# CPT 27447: Total knee arthroplasty

Medicare CPT 27447 pays $1,159.35 in a non-facility setting and $1,159.35 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,039.69 in Arkansas to $1,443.34 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/27447-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Orthopaedic Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,159.35 |
| National facility | $1,159.35 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,443.34 | $1,443.34 |
| Florida | $1,287.74 | $1,287.74 |
| New York | $1,282.60 | $1,282.60 |
| District of Columbia | $1,277.83 | $1,277.83 |
| Illinois | $1,270.85 | $1,270.85 |
| New Jersey | $1,252.03 | $1,252.03 |
| Connecticut | $1,230.09 | $1,230.09 |
| Washington | $1,205.27 | $1,205.27 |
| Massachusetts | $1,204.29 | $1,204.29 |
| Maryland | $1,194.49 | $1,194.49 |
| California | $1,191.65 | $1,191.65 |
| Michigan | $1,190.47 | $1,190.47 |
| Rhode Island | $1,169.74 | $1,169.74 |
| Georgia | $1,168.90 | $1,168.90 |
| West Virginia | $1,166.55 | $1,166.55 |
| Pennsylvania | $1,166.43 | $1,166.43 |
| Colorado | $1,162.35 | $1,162.35 |
| Puerto Rico | $1,161.59 | $1,161.59 |
| Virgin Islands | $1,161.59 | $1,161.59 |
| Montana | $1,159.08 | $1,159.08 |
| New Hampshire | $1,158.42 | $1,158.42 |
| Hawaii | $1,155.81 | $1,155.81 |
| New Mexico | $1,154.23 | $1,154.23 |
| Oregon | $1,148.02 | $1,148.02 |
| Texas | $1,147.31 | $1,147.31 |
| Delaware | $1,144.33 | $1,144.33 |
| Nevada | $1,137.31 | $1,137.31 |
| Louisiana | $1,132.01 | $1,132.01 |
| Arizona | $1,128.02 | $1,128.02 |
| Ohio | $1,126.77 | $1,126.77 |
| Missouri | $1,125.40 | $1,125.40 |
| Wyoming | $1,124.43 | $1,124.43 |
| Utah | $1,122.44 | $1,122.44 |
| Virginia | $1,113.29 | $1,113.29 |
| South Carolina | $1,109.81 | $1,109.81 |
| Kentucky | $1,105.00 | $1,105.00 |
| Maine | $1,091.99 | $1,091.99 |
| Vermont | $1,089.15 | $1,089.15 |
| Oklahoma | $1,088.02 | $1,088.02 |
| North Carolina | $1,084.96 | $1,084.96 |
| North Dakota | $1,079.59 | $1,079.59 |
| Minnesota | $1,076.03 | $1,076.03 |
| Mississippi | $1,070.54 | $1,070.54 |
| South Dakota | $1,070.19 | $1,070.19 |
| Indiana | $1,062.09 | $1,062.09 |
| Tennessee | $1,061.98 | $1,061.98 |
| Idaho | $1,057.64 | $1,057.64 |
| Kansas | $1,055.62 | $1,055.62 |
| Alabama | $1,052.72 | $1,052.72 |
| Wisconsin | $1,050.18 | $1,050.18 |
| Nebraska | $1,046.05 | $1,046.05 |
| Iowa | $1,045.50 | $1,045.50 |
| Arkansas | $1,039.69 | $1,039.69 |

## Related codes

- 20100: Exploration of penetrating wound, neck — https://www.med-reveal.com/rates/20100-cpt-fee-schedule
- 20103: Exploration of penetrating wound, extremity — https://www.med-reveal.com/rates/20103-cpt-fee-schedule
- 20200: Biopsy, muscle, superficial — https://www.med-reveal.com/rates/20200-cpt-fee-schedule
- 20220: Biopsy, bone, trocar or needle, superficial — https://www.med-reveal.com/rates/20220-cpt-fee-schedule
- 20245: Biopsy, bone, open, deep — https://www.med-reveal.com/rates/20245-cpt-fee-schedule
- 20500: Injection of sinus tract — https://www.med-reveal.com/rates/20500-cpt-fee-schedule
- 20526: Injection, carpal tunnel — https://www.med-reveal.com/rates/20526-cpt-fee-schedule
- 20550: Injection, single tendon sheath or ligament — https://www.med-reveal.com/rates/20550-cpt-fee-schedule

Commercial negotiated rates for 27447 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules