Total knee arthroplasty vs Total hip arthroplasty

Side-by-side cost comparison of CPT 27447 and CPT 27130 (0% difference)

CPT 27447

Total knee arthroplasty

CategorySurgery - Musculoskeletal
Body SystemMusculoskeletal
Total RVU34.71
Medicare Rate$1,159
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CPT 27130

Total hip arthroplasty

CategorySurgery - Musculoskeletal
Body SystemMusculoskeletal
Total RVU34.79
Medicare Rate$1,162
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Cost Comparison by Setting

Medicare Facility CMS PFS 2026 national facility rate
27447
$1,159
27130
$1,162
Medicare Non-Facility CMS PFS 2026 non-facility (office) rate
27447
$1,159
27130
$1,162
Hospital Outpatient (OPPS) CMS OPPS hospital outpatient rate
27447
27130
Ambulatory Surgery Center CMS ASC surgery center rate
27447
27130
Est. Commercial (Low) Estimated commercial insurance (150% Medicare)
27447
$1,739
27130
$1,743
Est. Commercial (High) Estimated commercial insurance (250% Medicare)
27447
$2,898
27130
$2,905

Which One Do You Need?

CPT 27447: Total knee arthroplasty

This is the lower-cost option in the Surgery - Musculoskeletal category. It is a less complex procedure (lower RVU) typically requiring less time or fewer resources.

CPT 27130: Total hip arthroplasty

This is the higher-cost option in the Surgery - Musculoskeletal category. It is a more complex procedure (higher RVU) requiring more physician work, time, or resources.

Your doctor determines which CPT code applies based on the specific clinical situation. This comparison is for informational purposes to help you understand the cost differences.

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