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See a sample rate comparisonCPT 24116 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From The Upper Arm Bone (Humerus). The Area Is Repaired With A Bone Graft.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 24116 |
| Medicaid Fee Schedule | View Medicaid rates for 24116 |
National average reimbursement for CPT 24116 by major payers:
$1,159.11
$1,167.36
$1,189.48
$1,413.39
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CPT 24116
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Richmond, LLC, Memorial Hermann Surgery Center Richmond
$6,904.00Published rateMid-State Endoscopy Center LLC
Midstate Endoscopy Center LLC
$3,623.00Published rateEndo Group, LLC
Endo Group LLC Dba Garden City Surgicenter
$2,369.00Published ratePremier Gastroenterology Associates PLLC, Premier Surgery Center
Premier Gastroenterology Associates, PLLC
$1,224.00Published rateHogan Surgical Center, P. A.
Hogan Surgical Center P A
$650.00Published rate
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See a sample payer proposalCPT 24116 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24116 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 24116 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 24105-CPT | Moderate | Excision, Olecranon Bursa |
| 24115-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From The Upper Arm Bone (Humerus). The Area Is Repaired With A Bone Graft. |
| 24116-CPT | High | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From The Upper Arm Bone (Humerus). The Area Is Repaired With A Bone Graft. |
| 24125-CPT | Moderate | Exc/Crtg B1 Cst/Tum Rds Agrf, Excision Or Curettage Of Bone Cyst Or Benign Tumor Of Head Or Neck Of Radius Or Olecranon Process; With Autograft (Includes Obtaining Graft) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24116. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24116 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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