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See a sample rate comparisonCPT 27340 Fee Schedule
Medicare rates as of October 2026
CPT 27340 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Excision, Prepatellar Bursa
| 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 5113 - Level 3 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600960Sign up to view all 4 |
| Medicare Fee Schedule | $369.75 national non-facility rate (2026)View Medicare rates for 27340 |
| Medicaid Fee Schedule | $297.14 median of the 8 states in the free previewView Medicaid rates for 27340 |
National average reimbursement for CPT 27340 by major payers:
$518.41
BCBS / Anthem
$497.74
UnitedHealthcare
$528.96
Aetna
$619.11
Cigna
Compare published rates across providers.
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CPT 27340
5 of 25 sample ratesHigher to lower in this preview
Metrocrest Surgery Center Lp, Baylor Surgicare At Carrollton
Metrocrest Surgery Center Lp
$3,150.00Published rateBanner Mesa Surgery Center LLC
$1,968.00Published rateSouthern Oklahoma Surgical Center Inc
Southern Oklahoma Surgical Center, Inc.
$1,363.00Published rateChristopher Mcmullin
Deaconess Hospital Inc
$646.39Published ratePaul Brinton
Deaconess Hospital Inc
$296.98Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27340 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27340. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27340-CPT | Excision, Prepatellar Bursa |
| 27345-CPT | Xcision Of Synovial Cyst Of Popliteal Spac (Eg Bakers Cyst), Excision Of Synovial Cyst Of Popliteal Space (Eg Bakers Cyst) |
| 27347-CPT | Xcision Of Lesion Of Meniscus Or Cpsul(Eg Cyst Ganglion) Knee, Excision Of Lesion Of Meniscus Or Capsule (Eg Cyst Ganglion) Knee |
| 27405-CPT | Suture Collat Ligament Knee Prim |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27340. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27340 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 27340 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27340 to APC 5113 (Level 3 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27340 in an ambulatory surgery center?
CMS lists CPT 27340 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27340?
Hospital price transparency files list CPT 27340 under these revenue codes: 0360, 0960, 0975 and 0989. A revenue code names the hospital department or charge category for the line; it does not change what the service is.