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See a sample rate comparisonCPT 24360 Fee Schedule
Medicare rates as of October 2026
CPT 24360 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Elbow Replacement Surgery, Surgery To Replace Damaged Ends Of The Elbow Joint With New Tissue Or An Artificial Part (Prosthesis).
| 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) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $837.70 national non-facility rate (2026)View Medicare rates for 24360 |
| Medicaid Fee Schedule | $667.00 median of the 8 states in the free previewView Medicaid rates for 24360 |
National average reimbursement for CPT 24360 by major payers:
$1,184.13
BCBS / Anthem
$1,218.13
UnitedHealthcare
$1,245.13
Aetna
$1,481.30
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 24360.
CPT 24360
5 of 25 sample ratesHigher to lower in this preview
The Endoscopy Center At Gateway LLC
$5,433.00Published rateHosp Of The Univ Of PA Spu
Trustees Of The University Of Pennsylvania
$3,890.00Published rateEdison Surgery Center LLC
$2,790.00Published rateFlorida Orthopaedic Institute Surgery Center LLC
$1,723.00Published ratePrince Georges Multi Specialty Surgery Center
$953.00Published rate
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See a sample payer proposalCPT 24360 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 24360. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 24360-CPT | Elbow Replacement Surgery, Surgery To Replace Damaged Ends Of The Elbow Joint With New Tissue Or An Artificial Part (Prosthesis). |
| 24361-CPT | Elbow Replacement Surgery, Surgery To Replace Damaged Ends Of The Elbow Joint With New Tissue Or An Artificial Part (Prosthesis). |
| 24362-CPT | Arthroplst Elbow; W/ Implnt & Fascia Lata Ligamnt Reconstruc, Arthroplasty Elbow; With Implant And Fascia Lata Ligament Reconstruct |
| 24363-CPT | Arthroplst Elbow; W/ Distal Humerus & Proxim Ulnar Prosthet, Arthroplasty Elbow; With Distal Humerus And Proximal Ulnar Prosthetic |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24360. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24360 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 24360 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 24360 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 24360 in an ambulatory surgery center?
CMS lists CPT 24360 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 24360?
Hospital price transparency files list CPT 24360 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.