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See a sample rate comparisonCPT 27025 Fee Schedule
Medicare rates as of October 2026
CPT 27025 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Hip Surgery, Surgery To Cut Fascia (Strong Connective Tissue That Surrounds Muscle Bone And Organs) In Hip Or Thigh To Relieve Tension Or Pressure.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24Ambulatory Surgical Center 22On Campus Outpatient Hospital 21Inpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5113 - Level 3 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 03600960 |
| Medicare Fee Schedule | $879.11 national non-facility rate (2026)View Medicare rates for 27025 |
| Medicaid Fee Schedule | $700.02 median of the 8 states in the free previewView Medicaid rates for 27025 |
National average reimbursement for CPT 27025 by major payers:
$1,207.80
BCBS / Anthem
$1,222.06
UnitedHealthcare
$1,273.92
Aetna
$1,495.75
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27025.
CPT 27025
5 of 25 sample ratesHigher to lower in this preview
Texas Health Presbyterian Hospital Dallas
$16,164.00Published rateAdvanced Surgical Concepts LLC
$6,492.00Published rateBahamas Surgery Center LLC
$3,713.00Published rateSylvan Surgery Center, Inc.
Sylvan Surgery Center Inc
$1,957.00Published rateMiddletown Endoscopy Asc LLC, The Gi Endoscopy Center
Middletown Endoscopy Asc LLC
$1,039.00Published rate
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See a sample payer proposalCPT 27025 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27025. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27006-CPT | Tenotomy Abductors &/Or Extenso(S) Of Hip Open (Sepa Proc, Tenotomy Abductors And/Or Extensor(S) Of Hip Open (Separate Procedur |
| 27025-CPT | Hip Surgery, Surgery To Cut Fascia (Strong Connective Tissue That Surrounds Muscle Bone And Organs) In Hip Or Thigh To Relieve Tension Or Pressure. |
| 27027-CPT | Surgery Ease Tissue Pressure, Surgery To Cut Fascia (Strong Connective Tissue That Surrounds Muscle Bone And Organs) In Buttock Or Pelvic Area; To Relieve Pressure From Swelling In A Confined Body Area (Compartment Syndrome). This Serious Condition Can Lead To Tissue Death Or Amputation. |
| 27030-CPT | Arthrotomy,Hip,For Infec,W/Drainage |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27025. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27025 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
What APC is CPT 27025 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27025 to APC 5113 (Level 3 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27025 in an ambulatory surgery center?
CMS lists CPT 27025 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 27025?
Hospital price transparency files list CPT 27025 under these revenue codes: 0360 and 0960. A revenue code names the hospital department or charge category for the line; it does not change what the service is.