office
Unavailable
Facility
$563.42
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 55725
Office
Unavailable
Facility
$567.73
No comparable office rate is available.
Salinas
California · 55725
Office
Unavailable
Facility
$565.38
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 55725
Office
Unavailable
Facility
$571.86
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 55725
Office
Unavailable
Facility
$627.50
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 55725
Office
Unavailable
Facility
$626.06
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 55725
Office
Unavailable
Facility
$641.34
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 55725
Office
Unavailable
Facility
$635.45
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 55725
Office
Unavailable
Facility
$557.26
No comparable office rate is available.
Santa Cruz-Watsonville
California · 55725
Office
Unavailable
Facility
$572.02
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 55725
Office
Unavailable
Facility
$565.64
No comparable office rate is available.
Santa Rosa-Petaluma
California · 55725
Office
Unavailable
Facility
$577.27
No comparable office rate is available.
Stockton
California · 55725
Office
Unavailable
Facility
$549.65
No comparable office rate is available.
Vallejo
California · 55725
Office
Unavailable
Facility
$600.74
No comparable office rate is available.
Visalia
California · 55725
Office
Unavailable
Facility
$549.65
No comparable office rate is available.
Yuba City
California · 55725
Office
Unavailable
Facility
$549.65
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 55725
Office
Unavailable
Facility
$600.75
No comparable office rate is available.
Miami
Florida · 55725
Office
Unavailable
Facility
$618.89
No comparable office rate is available.
Chicago
Illinois · 55725
Office
Unavailable
Facility
$604.88
No comparable office rate is available.
Manhattan
New York · 55725
Office
Unavailable
Facility
$621.26
No comparable office rate is available.
Alaska*
Alaska · 55725
Office
Unavailable
Facility
$702.90
No comparable office rate is available.
Alabama
Alabama · 55725
Office
Unavailable
Facility
$506.23
No comparable office rate is available.
Arkansas
Arkansas · 55725
Office
Unavailable
Facility
$501.24
No comparable office rate is available.
Arizona
Arizona · 55725
Office
Unavailable
Facility
$535.18
No comparable office rate is available.
Colorado
Colorado · 55725
Office
Unavailable
Facility
$552.74
No comparable office rate is available.
Connecticut
Connecticut · 55725
Office
Unavailable
Facility
$575.86
No comparable office rate is available.
Delaware
Delaware · 55725
Office
Unavailable
Facility
$542.00
No comparable office rate is available.
Fort Lauderdale
Florida · 55725
Office
Unavailable
Facility
$583.35
No comparable office rate is available.
Rest Of Florida
Florida · 55725
Office
Unavailable
Facility
$560.32
No comparable office rate is available.
Atlanta
Georgia · 55725
Office
Unavailable
Facility
$559.11
No comparable office rate is available.
Rest Of Georgia
Georgia · 55725
Office
Unavailable
Facility
$535.80
No comparable office rate is available.
Hawaii, Guam
Hawaii · 55725
Office
Unavailable
Facility
$553.17
No comparable office rate is available.
Iowa
Iowa · 55725
Office
Unavailable
Facility
$506.15
No comparable office rate is available.
Idaho
Idaho · 55725
Office
Unavailable
Facility
$510.26
No comparable office rate is available.
East St. Louis
Illinois · 55725
Office
Unavailable
Facility
$575.62
No comparable office rate is available.
Rest Of Illinois
Illinois · 55725
Office
Unavailable
Facility
$555.25
No comparable office rate is available.
Suburban Chicago
Illinois · 55725
Office
Unavailable
Facility
$586.59
No comparable office rate is available.
Indiana
Indiana · 55725
Office
Unavailable
Facility
$512.05
No comparable office rate is available.
Kansas
Kansas · 55725
Office
Unavailable
Facility
$508.74
No comparable office rate is available.
Kentucky
Kentucky · 55725
Office
Unavailable
Facility
$523.52
No comparable office rate is available.
New Orleans
Louisiana · 55725
Office
Unavailable
Facility
$542.10
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 55725
Office
Unavailable
Facility
$524.63
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 55725
Office
Unavailable
Facility
$589.87
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 55725
Office
Unavailable
Facility
$552.78
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 55725
Office
Unavailable
Facility
$574.99
No comparable office rate is available.
Rest Of Maryland
Maryland · 55725
Office
Unavailable
Facility
$548.69
No comparable office rate is available.
Rest Of Maine
Maine · 55725
Office
Unavailable
Facility
$516.58
No comparable office rate is available.
Southern Maine
Maine · 55725
Office
Unavailable
Facility
$529.53
No comparable office rate is available.
Detroit
Michigan · 55725
Office
Unavailable
Facility
$569.68
No comparable office rate is available.
Rest Of Michigan
Michigan · 55725
Office
Unavailable
Facility
$536.84
No comparable office rate is available.
Minnesota
Minnesota · 55725
Office
Unavailable
Facility
$522.04
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 55725
Office
Unavailable
Facility
$535.00
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 55725
Office
Unavailable
Facility
$538.36
No comparable office rate is available.
Rest Of Missouri
Missouri · 55725
Office
Unavailable
Facility
$521.24
No comparable office rate is available.
Mississippi
Mississippi · 55725
Office
Unavailable
Facility
$511.09
No comparable office rate is available.
Montana**
Montana · 55725
Office
Unavailable
Facility
$546.69
No comparable office rate is available.
North Carolina
North Carolina · 55725
Office
Unavailable
Facility
$519.60
No comparable office rate is available.
North Dakota**
North Dakota · 55725
Office
Unavailable
Facility
$521.58
No comparable office rate is available.
Nebraska
Nebraska · 55725
Office
Unavailable
Facility
$506.76
No comparable office rate is available.
New Hampshire
New Hampshire · 55725
Office
Unavailable
Facility
$548.73
No comparable office rate is available.
Northern Nj
New Jersey · 55725
Office
Unavailable
Facility
$598.60
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 55725
Office
Unavailable
Facility
$580.27
No comparable office rate is available.
New Mexico
New Mexico · 55725
Office
Unavailable
Facility
$540.61
No comparable office rate is available.
Nevada**
Nevada · 55725
Office
Unavailable
Facility
$539.87
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 55725
Office
Unavailable
Facility
$637.53
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 55725
Office
Unavailable
Facility
$587.23
No comparable office rate is available.
Queens
New York · 55725
Office
Unavailable
Facility
$618.69
No comparable office rate is available.
Rest Of New York
New York · 55725
Office
Unavailable
Facility
$525.32
No comparable office rate is available.
Ohio
Ohio · 55725
Office
Unavailable
Facility
$531.71
No comparable office rate is available.
Oklahoma
Oklahoma · 55725
Office
Unavailable
Facility
$518.37
No comparable office rate is available.
Portland
Oregon · 55725
Office
Unavailable
Facility
$560.80
No comparable office rate is available.
Rest Of Oregon
Oregon · 55725
Office
Unavailable
Facility
$533.47
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 55725
Office
Unavailable
Facility
$568.11
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 55725
Office
Unavailable
Facility
$529.92
No comparable office rate is available.
Puerto Rico
Puerto Rico · 55725
Office
Unavailable
Facility
$548.08
No comparable office rate is available.
Rhode Island
Rhode Island · 55725
Office
Unavailable
Facility
$554.25
No comparable office rate is available.
South Carolina
South Carolina · 55725
Office
Unavailable
Facility
$526.96
No comparable office rate is available.
South Dakota**
South Dakota · 55725
Office
Unavailable
Facility
$518.61
No comparable office rate is available.
Tennessee
Tennessee · 55725
Office
Unavailable
Facility
$511.02
No comparable office rate is available.
Austin
Texas · 55725
Office
Unavailable
Facility
$552.86
No comparable office rate is available.
Beaumont
Texas · 55725
Office
Unavailable
Facility
$527.83
No comparable office rate is available.
Brazoria
Texas · 55725
Office
Unavailable
Facility
$538.47
No comparable office rate is available.
Dallas
Texas · 55725
Office
Unavailable
Facility
$542.99
No comparable office rate is available.
Fort Worth
Texas · 55725
Office
Unavailable
Facility
$541.77
No comparable office rate is available.
Galveston
Texas · 55725
Office
Unavailable
Facility
$540.86
No comparable office rate is available.
Houston
Texas · 55725
Office
Unavailable
Facility
$564.10
No comparable office rate is available.
Rest Of Texas
Texas · 55725
Office
Unavailable
Facility
$533.63
No comparable office rate is available.
Utah
Utah · 55725
Office
Unavailable
Facility
$531.82
No comparable office rate is available.
Virginia
Virginia · 55725
Office
Unavailable
Facility
$531.29
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 55725
Office
Unavailable
Facility
$548.08
No comparable office rate is available.
Vermont
Vermont · 55725
Office
Unavailable
Facility
$524.05
No comparable office rate is available.
Rest Of Washington
Washington · 55725
Office
Unavailable
Facility
$550.27
No comparable office rate is available.
Seattle (King Cnty)
Washington · 55725
Office
Unavailable
Facility
$595.56
No comparable office rate is available.
Wisconsin
Wisconsin · 55725
Office
Unavailable
Facility
$509.98
No comparable office rate is available.
West Virginia
West Virginia · 55725
Office
Unavailable
Facility
$541.87
No comparable office rate is available.
Wyoming**
Wyoming · 55725
Office
Unavailable
Facility
$535.74
No comparable office rate is available.
See how rates vary across the country
55725 · 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?
Merced is a Medicare payment area. Our Census mapping connects it to 24 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 55725 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$604.62
$549.65 × 110% = $604.62
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 55725 in Merced.
PPRRVU2026_Oct_nonQPP.csv
6,373
- Code
- 55725
- Physician work
- 9.80
- Practice expense
- 5.30
- Malpractice
- 1.27
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.80 | × 1.017 | 9.9666 |
| Practice expense | 5.30 | × 1.096 | 5.8088 |
| Malpractice | 1.27 | × 0.536 | 0.6807 |
| Total RVUs | 16.4561 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$549.65
Open 55725 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.8 | 1.017 |
| Practice expense | 5.3 | 1.096 |
| Malpractice | 1.27 | 0.536 |
(9.8 × 1.017 + 5.3 × 1.096 + 1.27 × 0.536) × $33.4009 = $549.65
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
55725 · 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 | $549.65 | RVU26D |
| 2026-07-01 | Not available in this setting | $549.65 | RVU26C |
| 2026-04-01 | Not available in this setting | $549.65 | RVU26B |
| 2026-01-01 | Not available in this setting | $549.65 | RVU26A |
| 2025-10-01 | Not available in this setting | $590.20 | RVU25D |
| 2025-07-01 | Not available in this setting | $590.20 | RVU25C |
| 2025-04-01 | Not available in this setting | $590.20 | RVU25B |
| 2025-01-01 | Not available in this setting | $590.20 | RVU25A |
55725 billing questions
How does this code differ from 55720?
Both codes describe drainage of a prostate abscess, but this code is for the transurethral approach. Use the code that matches the operative route documented.
Can a prostate biopsy code be reported for abscess drainage?
No. Biopsy codes describe obtaining prostate tissue for examination; this service describes operative drainage of an abscess.
How does the multiple-procedure reduction affect other procedures performed in the same session?
Medicare pays the highest-valued procedure in full and applies the standard 50% reduction to the other procedures in that session.
What documentation supports reporting this service?
Document the prostate abscess, the transurethral route, operative findings, and the drainage performed. The operative report should make the approach clear when distinguishing this code from 55720.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
6,37055714,,Bx prst8 in-bore ct/mri 1,A,,3.62,18.24,,0.98,,0.46,22.32,5.06,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,37155715,,Bx prst8 ea add mri-us/ct/mr,A,,1.05,1.24,,0.22,,0.14,2.43,1.41,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,37255720,,Drainage of prostate abscess,A,,7.54,3.91,NA,3.91,,0.98,12.43,12.43,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,37355725,,Drainage of prostate abscess,A,,9.80,5.30,NA,5.30,,1.27,16.37,16.37,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,37455801,,Removal of prostate,A,,19.31,7.65,NA,7.65,,2.48,29.44,29.44,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,37555810,,Extensive prostate surgery,A,,23.68,8.16,NA,8.16,,3.04,34.88,34.88,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,37655812,,Extensive prostate surgery,A,,29.14,9.94,NA,9.94,,3.75,42.83,42.83,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623