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See a sample rate comparisonCPT 24345 Fee Schedule
Medicare rates as of October 2026
CPT 24345 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Repair Medial Collateral Ligament, Elbow, With Local Tissue
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24Ambulatory Surgical Center 22On Campus Outpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600761Sign up to view all 3 |
| Medicare Fee Schedule | $674.70 national non-facility rate (2026)View Medicare rates for 24345 |
| Medicaid Fee Schedule | $539.84 median of the 8 states in the free previewView Medicaid rates for 24345 |
National average reimbursement for CPT 24345 by major payers:
$954.14
BCBS / Anthem
$943.20
UnitedHealthcare
$980.54
Aetna
$1,164.92
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 24345.
CPT 24345
5 of 25 sample ratesHigher to lower in this preview
Northshore Regional Medical Center Dba The Surgery Suite, The Surgery Suite
Ochsner Clinic Foundation
$16,288.00Published rateLone Star Endoscopy Center, LLC
$4,140.00Published rateClarksville Surgicenter, LLC
$2,434.00Published rateSouth Jersey Endoscopy LLC, Dimarino-Kroop-Prieto Gi Assoc
South Jersey Endoscopy LLC
$1,704.00Published rateEagle Physicians And Associates PA, Eagle Endoscopy Center
Eagle Physicians & Associates, P.A.
$500.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 24345 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 24345. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 24343-CPT | Repair Lateral Collateral Ligament, Elbow, With Local Tissue |
| 24344-CPT | Reconstruct Elbow Lat Ligmnt, Reconstruction Lateral Collateral Ligament Elbow With Tendon Graft Includes Harvesting Of Graft |
| 24345-CPT | Repair Medial Collateral Ligament, Elbow, With Local Tissue |
| 24346-CPT | Reconstruct Elbow Med Ligmnt, Reconstruction Medial Collateral Ligament Elbow With Tendon Graft Includes Harvesting Of Graft |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24345. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24345 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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Frequently Asked Questions
What APC is CPT 24345 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 24345 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 24345 in an ambulatory surgery center?
CMS lists CPT 24345 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 24345?
Hospital price transparency files list CPT 24345 under these revenue codes: 0360, 0761 and 0960. A revenue code names the hospital department or charge category for the line; it does not change what the service is.