How much does Medicare pay for CPT 27369?

Medicare allowed an average of $182.46 per service and paid $139.77 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $531.77, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 27369?

Injection of contrast for imaging of knee joint. It was billed 11,872 times to 6,742 Medicare beneficiaries by 145 providers in 2024.

Does 27369 pay differently in an office than a hospital?

Yes. The allowed amount averaged $183.06 in an office setting and $41.57 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 27369 most?

Nurse Practitioner, with 3,282 services from 54 clinicians. Next are Orthopedic Surgery, Internal Medicine, Family Practice.

CPT 27369

Injection of contrast for imaging of knee joint

$182.46Medicare-allowed amount per service, averaged across 11,872 services

Providers submitted

$531.77

Asking price, not received

Medicare allowed

$182.46

The fee schedule figure

Medicare paid

$139.77

Balance is patient coinsurance

Providers submitted an average of $531.77 for this code and Medicare allowed $182.46 — 2.9× 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 $139.77 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $183.06
Hospital / facility: $41.57

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 11,822 services were billed in an office setting and 50 in a facility.

Services: 11,872
Beneficiaries: 6,742
Providers billing it: 145
Total allowed: $2,166,165

What Medicare pays for CPT 27369

Across 11,872 services billed by 145 providers to 6,742 beneficiaries, Medicare allowed an average of $182.46 per service. That is 1.8 services per beneficiary, so this is a code patients typically receive more than once. 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 27369

Specialty	Services	Beneficiaries	Avg allowed	Providers
Nurse Practitioner	3,282	1,855	$147.39	54
Orthopedic Surgery	1,616	886	$181.76	14
Internal Medicine	1,434	322	$200.12	7
Family Practice	1,174	944	$214.70	10
Physical Medicine and Rehabilitation	838	763	$218.23	9
Physician Assistant	815	575	$152.13	14
Pain Management	689	348	$188.04	10
General Practice	662	202	$213.96	4
Anesthesiology	405	266	$208.60	10
Interventional Pain Management	336	141	$196.41	3
Emergency Medicine	290	194	$195.76	2
General Surgery	146	100	$181.01	1
Neurosurgery	47	25	$199.49	2
Obstetrics & Gynecology	44	42	$253.26	1
Plastic and Reconstructive Surgery	34	22	$179.75	1

27369 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	1,864	$166.40	$130.94	25
California	1,711	$201.59	$140.73	9
Illinois	1,540	$229.38	$159.16	11
New York	1,490	$203.63	$141.27	10
Georgia	1,122	$152.79	$130.04	20
Texas	682	$163.35	$130.16	8
Missouri	563	$146.25	$120.10	6
Tennessee	287	$146.58	$123.52	5
North Carolina	244	$174.20	$144.17	5
Pennsylvania	208	$183.14	$131.65	2
South Carolina	206	$184.15	$146.55	5
Michigan	203	$167.08	$131.00	7
Oklahoma	184	$137.93	$118.98	2
Utah	157	$169.45	$138.11	1
New Jersey	148	$227.40	$163.95	4
Alabama	119	$145.75	$119.36	2
Iowa	117	$134.60	$118.22	2
Maryland	116	$130.96	$94.92	3
Connecticut	113	$215.16	$141.24	1
Minnesota	103	$230.24	$177.40	2
Kansas	97	$139.63	$119.54	1
Washington	96	$184.84	$141.86	1
Idaho	85	$142.33	$120.36	2
Nebraska	84	$140.26	$116.89	2
Maine	77	$164.62	$110.97	1
Colorado	63	$158.41	$103.87	2
Arizona	55	$180.93	$147.38	2
Massachusetts	43	$179.37	$155.69	1
Indiana	42	$203.78	$153.08	1
New Hampshire	29	$156.98	$121.78	1
Virginia	24	$175.60	$138.52	1

Related codes

27335Incision of knee joint$266.74
27394Lengthening of multiple hamstring tendons in leg$355.97

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.