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See a sample rate comparisonCPT 27033 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
| Key Fact | Detail |
|---|---|
| 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 Codes | 0360 |
| 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:

$1,285.12
BCBS / Anthem

$1,318.39
UnitedHealthcare

$1,336.29
Aetna

$1,592.40
Cigna
Choose a payer to see a sample of rates for CPT 27033.
Sacramento Midtown Endoscopy Center, LLC
Lakeside Endoscopy Center LLC
Lakeside Endoscopy Center, LLC
Minnesota Vascular Surgery Center
Tri-Cities Endoscopy Center PC, The Center For Digestive Wellness
Tricities Endoscopy Center PC
Three Rivers Endoscopy Center, Inc.
Three Rivers Endoscopy Center Inc
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Rate Benchmarking
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See a sample payer proposalCPT 27033 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27033. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27030-CPT | Arthrotomy,Hip,For Infec,W/Drainage |
| 27033-CPT | Arthrotomy Hip Including Exp, Arthrotomy Hip Including Exploration Or Removal Of Looseor Foreign Body Arthrotomy Hip Including Exploration Or Removal Of Loose |
| 27050-CPT | Joint 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-CPT | Exploratory 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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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.
CMS lists CPT 27033 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
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.