Data Platform
Sign InTry for Free

CPT 24360 Fee Schedule

Last Verified: January 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.

Arthroplasty, Elbow; With Membrane
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Musculoskeletal System

Common Place of Service

24 - Ambulatory Surgical Center

22 - On Campus Outpatient Hospital

Common Modifiers

None

RT - Right side of body

LT - Left side of body

Complexity LevelHigh
Medicare Fee ScheduleView Medicare rates for 24360

National average reimbursement for CPT 24360 by major payers:

bcbs

$1,184.13

uhc

$1,218.13

aetna

$1,245.13

cigna

$1,517.31

Preview provider-level rates for...
For billing codeCPT 24360
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 24360

United
24360$3560.001881015584 - ACE ENDOSCOPY AND SURGERY CENTER464212208 - (CA) ACE ENDOSCOPY & SURGERY CENTER, INC.CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
24360$5249.001205949245 - MEMORIAL SURGERY CENTER, LLC201167151 - (OK) MEMORIAL SURGERY CENTER LLCOKAmbulatory Surgical Clinic/Center (261QA1903X)
United
24360$1703.001063419513 - ENDOSCOPY CENTER OF WESTERN NEW YORK LLC364427974 - (NY) ENDOSCOPY CENTER OF WESTERN NEW YORK LLCNYAmbulatory Surgical Clinic/Center (261QA1903X)
United
24360$1723.001689188823 - FLORIDA ORTHOPAEDIC INSTITUTE SURGERY CENTER LLC593646134 - (FL) FLORIDA ORTHOPAEDIC INSTITUTE SURGERY CENTER LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
24360$5354.001356621239 - MIDLAND TEXAS SURGICAL CENTER, LLC, TEXAS SURGICAL CENTER, AN AFFILIATE OF MIDLAND MEMORIAL HOSPITAL453047741TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
24360$3890.001417114117 - HOSP OF THE UNIV OF PA SPU231352685 - TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIAPAAmbulatory Surgical Clinic/Center (261QA1903X)
United
24360$5249.001356704027 - GLEN ECHO SURGERY CENTER, LLC474049838 - (MD) GLEN ECHO SURGERY CENTER LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
24360$1159.001679556864 - DOCTORS GI PARTNERSHIP LTD, HF SURGERY CENTER AT BABCOCK593758988 - (FL) DOCTORS GI PARTNERSHIP LTDFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
24360$2430.001306249453 - MARK FROMER, LLC, EYE SURGERY CENTERS OF NEW YORK274212773 - (NY) MARK FROMER LLCNYAmbulatory Surgical Clinic/Center (261QA1903X)
United
24360$953.001871718270 - PRINCE GEORGES MULTI SPECIALTY SURGERY CENTER521842302 - (MD) PRINCE GEORGES MULTI SPECIALTY SURGERY CENTERMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
24360$2800.001730876210 - MEDICAL CITY SURGERY CENTER NORTH TEXAS, LLC923326615TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
24360$5433.001508942665 - THE ENDOSCOPY CENTER AT GATEWAY LLC272800486PAAmbulatory Surgical Clinic/Center (261QA1903X)
United
24360$3446.001831545904 - MGH SURGERY LLC472736896 - (WV) MGH SURGERY LLCWVAmbulatory Surgical Clinic/Center (261QA1903X)
United
24360$2512.001699711556 - ESCNC LLC, EYE SURGERY CENTER OF NORTHERN CALIFORNIA462800751 - (CA) ESCNC LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
24360$1632.001265405203 - BLOOMFIELD EYE SURGERY CENTER LLC, THE EYE SURGERY CENTER621827592 - (CT) BLOOMFIELD EYE SURGERY CENTER LLCCTAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

Want to see your competitors' rates?

Start your trial today to unlock complete access to provider rates and fee schedules in your area.

Here's what you can do with PayerPrice

Renegotiate your managed care contracts

Benchmark your current rates against market averages to identify opportunities for rate optimization.

Prospect for new business using fee schedules

Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.

Integrate real-time payer data into your workflows

Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.

PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.

CPT 24360 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The CPT 24360 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 24360 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.

CodeComplexityDescription
24360-CPTHighArthroplasty, Elbow; With Membrane
24361-CPTHighArthroplasty Elbow W Humeral Prosth
24362-CPTHighArthroplasty,Elbow;Implnt/Fascia Lata Li
24363-CPTHighArthroplasty W Total Elbow Prosth

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.

FREE SAMPLE MARKET COMPARISON

Let's review your payer contracts side-by-side with the market.

Bring your top codes (like CPT 24360) and we'll show you how you compare in 15 minutes or less.