Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 27372 Fee Schedule
CPT 27372 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Removal Fb Knee Deep
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22On Campus Outpatient Hospital 24Ambulatory Surgical Center |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5073 - Level 3 Excision/ Biopsy/ Incision and Drainage |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 04500360Sign up to view all 11 |
| Medicare Fee Schedule | View Medicare rates for 27372 |
| Medicaid Fee Schedule | $508.665 median of the 8 states in the free previewView Medicaid rates for 27372 |
National average reimbursement for CPT 27372 by major payers:
$724.52
BCBS / Anthem
$793.87
UnitedHealthcare
$814.51
Aetna
$670.49
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27372.
CPT 27372
5 of 25 sample ratesHigher to lower in this preview
Rock Hill Surgery Center, LLC, Carolina Surgical Center
Rock Hill Surgery Center LLC
$17,086.00Published rateOrange City Surgical LLC, Adventhealth Surgery Center Blue Springs
Orange City Surgical, LLC
$1,847.00Published rateBsmh Ambulatory Ventures II LLC, Mercy Health Canfield Surgery Center
Bsmh Ambulatory Ventures II LLC
$1,300.00Published rateEnrique Campos
Deaconess Hospital Inc
$1,037.68Published rateAlexandria Carie-Kroeger
Deaconess Hospital Inc
$476.76Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Looking for other data?
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 27372 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27372. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27369-CPT | Contrast Injection Into Joint, Injection Of Contrast Material For A Joint Study (Arthrography). The Contrast Highlights Areas Of Interest On Images Taken By X-Ray Ct Or Mri. |
| 27372-CPT | Removal Fb Knee Deep |
| 27405-CPT | Suture Collat Ligament Knee Prim |
| 27435-CPT | Capsulotmy,Knee,Post.Capsulr Releas |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27372. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27372 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 27372) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
What APC is CPT 27372 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27372 to APC 5073 (Level 3 Excision/ Biopsy/ Incision and Drainage). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27372 in an ambulatory surgery center?
CMS lists CPT 27372 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27372?
Hospital price transparency files list CPT 27372 under these revenue codes: including 0450, 0360, 0361, 0761 and 0960. A revenue code names the hospital department or charge category for the line; it does not change what the service is.