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See a sample rate comparisonCPT 27412 Fee Schedule
Medicare rates as of October 2026
CPT 27412 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Autologous Chondrocyte Implantation, Knee
| 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 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | G2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600960 |
| Medicare Fee Schedule | $1,494.69 national non-facility rate (2026)View Medicare rates for 27412 |
| Medicaid Fee Schedule | $1,186.06 median of the 8 states in the free previewView Medicaid rates for 27412 |
National average reimbursement for CPT 27412 by major payers:
$2,208.47
BCBS / Anthem
$2,230.68
UnitedHealthcare
$2,352.20
Aetna
$2,698.48
Cigna
Compare published rates across providers.
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CPT 27412
5 of 25 sample ratesHigher to lower in this preview
West Park Surgery Center, L.P., Medical City Surgery Center/Mckinney
West Park Surgery Center Lp
$8,207.00Published rateAntietam Urosurgical Center LLC Asc
$4,394.00Published rateEndoscopy Center Of North Baltimore
$2,913.00Published rateFry Eye Surgery Center, LLC
Fry Eye Surgery Center LLC
$1,500.00Published rateGastrointestinal Diagnostic Endoscopy Woodstock, LLC, Town Lake Endoscopy Center
Gastrointestinal Diagnostic Endoscopy Woodstock LLC
$515.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27412 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27412. Select one to see its fee schedule.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27412. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27412 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 27412 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27412 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27412 in an ambulatory surgery center?
CMS lists CPT 27412 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27412?
Hospital price transparency files list CPT 27412 under these revenue codes: 0360 and 0960. A revenue code names the hospital department or charge category for the line; it does not change what the service is.