No office rate
Both describe open retropubic radical prostate removal, but 55840 does not include the extensive bilateral pelvic node dissection represented by 55845.
On this page
CMS RVU26D · Effective 2026-10-01
55845 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1201.48
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.
Urologic surgery
About 55845: Open radical prostatectomy with extensive node dissection
Reports open retropubic radical prostate removal with bilateral dissection of the external iliac, hypogastric, and obturator lymph-node basins.
A urologist uses an open retropubic approach to remove the prostate for cancer and dissect pelvic lymph nodes on both sides, including the external iliac, hypogastric, and obturator basins. The code fits an operation that includes this extensive nodal dissection, rather than prostate removal alone or a less extensive node dissection. These procedures are generally performed in a hospital operating room.
Report the code when the operative note supports the retropubic approach, radical prostate removal, bilateral dissection, and the specified nodal basins. The bilateral work is built into the code; modifier 50 does not increase payment. The day-before preoperative visit and 90 days of related postoperative care are included in the global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 55845
- 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
- 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 RVU24.55 · 68%
- Practice expense (office) RVU8.49 · 23%
- Malpractice RVU3.17 · 9%
492
Medicare services in 2024 · #3582 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.
55845 compared with similar codes
Office rates for Merced, from the same CMS release.
No office rate
Use 55842 for a more limited bilateral pelvic node dissection. Use 55845 when the documented dissection includes the external iliac, hypogastric, and obturator basins.
No office rate
This is the perineal approach with extensive bilateral pelvic node dissection; 55845 is the retropubic approach.
No office rate
This code is for laparoscopic radical prostatectomy, including robotic assistance; 55845 describes an open retropubic operation.
The same code, a different location
How does Merced compare?
55845 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 · 55845
Office
Unavailable
Facility
$1201.48
No comparable office rate is available.
Modesto
California · 55845
Office
Unavailable
Facility
$1201.48
No comparable office rate is available.
Napa
California · 55845
Office
Unavailable
Facility
$1299.19
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 55845
Office
Unavailable
Facility
$1244.10
No comparable office rate is available.
Redding
California · 55845
Office
Unavailable
Facility
$1201.48
No comparable office rate is available.
Rest Of California
California · 55845
Office
Unavailable
Facility
$1201.48
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 55845
Office
Unavailable
Facility
$1235.87
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 55845
Office
Unavailable
Facility
$1236.06
No comparable office rate is available.
Salinas
California · 55845
Office
Unavailable
Facility
$1230.83
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 55845
Office
Unavailable
Facility
$1241.13
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 55845
Office
Unavailable
Facility
$1346.33
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 55845
Office
Unavailable
Facility
$1342.73
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 55845
Office
Unavailable
Facility
$1375.86
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 55845
Office
Unavailable
Facility
$1361.14
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 55845
Office
Unavailable
Facility
$1213.67
No comparable office rate is available.
Santa Cruz-Watsonville
California · 55845
Office
Unavailable
Facility
$1238.51
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 55845
Office
Unavailable
Facility
$1230.35
No comparable office rate is available.
Santa Rosa-Petaluma
California · 55845
Office
Unavailable
Facility
$1249.57
No comparable office rate is available.
Stockton
California · 55845
Office
Unavailable
Facility
$1201.48
No comparable office rate is available.
Vallejo
California · 55845
Office
Unavailable
Facility
$1294.00
No comparable office rate is available.
Visalia
California · 55845
Office
Unavailable
Facility
$1201.48
No comparable office rate is available.
Yuba City
California · 55845
Office
Unavailable
Facility
$1201.48
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 55845
Office
Unavailable
Facility
$1316.17
No comparable office rate is available.
Miami
Florida · 55845
Office
Unavailable
Facility
$1382.96
No comparable office rate is available.
Chicago
Illinois · 55845
Office
Unavailable
Facility
$1353.72
No comparable office rate is available.
Manhattan
New York · 55845
Office
Unavailable
Facility
$1369.91
No comparable office rate is available.
Alaska*
Alaska · 55845
Office
Unavailable
Facility
$1590.33
No comparable office rate is available.
Alabama
Alabama · 55845
Office
Unavailable
Facility
$1128.05
No comparable office rate is available.
Arkansas
Arkansas · 55845
Office
Unavailable
Facility
$1118.11
No comparable office rate is available.
Arizona
Arizona · 55845
Office
Unavailable
Facility
$1185.41
No comparable office rate is available.
Colorado
Colorado · 55845
Office
Unavailable
Facility
$1214.25
No comparable office rate is available.
Connecticut
Connecticut · 55845
Office
Unavailable
Facility
$1269.92
No comparable office rate is available.
Delaware
Delaware · 55845
Office
Unavailable
Facility
$1199.45
No comparable office rate is available.
Fort Lauderdale
Florida · 55845
Office
Unavailable
Facility
$1298.68
No comparable office rate is available.
Rest Of Florida
Florida · 55845
Office
Unavailable
Facility
$1250.23
No comparable office rate is available.
Atlanta
Georgia · 55845
Office
Unavailable
Facility
$1237.73
No comparable office rate is available.
Rest Of Georgia
Georgia · 55845
Office
Unavailable
Facility
$1199.15
No comparable office rate is available.
Hawaii, Guam
Hawaii · 55845
Office
Unavailable
Facility
$1203.72
No comparable office rate is available.
Iowa
Iowa · 55845
Office
Unavailable
Facility
$1121.50
No comparable office rate is available.
Idaho
Idaho · 55845
Office
Unavailable
Facility
$1130.96
No comparable office rate is available.
East St. Louis
Illinois · 55845
Office
Unavailable
Facility
$1294.12
No comparable office rate is available.
Rest Of Illinois
Illinois · 55845
Office
Unavailable
Facility
$1244.39
No comparable office rate is available.
Suburban Chicago
Illinois · 55845
Office
Unavailable
Facility
$1304.58
No comparable office rate is available.
Indiana
Indiana · 55845
Office
Unavailable
Facility
$1134.32
No comparable office rate is available.
Kansas
Kansas · 55845
Office
Unavailable
Facility
$1129.71
No comparable office rate is available.
Kentucky
Kentucky · 55845
Office
Unavailable
Facility
$1168.97
No comparable office rate is available.
New Orleans
Louisiana · 55845
Office
Unavailable
Facility
$1207.12
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 55845
Office
Unavailable
Facility
$1172.39
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 55845
Office
Unavailable
Facility
$1286.43
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 55845
Office
Unavailable
Facility
$1216.10
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 55845
Office
Unavailable
Facility
$1268.36
No comparable office rate is available.
Rest Of Maryland
Maryland · 55845
Office
Unavailable
Facility
$1212.37
No comparable office rate is available.
Rest Of Maine
Maine · 55845
Office
Unavailable
Facility
$1146.74
No comparable office rate is available.
Southern Maine
Maine · 55845
Office
Unavailable
Facility
$1167.82
No comparable office rate is available.
Detroit
Michigan · 55845
Office
Unavailable
Facility
$1272.16
No comparable office rate is available.
Rest Of Michigan
Michigan · 55845
Office
Unavailable
Facility
$1198.43
No comparable office rate is available.
Minnesota
Minnesota · 55845
Office
Unavailable
Facility
$1143.13
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 55845
Office
Unavailable
Facility
$1189.71
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 55845
Office
Unavailable
Facility
$1196.05
No comparable office rate is available.
Rest Of Missouri
Missouri · 55845
Office
Unavailable
Facility
$1167.56
No comparable office rate is available.
Mississippi
Mississippi · 55845
Office
Unavailable
Facility
$1142.39
No comparable office rate is available.
Montana**
Montana · 55845
Office
Unavailable
Facility
$1209.23
No comparable office rate is available.
North Carolina
North Carolina · 55845
Office
Unavailable
Facility
$1152.22
No comparable office rate is available.
North Dakota**
North Dakota · 55845
Office
Unavailable
Facility
$1146.55
No comparable office rate is available.
Nebraska
Nebraska · 55845
Office
Unavailable
Facility
$1121.75
No comparable office rate is available.
New Hampshire
New Hampshire · 55845
Office
Unavailable
Facility
$1207.84
No comparable office rate is available.
Northern Nj
New Jersey · 55845
Office
Unavailable
Facility
$1313.68
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 55845
Office
Unavailable
Facility
$1278.61
No comparable office rate is available.
New Mexico
New Mexico · 55845
Office
Unavailable
Facility
$1207.19
No comparable office rate is available.
Nevada**
Nevada · 55845
Office
Unavailable
Facility
$1192.05
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 55845
Office
Unavailable
Facility
$1406.26
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 55845
Office
Unavailable
Facility
$1295.52
No comparable office rate is available.
Queens
New York · 55845
Office
Unavailable
Facility
$1360.34
No comparable office rate is available.
Rest Of New York
New York · 55845
Office
Unavailable
Facility
$1163.82
No comparable office rate is available.
Ohio
Ohio · 55845
Office
Unavailable
Facility
$1185.62
No comparable office rate is available.
Oklahoma
Oklahoma · 55845
Office
Unavailable
Facility
$1155.49
No comparable office rate is available.
Portland
Oregon · 55845
Office
Unavailable
Facility
$1226.94
No comparable office rate is available.
Rest Of Oregon
Oregon · 55845
Office
Unavailable
Facility
$1176.87
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 55845
Office
Unavailable
Facility
$1256.27
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 55845
Office
Unavailable
Facility
$1180.37
No comparable office rate is available.
Puerto Rico
Puerto Rico · 55845
Office
Unavailable
Facility
$1210.98
No comparable office rate is available.
Rhode Island
Rhode Island · 55845
Office
Unavailable
Facility
$1222.95
No comparable office rate is available.
South Carolina
South Carolina · 55845
Office
Unavailable
Facility
$1172.01
No comparable office rate is available.
South Dakota**
South Dakota · 55845
Office
Unavailable
Facility
$1139.14
No comparable office rate is available.
Tennessee
Tennessee · 55845
Office
Unavailable
Facility
$1134.62
No comparable office rate is available.
Austin
Texas · 55845
Office
Unavailable
Facility
$1215.46
No comparable office rate is available.
Beaumont
Texas · 55845
Office
Unavailable
Facility
$1176.41
No comparable office rate is available.
Brazoria
Texas · 55845
Office
Unavailable
Facility
$1190.16
No comparable office rate is available.
Dallas
Texas · 55845
Office
Unavailable
Facility
$1200.66
No comparable office rate is available.
Fort Worth
Texas · 55845
Office
Unavailable
Facility
$1199.20
No comparable office rate is available.
Galveston
Texas · 55845
Office
Unavailable
Facility
$1195.81
No comparable office rate is available.
Houston
Texas · 55845
Office
Unavailable
Facility
$1253.83
No comparable office rate is available.
Rest Of Texas
Texas · 55845
Office
Unavailable
Facility
$1184.71
No comparable office rate is available.
Utah
Utah · 55845
Office
Unavailable
Facility
$1181.63
No comparable office rate is available.
Virginia
Virginia · 55845
Office
Unavailable
Facility
$1173.50
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 55845
Office
Unavailable
Facility
$1210.98
No comparable office rate is available.
Vermont
Vermont · 55845
Office
Unavailable
Facility
$1154.31
No comparable office rate is available.
Rest Of Washington
Washington · 55845
Office
Unavailable
Facility
$1209.83
No comparable office rate is available.
Seattle (King Cnty)
Washington · 55845
Office
Unavailable
Facility
$1295.44
No comparable office rate is available.
Wisconsin
Wisconsin · 55845
Office
Unavailable
Facility
$1124.27
No comparable office rate is available.
West Virginia
West Virginia · 55845
Office
Unavailable
Facility
$1217.93
No comparable office rate is available.
Wyoming**
Wyoming · 55845
Office
Unavailable
Facility
$1181.92
No comparable office rate is available.
See how rates vary across the country
55845 · 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 55845 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1321.63
$1201.48 × 110% = $1321.63
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 55845 in Merced.
PPRRVU2026_Oct_nonQPP.csv
6,382
- Code
- 55845
- Physician work
- 24.55
- Practice expense
- 8.49
- Malpractice
- 3.17
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 24.55 | × 1.017 | 24.9673 |
| Practice expense | 8.49 | × 1.096 | 9.3050 |
| Malpractice | 3.17 | × 0.536 | 1.6991 |
| Total RVUs | 35.9715 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$1201.48
Open 55845 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 24.55 | 1.017 |
| Practice expense | 8.49 | 1.096 |
| Malpractice | 3.17 | 0.536 |
(24.55 × 1.017 + 8.49 × 1.096 + 3.17 × 0.536) × $33.4009 = $1201.48
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
55845 · 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 | $1201.48 | RVU26D |
| 2026-07-01 | Not available in this setting | $1201.48 | RVU26C |
| 2026-04-01 | Not available in this setting | $1201.48 | RVU26B |
| 2026-01-01 | Not available in this setting | $1201.48 | RVU26A |
| 2025-10-01 | Not available in this setting | $1321.67 | RVU25D |
| 2025-07-01 | Not available in this setting | $1321.67 | RVU25C |
| 2025-04-01 | Not available in this setting | $1321.67 | RVU25B |
| 2025-01-01 | Not available in this setting | $1321.67 | RVU25A |
55845 billing questions
How does this differ from 55842?
55845 is for the more extensive bilateral nodal dissection that includes the external iliac, hypogastric, and obturator basins. Use 55842 when the documented bilateral pelvic dissection is more limited.
Should modifier 50 be added for the bilateral dissection?
No. The code is priced for bilateral work, and modifier 50 does not increase payment.
Can the lymph-node dissection be billed separately?
The bilateral dissection of the specified pelvic basins is included in this procedure. The operative note should establish the extent of nodal work supporting this code.
What postoperative care is included?
The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted for this code.
How is this distinguished from 55866?
55845 describes an open retropubic operation. Code 55866 is for a laparoscopic radical prostatectomy, including when performed with robotic assistance.
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.
6,37955831,,Removal of prostate,A,,15.21,5.99,NA,5.99,,2.00,23.20,23.20,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,38055840,,Extensive prostate surgery,A,,20.83,7.74,NA,7.74,,2.72,31.29,31.29,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,38155842,,Extensive prostate surgery,A,,20.83,7.71,NA,7.71,,2.68,31.22,31.22,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,38255845,,Extensive prostate surgery,A,,24.55,8.49,NA,8.49,,3.17,36.21,36.21,0,090,0.10,0.80,0.10,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,38355860,,Surgical exposure prostate,A,,15.44,6.11,NA,6.11,,1.98,23.53,23.53,0,090,0.10,0.80,0.10,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,38455862,,Extensive prostate surgery,A,,19.54,7.33,NA,7.33,,2.51,29.38,29.38,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,38555865,,Extensive prostate surgery,A,,23.96,8.64,NA,8.64,,3.06,35.66,35.66,0,090,0.10,0.80,0.10,2,2,2,1,0,9,,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