How much does Medicare pay for CPT 27134?

Medicare allowed an average of $1465.89 per service and paid $1169.56 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $8125.58, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 27134?

Revision of thigh bone and hip joint prosthesis. It was billed 1,459 times to 1,289 Medicare beneficiaries by 86 providers in 2024.

Which specialty bills 27134 most?

Orthopedic Surgery, with 1,202 services from 71 clinicians. Next are Physician Assistant.

CPT 27134

Revision of thigh bone and hip joint prosthesis

$1465.89Medicare-allowed amount per service, averaged across 1,459 services

Providers submitted

$8125.58

Asking price, not received

Medicare allowed

$1465.89

The fee schedule figure

Medicare paid

$1169.56

Balance is patient coinsurance

Providers submitted an average of $8125.58 for this code and Medicare allowed $1465.89 — 5.5× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $1169.56 (80%); the rest is the patient’s coinsurance and deductible.

Services: 1,459
Beneficiaries: 1,289
Providers billing it: 86
Total allowed: $2,138,734

What Medicare pays for CPT 27134

Across 1,459 services billed by 86 providers to 1,289 beneficiaries, Medicare allowed an average of $1465.89 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 27134

Specialty	Services	Beneficiaries	Avg allowed	Providers
Orthopedic Surgery	1,202	1,064	$1724.01	71
Physician Assistant	257	225	$258.63	15

27134 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Florida	319	$1347.73	$992.41	20
Texas	142	$1424.05	$1165.25	7
Pennsylvania	123	$1391.10	$1107.01	7
Arkansas	96	$1106.32	$947.22	4
New Jersey	92	$1554.91	$1154.66	4
California	62	$1982.64	$1446.23	4
Illinois	52	$1582.58	$1200.34	3
Arizona	51	$1122.24	$929.39	3
Nebraska	50	$1698.87	$1446.82	2
Alaska	45	$1711.76	$1099.08	3
Massachusetts	44	$1972.38	$1448.68	3
Alabama	39	$1494.64	$1405.37	1
Ohio	34	$1494.77	$1407.15	2
Virginia	30	$1008.23	$827.38	2
Missouri	29	$1752.80	$1414.87	2
Oregon	29	$1841.05	$1440.96	2
Kentucky	27	$1329.66	$1365.26	2
Iowa	26	$1366.66	$1255.12	2
Oklahoma	25	$1307.51	$1213.85	2
Maryland	25	$1541.44	$1378.78	2
West Virginia	21	$1574.45	$1357.51	1
South Dakota	13	$1746.57	$1468.52	1
Connecticut	13	$644.64	$487.85	1
Georgia	13	$1331.80	$1408.26	1
Delaware	12	$1805.92	$1437.21	1
Louisiana	12	$1806.47	$1371.20	1
Michigan	12	$1944.17	$1430.04	1
New Hampshire	12	$1861.52	$1482.53	1
Kansas	11	$1663.50	$1436.29	1

Related codes

27130Replacement of thigh bone and hip joint$1465.84

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.