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 27441 Fee Schedule
Medicare rates as of October 2026
CPT 27441 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Arthroplst Knee Tibial Plateau; W/ Debrideme & Partial Synov, Arthroplasty Knee Tibial Plateau; With Debridement And Partial Synov
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22On Campus Outpatient Hospital 21Inpatient Hospital |
| Common Modifiers | LTLeft side of body RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5115 - Level 5 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | G2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $768.56 national non-facility rate (2026)View Medicare rates for 27441 |
| Medicaid Fee Schedule | $620.665 median of the 8 states in the free previewView Medicaid rates for 27441 |
National average reimbursement for CPT 27441 by major payers:
$1,133.60
BCBS / Anthem
$1,097.44
UnitedHealthcare
$1,118.17
Aetna
$1,341.06
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27441.
CPT 27441
5 of 25 sample ratesHigher to lower in this preview
Surgery Center Of Cullman LLC, Healthsouth/Woodlands Surgery Center Of Cullman, LLC
Surgery Center Of Cullman LLC
$12,500.00Published rateSouthern New Mexico Surgery Center, LLC
Southern New Mexico Surgery Center
$5,506.00Published rateGalleria Surgery Center LLC
$4,365.00Published ratePhoenix Spine And Joint Gilbert Asc, LLC
$2,335.00Published rateChildrens Surgery Center, LLC
$1,168.00Published 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 27441 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27441. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27440-CPT | Arthroplasty Knee Tibial Plateau |
| 27441-CPT | Arthroplst Knee Tibial Plateau; W/ Debrideme & Partial Synov, Arthroplasty Knee Tibial Plateau; With Debridement And Partial Synov |
| 27442-CPT | Knee Joint Replacement Surgery, Surgery To Replace The Damaged Ends Of A Knee Joint (Cartilage) With Artificial Parts Where It Joins The Leg (Femur) Bone. |
| 27443-CPT | Knee Joint Replacement Surgery, Surgery To Replace The Damaged Cartilage Of The Knee And Repair Part Of The Knee That Connects To The Leg Bone (Femur) Or Tibial Plateau Joints With Artificial Parts. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27441. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27441 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 27441) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
What APC is CPT 27441 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27441 to APC 5115 (Level 5 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27441 in an ambulatory surgery center?
CMS lists CPT 27441 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27441?
Hospital price transparency files list CPT 27441 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.