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See a sample rate comparisonCPT 27488 Fee Schedule
Medicare rates as of October 2026
CPT 27488 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Removal Of Knee Prosthesis, Removal Of Prosthesis Including Total Knee Prosthesis Methylmethacrylate With Or Without Insertion Of Spacer Knee
| 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 5115 - Level 5 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 03600975Sign up to view all 3 |
| Medicare Fee Schedule | $1,099.89 national non-facility rate (2026)View Medicare rates for 27488 |
| Medicaid Fee Schedule | $874.11 median of the 8 states in the free previewView Medicaid rates for 27488 |
National average reimbursement for CPT 27488 by major payers:
$1,646.85
BCBS / Anthem
$1,618.81
UnitedHealthcare
$1,715.97
Aetna
$1,957.63
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27488.
CPT 27488
5 of 25 sample ratesHigher to lower in this preview
Medical City Specialty Surgicenter Of Dallas, LLC, Medical City Orthopedic & Spine Surgery Center Dallas
Medical City Specialty Surgicenter Of Dallas LLC
$9,956.00Published rateSurgery Center Of Scottsdale, LLC, Mountain View Surgery Center Of Scottsdale
Surgery Center Of Scottsdale LLC
$6,087.00Published rateMedstar Surgery Center At Lafayette Centre, LLC
Medstar Surgery Center At Lafayette Centre LLC
$4,480.00Published rateDesert Cliffs Surgery Center LLC
$2,557.00Published rateWilson County Eye Surgery Center, LLC
$1,023.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27488 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27488. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27438-CPT | Arthroplasty, Patella; W Prosthesis |
| 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 |
| 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 27488. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27488 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 27488 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27488 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 27488 in an ambulatory surgery center?
CMS lists CPT 27488 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 27488?
Hospital price transparency files list CPT 27488 under these revenue codes: 0360, 0975 and 0960. A revenue code names the hospital department or charge category for the line; it does not change what the service is.