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Urology IDR: win rates and median awards
What Urology providers win in No Surprises Act arbitration, from 6,116 published disputes.
What do Urology providers win at federal IDR? In the CMS federal IDR public use files, providers in Urology won 88.9 percent of decided federal IDR disputes under the No Surprises Act, across 6,116 published disputes. The median award was 17.3x the qualifying payment amount across decided line items in the specialty, and the median time from filing to decision was 30 days. Estimate your own case with the free IDR calculator.
Urology line items in the CMS federal IDR public use files, 2023 through 2025. Method on the methodology page.
A worked example
Take the most disputed Urology billing code, 50949, with a median qualifying payment amount of $2,182 in the files. A Urology dispute with a qualifying payment amount of $2,182 resolves at the specialty median of 17.3x, an estimated award of $37,749. A median is not a floor or a ceiling: half of decided line items in the specialty resolve higher and half lower.
Top Urology billing codes at federal IDR
The most disputed Urology codes in the public use files, at the line-item grain. Median award is the median decided award in dollars for that code. Win rates are within decided line items for the code.
| Code | Line items | Win rate | Median QPA | Median award |
|---|---|---|---|---|
| 50949 | 782 | 89.7% | $2,182 | $64,161 |
| 51785 | 733 | 87.2% | $127 | $2,609 |
| 52260 | 421 | 88.9% | $187 | $13,151 |
| 50200 | 364 | 94.8% | $196 | $1,190 |
| 50715 | 325 | 80.8% | $1,091 | $11,739 |
| 51999 | 309 | 93.9% | $2,347 | $41,525 |
Source: CMS federal IDR public use files, 2023 through 2025. "n/a" means CMS did not publish a usable dollar figure for that code.
Common questions
What percentage of Urology federal IDR disputes do providers win?
Providers won 88.9 percent of decided federal IDR disputes in Urology, across 6,116 disputes in the CMS federal IDR public use files. Decided disputes exclude default decisions, where one side never submitted an offer.
What is the median IDR award for code 50949?
Code 50949, the most disputed Urology code in the files, shows a median decided award of $64,161 against a median qualifying payment amount of $2,182, with an 89.7 percent provider win rate across 782 line items.
How long does a Urology IDR case take?
The median Urology dispute took 30 days from filing to decision. The No Surprises Act process is written only: after the payer's initial payment there are 30 business days to start open negotiation, 30 to negotiate, then 4 to initiate arbitration. There is no hearing.
Related pages
OB/GYN IDR, General Surgery IDR, and Radiology & Imaging IDR have their own pages, and the IDR calculator covers all 22 specialties. For filing help, Lido IDR files federal IDR for a flat fee per arbitration. To browse every published dispute, see idrexplorer.com.