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CPT 27033 Fee Schedule

Medicare rates as of October 2026

CPT 27033 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.

Arthrotomy Hip Including Exp, Arthrotomy Hip Including Exploration Or Removal Of Looseor Foreign Body Arthrotomy Hip Including Exploration Or Removal Of Loose
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Musculoskeletal System

Common Place of Service

21Inpatient Hospital

22On Campus Outpatient Hospital

Common Modifiers

RTRight side of body

LTLeft side of body

Hospital Outpatient Group (APC)APC 5114 - Level 4 Musculoskeletal Procedures
Surgery Center Payment (ASC)A2 - Paid separately, from the OPPS relative weight
Common Revenue Codes0360
Medicare Fee Schedule$893.47 national non-facility rate (2026)View Medicare rates for 27033
Medicaid Fee Schedule$710.315 median of the 8 states in the free previewView Medicaid rates for 27033

National average reimbursement for CPT 27033 by major payers:

BCBS / Anthem logo

$1,285.12

BCBS / Anthem

UnitedHealthcare logo

$1,318.39

UnitedHealthcare

Aetna logo

$1,336.29

Aetna

Cigna logo

$1,592.40

Cigna

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 27033.

CPT 27033
5 of 25 sample ratesHigher to lower in this preview
  1. Sacramento Midtown Endoscopy Center, LLC

    CAAmbulatory Surgical Clinic/CenterNPI 1730563610Tax ID 36-4811322

    $7,044.00Published rate
  2. Lakeside Endoscopy Center LLC

    Lakeside Endoscopy Center, LLC

    NEAmbulatory Surgical Clinic/CenterNPI 1407992241Tax ID 20-5544496

    $3,669.00Published rate
  3. Minnesota Vascular Surgery Center

    MNAmbulatory Surgical Clinic/CenterNPI 1568503845Tax ID 20-4879005

    $2,900.00Published rate
  4. Tri-Cities Endoscopy Center PC, The Center For Digestive Wellness

    Tricities Endoscopy Center PC

    TNAmbulatory Surgical Clinic/CenterNPI 1063437994Tax ID 62-1867929

    $2,100.00Published rate
  5. Three Rivers Endoscopy Center, Inc.

    Three Rivers Endoscopy Center Inc

    PAAmbulatory Surgical Clinic/CenterNPI 1386602332Tax ID 25-1788887

    $745.00Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 27033 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The table lists codes related to 27033. Select one to see its fee schedule.

CodeDescription
27030-CPTArthrotomy,Hip,For Infec,W/Drainage
27033-CPTArthrotomy Hip Including Exp, Arthrotomy Hip Including Exploration Or Removal Of Looseor Foreign Body Arthrotomy Hip Including Exploration Or Removal Of Loose
27050-CPTJoint Surgery Base Of Spine, Surgery To Explore The Joint At The Base Of The Spine (Sacroiliac Joint). The Procedure Includes Removing A Sample Of Tissue For Testing (Biopsy).
27052-CPTExploratory Surgery Of The Hip, Surgery To Explore A Hip Joint. The Procedure Removes A Sample Of Tissue For Testing (Biopsy).

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27033. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 27033 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 27033 assigned to?


Medicare's hospital outpatient payment system (OPPS) assigns CPT 27033 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.

How does Medicare pay for CPT 27033 in an ambulatory surgery center?


CMS lists CPT 27033 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.

Which revenue codes are billed with CPT 27033?


Hospital price transparency files list CPT 27033 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.

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