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See a sample rate comparisonCPT 27487 Fee Schedule
Medicare rates as of October 2026
CPT 27487 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 | 21Inpatient Hospital 22On Campus Outpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5116 - Level 6 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Add-on Codes | 2070420705 |
| Common Revenue Codes | 03600975Sign up to view all 4 |
| Medicare Fee Schedule | $1,574.52 national non-facility rate (2026)View Medicare rates for 27487 |
| Medicaid Fee Schedule | $1,247.94 median of the 8 states in the free previewView Medicaid rates for 27487 |
National average reimbursement for CPT 27487 by major payers:
$2,347.00
BCBS / Anthem
$2,393.68
UnitedHealthcare
$2,529.05
Aetna
$2,870.92
Cigna
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CPT 27487
5 of 25 sample ratesHigher to lower in this preview
Richard Bowen
Orthopaedic Hospital Medical Group Inc
$9,016.03Published rateAndrew Collette
Freeman Health System
$4,030.23Published rateDavid Ryan
Athens Orthopedic Clinic PA
$3,424.71Published rateBrian Gladnick
Ortholonestar, PLLC
$2,285.33Published rateHogan Yi
Hogan G. Yi, M.D., P.A.
$1,188.00Published rate
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See a sample payer proposalCPT 27487 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27487. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27438-CPT | Arthroplasty, Patella; W Prosthesis |
| 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 |
| 27486-CPT | Revisn Of Total Knee Arthroplst W//W/O Allogrft; 1 Comp, Revision Of Total Knee Arthroplasty With Or Without Allograft; 1 Comp |
| 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27487. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27487 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 27487 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27487 to APC 5116 (Level 6 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27487 in an ambulatory surgery center?
CMS lists CPT 27487 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which add-on codes are billed with CPT 27487?
CMS add-on code edits list CPT 27487 as a primary code for these add-on codes: 20704 and 20705.
Which revenue codes are billed with CPT 27487?
Hospital price transparency files list CPT 27487 under these revenue codes: 0360, 0975, 0960 and 0989. A revenue code names the hospital department or charge category for the line; it does not change what the service is.