Home / CPT 27428 / By billing class Preview of prices split by billing class
Open knee ligament reconstruction CPT 27428 A hospital usually bills a facility fee (its own: room, staff, supplies) and, for some, a separate professional fee (the clinician’s). The main code page averages the two. These views keep them apart.
Typical professional fee
$1,382 median professional fee, 144 hospitals
The clinician's fee for this code, for the 144 hospitals that file one, each averaged over every methodology and setting it files a professional price under.
Hospitals Estimated total 39 Facility only Professional only 144 Any methodology and setting Fee schedule · Outpatient (411 fac · 80 pro) Case rate · Outpatient (263 fac · 2 pro) Percent of total billed charges · Outpatient (60 fac · 40 pro) Percent of total billed charges · Inpatient (25 fac · 13 pro) Other · Outpatient (16 fac · 5 pro) Per diem · Outpatient (8 fac · 0 pro) Fee schedule · Both (3 fac · 50 pro) Case rate · Both (2 fac · 6 pro) Showing 1–25 of 144 hospitals i 1,633 hospitals have a price for this code. 144 of them file a professional price. The rest file only the other fee or no billing class. The “Prices filed as” dropdown lists the 8 methodology and setting combinations with the most hospitals; 5 others with fewer hospitals are not listed.
Hospital Professional↓ Thedacare Regional Medical Center-Neenah Inc WI 54904-6926; 2400 Witzel Ave. Suite C Oshkosh, WI
$5,882 Thedacare Regional Medical Center-Appleton Inc. Appleton, WI
$5,867 Thedacare Regional Medical Center-Appleton Inc WI 54911; W5282 Amy Ave. Appleton WI 54911-7233; 2500 E Capital Dr. Appleton, WI
$5,867 Thedacare Regional Medical Center-Appleton Inc Fond Du Lac, WI
$5,867 Thedacare Regional Medical Center-Appleton Inc Oshkosh, WI
$5,867 Thedacare Regional Medical Center-New London Inc WI 54961; 370 S. Main St. Clintonville, WI
$5,302 Thedacare Regional Medical Center-Waupaca Inc Waupaca, WI
$5,228 ThedaCare Regional Medical Center-Berlin Inc WI 54971-9286; N2930 State Rd 22 Wautoma, WI
$5,035 Thedacare Regional Medical Center-Shawano Inc Shawano, WI
$5,031 Winner Regional Healthcare Center Winner, SD
$4,942 Thedacare Regional Medical Center-Wild Rose Inc Wild Rose, WI
$4,916 Cheshire Medical Center Keene, NH
$4,356 Anderson Hospital Maryville, IL
$4,280 University of Texas MD Anderson Cancer Center The University of Texas M D Anderson Cancer Center Houston, TX
$4,064 University of Iowa Health Care Medical Center Iowa City, IA
$4,054 Mary Hitchcock Memorial Hospital Lebanon, NH
$3,748 University Of Michigan Health Ann Arbor, MI
$3,397 Norton Kings Daughters Health Inc Madison, IN
$3,372 Nationwide Children's Hospital Columbus, OH
$3,312 Akron General Medical Center Akron, OH
$3,058 University of Iowa Health Care Medical Center Downtown Iowa City, IA
$3,022 Samaritan Medical Center Watertown, NY
$2,955 The Cleveland Clinic Foundation Brunswick, OH
$2,937 The Union Hospital Association Dover, OH
$2,676 Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL
$2,559
Page 1 of 6 Next → Price distribution Professional only Any methodology and setting
144 hospitals; the 90th percentile is 4.7× the 10th.
hospitals 0 25 50 median $1,382 $676 $5,349+ (5 above) shaded: middle 50%