CPT 27427 Surgery
Ligamentous reconstruction (ACL), knee Cost
Body System: Musculoskeletal
Medicare Facility Rate
$747
CMS PFS CY2026
Hospital Outpatient
$7
OPPS rate
Surgery Center (ASC)
$4
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
13.28
Work RVU
7.65
Facility PE RVU
2.15
Malpractice RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA | $816 | $1,061 — $1,633 |
| AK — ALASKA* | $977 | $1,466 — $2,443 |
| AL — ALABAMA | $603 | $784 — $1,207 |
| AR — ARKANSAS | $596 | $774 — $1,191 |
| AZ — ARIZONA | $648 | $843 — $1,296 |
| AZ — Phoenix | $763 | $1,145 — $1,908 |
| CA — BAKERSFIELD | $675 | $877 — $1,349 |
| CA — CHICO | $669 | $870 — $1,339 |
| CA — EL CENTRO | $670 | $871 — $1,340 |
| CA — FRESNO | $669 | $870 — $1,339 |
| CA — HANFORD-CORCORAN | $669 | $870 — $1,339 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $710 | $923 — $1,420 |
| CA — Los Angeles | $826 | $1,239 — $2,066 |
| CA — MADERA | $669 | $870 — $1,339 |
| CA — MERCED | $669 | $870 — $1,339 |
| CA — MODESTO | $669 | $870 — $1,339 |
| CA — NAPA | $745 | $969 — $1,490 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $703 | $914 — $1,405 |
| CA — REDDING | $669 | $870 — $1,339 |
| CA — REST OF CALIFORNIA | $669 | $870 — $1,339 |
Frequently Asked Questions
How much does Ligamentous reconstruction (ACL), knee cost?
The Medicare facility rate is $747. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $7. Ambulatory surgery center rate: $4.
How much does Ligamentous reconstruction (ACL), knee cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $747.