How much does Medicare pay for CPT 27487?

Medicare allowed an average of $1314.21 per service and paid $1046.34 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $6993.28, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 27487?

Revision of thigh and lower leg bone components of total knee joint prosthesis. It was billed 5,522 times to 5,215 Medicare beneficiaries by 338 providers in 2024.

Does 27487 pay differently in an office than a hospital?

Yes. The allowed amount averaged $1743.79 in an office setting and $1313.20 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 27487 most?

Orthopedic Surgery, with 4,217 services from 253 clinicians. Next are Physician Assistant, Nurse Practitioner.

CPT 27487

Revision of thigh and lower leg bone components of total knee joint prosthesis

$1314.21Medicare-allowed amount per service, averaged across 5,522 services

Providers submitted

$6993.28

Asking price, not received

Medicare allowed

$1314.21

The fee schedule figure

Medicare paid

$1046.34

Balance is patient coinsurance

Providers submitted an average of $6993.28 for this code and Medicare allowed $1314.21 — 5.3× 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 $1046.34 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $1743.79
Hospital / facility: $1313.20

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. 13 services were billed in an office setting and 5,509 in a facility.

Services: 5,522
Beneficiaries: 5,215
Providers billing it: 338
Total allowed: $7,257,068

What Medicare pays for CPT 27487

Across 5,522 services billed by 338 providers to 5,215 beneficiaries, Medicare allowed an average of $1314.21 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 27487

Specialty	Services	Beneficiaries	Avg allowed	Providers
Orthopedic Surgery	4,217	3,969	$1649.43	253
Physician Assistant	1,218	1,160	$231.43	79
Nurse Practitioner	87	86	$224.54	6

27487 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	524	$1248.13	$938.05	31
Texas	469	$1146.02	$942.42	27
California	382	$1587.64	$1159.10	25
Pennsylvania	330	$1435.51	$1137.65	21
Arkansas	243	$971.79	$868.97	9
Nebraska	218	$1169.03	$1002.54	8
Tennessee	199	$1568.99	$1349.90	12
Kentucky	190	$1268.98	$1118.02	11
New York	190	$1996.64	$1354.84	11
Oklahoma	172	$1154.75	$977.90	12
Maryland	168	$1484.18	$1096.77	12
New Jersey	165	$1243.27	$909.96	9
Indiana	160	$1030.16	$907.41	11
Kansas	158	$1124.87	$976.51	10
North Carolina	156	$1268.43	$1074.72	10
Illinois	143	$1241.51	$937.10	9
Ohio	135	$1228.58	$1038.27	10
Colorado	131	$1106.76	$863.79	9
Missouri	122	$1169.80	$946.13	7
Virginia	100	$1679.74	$1358.21	7
Alabama	80	$1349.07	$1198.82	6
South Carolina	79	$1052.78	$905.73	5
Massachusetts	73	$1450.33	$1049.29	4
Arizona	71	$1688.11	$1369.60	4
New Hampshire	70	$1377.24	$1170.46	5
Michigan	69	$1514.91	$1127.55	4
Minnesota	67	$1348.68	$1130.56	5
South Dakota	64	$1163.77	$976.21	4
Iowa	61	$1169.38	$1013.49	4
Montana	59	$1704.23	$1362.74	4
Nevada	57	$1621.44	$1340.48	4
Utah	46	$1576.98	$1338.46	3
Alaska	46	$1188.20	$759.66	2
Wisconsin	43	$1380.78	$1238.58	3
Wyoming	42	$1154.48	$964.64	2
Georgia	41	$1228.27	$955.64	3
Louisiana	38	$1203.52	$1005.53	3
Mississippi	33	$1537.10	$1306.14	2
West Virginia	31	$1517.38	$1292.41	2
Delaware	26	$972.20	$791.85	2
Idaho	23	$966.84	$785.90	2
Connecticut	14	$282.95	$214.30	1
Rhode Island	12	$276.29	$219.68	1
Washington	11	$1875.64	$1354.47	1
Maine	11	$1621.18	$1334.30	1

Related codes

27447Replacement of knee joint$1513.55
27446Replacement of knee joint on side of knee$2647.88
27457Incision or partial removal of upper portion of lower leg bone to repa$286.11
27486Revision of component of total knee joint prosthesis$1025.80

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.