Price Checker / CPT 27412
CPT 27412 — Autochondrocyte implant knee
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$1,495
What Medicare pays in a hospital/ASC setting
$1,495
What Medicare pays in a physician's office
$124,989
Based on 23 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 27412
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| The Orthopedic Hospital Fort Wayne, IN | $689,220 | — | 46011% |
| NYU Langone Hospital - Suffolk Patchogue, NY | — | — | 43192% |
| Penn Medicine Princeton Health Plainsboro, NJ | $244,013 | — | 16225% |
| Princeton House Behavioral Health Plainsboro, NJ | $244,013 | — | 16225% |
| Princeton Rehabilitation - Acute Rehabilitation Plainsboro, NJ | $244,013 | — | 16225% |
| Penn Medicine Lancaster General Health Lancaster, PA | $139,989 | — | 9266% |
| The Women and Babies Hospital Lancaster, PA | $139,989 | — | 9266% |
| University of Arkansas for Medical Sciences , AR | $6,491 | — | 5559% |
| Arkansas Children's Hospital , AR | $6,881 | — | 5543% |
| CHI St. Vincent Hospital Hot Springs Hot Springs, AR | — | — | 4427% |
| CHI St. Vincent Little Rock, AR | — | — | 4427% |
| CHI St. Vincent Morrilton Morrilton, AR | — | — | 4427% |
| CHI St. Vincent North Sherwood, AR | — | — | 4427% |
| Lawrence Memorial Hospital , AR | — | — | 3846% |
| Lawrence Memorial Hospital Walnut Ridge, AR | — | — | 3846% |
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About CPT 27412
CPT code 27412 refers to “Autochondrocyte implant knee”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $1,495 in a facility (hospital or ambulatory surgery center) and $1,495in 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.