Price Checker / CPT 27278
CPT 27278 — Arthrd si jt plmt iartic dev
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$439
What Medicare pays in a hospital/ASC setting
$13,755
What Medicare pays in a physician's office
$38,411
Based on 54 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT 27278
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Lincoln Health Damariscotta, ME | — | — | 700% |
| Waldo County General Hospital Belfast, ME | — | — | 557% |
| Stephens Memorial Hospital Norway, ME | — | — | 515% |
| Highpoint Health - Sewanee with Ascension Saint Thomas , TN | $83,568 | — | 508% |
| Highpoint Health - Winchester with Ascension Saint Thomas , TN | $83,568 | — | 508% |
| MaineHealth - Memorial Hospital North Conway, NH | — | — | 353% |
| Wellfound Behavioral Health Hospital Tacoma, WA | — | — | 282% |
| Baldwin Park Medical Center BALDWIN PARK, CA | — | — | 271% |
| Downey Medical Center Downey, CA | — | — | 271% |
| Los Angeles Sunset Medical Center LOS ANGELES, CA | — | — | 271% |
| Moreno Valley Medical Center MORENO VALLEY, CA | — | — | 271% |
| Orange County Anaheim Medical Center Anaheim, CA | — | — | 271% |
| Orange County Irvine Medical Center Irvine, CA | — | — | 271% |
| Panorama Medical Center PANORAMA CITY, CA | — | — | 271% |
| Riverside Medical Center RIVERSIDE, CA | — | — | 271% |
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About CPT 27278
CPT code 27278 refers to “Arthrd si jt plmt iartic dev”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $439 in a facility (hospital or ambulatory surgery center) and $13,755in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.