Billing code 57230: Urethral repairMedicare rate & RVUs in Salinas

In Salinas, Medicare pays $383.30 for 57230 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 57230 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 57230 covers

This procedure treats a lesion involving the female urethra, with a urethral diverticulum as a typical clinical example. A urologist or urogynecologist commonly performs the repair in an operating room, often through a vaginal approach, exposing the lesion and repairing the urethral tissue after treating it. The operative report should identify the lesion, its relationship to the urethra, and the repair performed.

Report the code for the urethral lesion repair itself, rather than for repair of an adjacent vaginal-wall prolapse or a urethral reconstruction performed for a different condition. This is major surgery with a 90-day global period; the day-before preoperative visit and related postoperative care during that period are included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Salinas compares for 57230

Across 109 of 109 payment localities, the facility rate for 57230 runs from $336.70 in Arkansas to $467.65 in Alaska*. Salinas pays $383.30. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

57230 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 57230 in every payment locality

How the 57230 rate is calculated

Each of 57230’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 57230

57230 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 57230

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 57230 has changed in Salinas

Price 57230 for an earlier date of service

Where the Salinas rate applies

Salinas is a Medicare payment area, not a city. Our Census mapping connects it to 30 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

• 57230 in Salinas
• 57230 in Aromas · multiple payment areas
• 57230 in Boronda
• 57230 in Bradley
• 57230 in Carmel Valley Village
• 57230 in Carmel-by-the-Sea
• 57230 in Castroville
• 57230 in Chualar

Browse all communities in California

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates