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See a sample rate comparisonCPT 27446 Fee Schedule
Medicare rates as of October 2026
CPT 27446 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Surgical Service Bundle Includes All Surgery Related Health Services Which Are Incurred In Connection With An Approved Outpatient Surgical Procedure, Billed Via The Agreed Upon Cpt Codes And Reimbursed At A Single Payment Rate Including All Services Such
| 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 | LTLeft side of body RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5115 - Level 5 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 03600960Sign up to view all 4 |
| Medicare Fee Schedule | $1,047.45 national non-facility rate (2026)View Medicare rates for 27446 |
| Medicaid Fee Schedule | $852.325 median of the 8 states in the free previewView Medicaid rates for 27446 |
National average reimbursement for CPT 27446 by major payers:
$1,574.94
BCBS / Anthem
$1,556.23
UnitedHealthcare
$1,623.84
Aetna
$1,878.37
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27446.
CPT 27446
5 of 25 sample ratesHigher to lower in this preview
Ambulatory Surgery Center Group Ltd
$26,226.00Published rateSw Health Lp
$9,793.00Published rateEye Surgery Center Of North Florida LLC
$4,500.00Published rateWm Darrell Gaskins LLC, Naples Premier Surgery Center
William Darrell Gaskins, M.D.
$3,369.00Published rateMattax Neu Prater Surgery Center, LLC
Mattax Neu Prater Surgery Center LLC
$962.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27446 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27446. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27446-CPT | Surgical Service Bundle Includes All Surgery Related Health Services Which Are Incurred In Connection With An Approved Outpatient Surgical Procedure, Billed Via The Agreed Upon Cpt Codes And Reimbursed At A Single Payment Rate Including All Services Such |
| 27447-CPT | Surgical Service Bundle Includes All Surgery Related Health Services Which Are Incurred In Connection With An Approved Outpatient Surgical Procedure, Billed Via The Agreed Upon Cpt Codes And Reimbursed At A Single Payment Rate Including All Services Such |
| 27487-CPT | Surgical Service Bundle Includes All Surgery Related Health Services Which Are Incurred In Connection With An Approved Outpatient Surgical Procedure, Billed Via The Agreed Upon Cpt Codes And Reimbursed At A Single Payment Rate Including All Services Such |
| 27488-CPT | Removal Of Knee Prosthesis, Removal Of Prosthesis Including Total Knee Prosthesis Methylmethacrylate With Or Without Insertion Of Spacer Knee |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27446. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27446 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 27446 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27446 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 27446 in an ambulatory surgery center?
CMS lists CPT 27446 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 27446?
Hospital price transparency files list CPT 27446 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.