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CPT 24515 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.

Red Fx Open-Humerus
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Musculoskeletal System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Common Modifiers

None

LT - Left side of body

RT - Right side of body

Complexity LevelHigh
Medicare Fee ScheduleView Medicare rates for 24515

National average reimbursement for CPT 24515 by major payers:

bcbs

$1,217.93

uhc

$1,186.14

aetna

$1,248.97

cigna

$1,485.47

Preview provider-level rates for...
For billing codeCPT 24515
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 24515

United
24515$6588.001649310111 - CROWN POINT SURGERY CENTER, LLC, CROWN POINT SURGERY CENTER810641475 - (CO) CROWN POINT SURGERY CENTER, LLCCOAmbulatory Surgical Clinic/Center (261QA1903X)
United
24515$1952.001053381236 - METHODIST SURGERY CENTER GERMANTOWN LP621659904 - (TN) METHODIST SURGERY CENTER GERMANTOWN LPTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
24515$7888.001629386784 - ODESSA ENDOSCOPY CENTER LLC273305505TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
24515$1528.461598798589 - DHANANJAY BHAVSAR350593390 - DEACONESS HOSPITAL INCINInternal Medicine Physician (207R00000X)
United
24515$9358.001053391870 - NORTHWEST SURGERY CENTER, LTD, NORTHWEST SURGERY CENTER RED OAK760452319 - (TX) NORTHWEST SURGERY CENTER LTDTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
24515$7387.001568427151 - PLANO AMBULATORY SURGERY ASSOCIATES, LP621560420TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
24515$12858.121780919043 - SURGERY CENTER OF EDGEWOOD PLACE, LLC, LAWRENCE COUNTY SURGERY CENTER OF EDGEWOOD SURGICAL HOSPITAL481256749 - (PA) SURGERY CENTER AT EDGEWOOD PLACE, LLC DBA EDGEWOOD SURGICAL HOSPITALPAAmbulatory Surgical Clinic/Center (261QA1903X)
United
24515$3394.001417903899 - JUPITER OUTPATIENT SURGERY CENTER LLC650925020 - (FL) JUPITER OUTPATIENT SURGERY CENTER, LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
24515$4000.001053481960 - AESTHETIC ASSOCIATES INC., P.S., SEATTLE FACIAL PLASTIC SURGERY CENTER911650765 - (WA) AESTHETIC ASSOCIATES INC PSWAAmbulatory Surgical Clinic/Center (261QA1903X)
United
24515$3489.001558323956 - MELBOURNE SURGERY CENTER LP582101921FLAmbulatory Surgical Clinic/Center (261QA1903X)
United
24515$5963.001750970869 - BSC CHANDLER LLC853443457 - (AZ) BSC CHANDLER LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
24515$3500.001780789024 - LINDEN SURGICAL CENTER, LLC223634504 - (NJ) LINDEN SURGICAL CENTER LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
24515$600.001881678662 - SURGERY AFFILIATE OF EL PASO, LLC, FOUNDATION SURGERY AFFILIATE OF EL PASO, LLC742797719 - (TX) SURGERY AFFILIATE OF EL PASO LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
24515$4700.001235695891 - BONE AND JOINT INSTITUTE OF TENNESSEE SURGERY CENTER LLC832750618 - (TN) BONE AND JOINT INSTITUTE OF TENNESSEE SURGERY CENTER LLCTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
24515$3132.001801323191 - NS SURGICAL CENTER LLC814954399 - (KS) NS SURGICAL CENTER LLCKSAmbulatory 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 24515 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The CPT 24515 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 24515 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
24220-CPTModerateInjection Procedure For Elbow Arthrograp
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 24515. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 24515 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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