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CPT 24505 Fee Schedule

Last Verified: January 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Red Fx-Humerus
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Musculoskeletal System

Common Place of Service

23 - Emergency Room

21 - Inpatient Hospital

Common Modifiers

None

LT - Left side of body

RT - Right side of body

Complexity LevelModerate
Medicare Fee ScheduleView Medicare rates for 24505

National average reimbursement for CPT 24505 by major payers:

bcbs

$651.38

uhc

$665.21

aetna

$697.71

cigna

$846.20

Preview provider-level rates for...
For billing codeCPT 24505
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 24505

United
24505$450.001861648404 - MUSKEGON SC, LLC, MUSKEGON SURGERY CENTER203244346 - (MI) MUSKEGON SC, LLCMIAmbulatory Surgical Clinic/Center (261QA1903X)
United
24505$92.001760770903 - ASSOCIATED SURGICAL CENTER OF DEARBORN LLC275209399 - (MI) ASSOCIATED SURGICAL CENTER OF DEARBORN LLCMIAmbulatory Surgical Clinic/Center (261QA1903X)
United
24505$125.001578722633 - GREENVILLE SURGERY CENTER LP, PIEDMONT SURGERY CENTER570965527 - (SC) GREENVILLE SURGERY CENTER LIMITED PARTNERSHIPSCAmbulatory Surgical Clinic/Center (261QA1903X)
United
24505$110.001487609335 - THE CENTER FOR AESTHETIC SURGERY LLC200431536 - (MD) THE CENTER FOR AESTHETIC SURGERY LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
24505$574.001811001860 - THE OUTPATIENT CENTER, LLC, THE OUTPATIENT CENTER OF BOYNTON BEACH, LTD.650440864 - (FL) THE OUTPATIENT CENTER OF BOYNTON BEACH, LTD.FLAmbulatory Surgical Clinic/Center (261QA1903X)
United
24505$120.001902852841 - MIDTOWN UROLOGY SURGICAL CENTER, PC582022094GAAmbulatory Surgical Clinic/Center (261QA1903X)
United
24505$108.001417080342 - MORGANTON EYE PHYSICIANS, P.A., EYE SURGERY CENTER OF SHELBY561109834 - (NC) MORGANTON EYE PHYSICIANS, P.A.NCAmbulatory Surgical Clinic/Center (261QA1903X)
United
24505$206.001922334101 - ORTHOPEDIC SURGERY CENTER OF GREEN BAY, LLC264677834 - (WI) ORTHOPEDIC SURGERY CENTER OF GREEN BAYWIAmbulatory Surgical Clinic/Center (261QA1903X)
United
24505$200.001184195877 - ALPINE SURGICENTER, LLC204038061AKAmbulatory Surgical Clinic/Center (261QA1903X)
United
24505$88.001225452303 - MARTHA JEFFERSON HOSPITAL, MARTHA JEFFERSON OUTPATIENT SURGERY CENTER540261840 - (VA) MARTHA JEFFERSON HOSPITALVAAmbulatory Surgical Clinic/Center (261QA1903X)
United
24505$126.001346862869 - NSPC SURGERY CENTER OF MARYLAND LLC842191141 - (MD) NSPC SURGERY CENTER OF MARYLAND LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
24505$166.001962467951 - GADSDEN SURGERY CENTER LP621488653 - (AL) GADSDEN SURGERY CENTER LPALAmbulatory Surgical Clinic/Center (261QA1903X)
United
24505$158.001053508077 - JOURNEY LITE OF CINCINNATI, LLC208861350 - (OH) JOURNEYLITE OF CINCINNATI, LLCOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
24505$400.001437202967 - REGIONAL EYE SURGERY CENTER, LLC208242380MNAmbulatory Surgical Clinic/Center (261QA1903X)
United
24505$400.001417949280 - CLEARWATER AMBULATORY SURGICAL CENTERS INC, CLEARWATER ENDOSCOPY CENTER593044282 - (FL) CLEARWATER AMBULATORY SURGICAL CENTERS INCFLAmbulatory 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

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CPT 24505 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The CPT 24505 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 24505 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
24498-CPTHighProphylactic Treatment Humerus
24500-CPTModerateTx Closed Humeral Shaft Fx; W/O Manipula
24505-CPTModerateRed Fx-Humerus
24515-CPTHighRed Fx Open-Humerus

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24505. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 24505 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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