Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 27036 Fee Schedule
Medicare rates as of October 2026
CPT 27036 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Excision Of Hip Joint Muscle, Capsulectomy Or Capsulotomy Hip With Or Without Excision Of Heterotopic Bone With Release Of Hip Flexor Muscles Ie Gluteus Medius Gluteus Minimus Tensor Fascia Latae Rectus Femoris Sartorius Iliopsoas
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient Hospital |
| Common Modifiers | 59Distinct Procedural Service RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | G2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $942.91 national non-facility rate (2026)View Medicare rates for 27036 |
| Medicaid Fee Schedule | $750.47 median of the 8 states in the free previewView Medicaid rates for 27036 |
National average reimbursement for CPT 27036 by major payers:
$1,395.27
BCBS / Anthem
$1,360.86
UnitedHealthcare
$1,395.62
Aetna
$1,657.79
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27036.
CPT 27036
5 of 25 sample ratesHigher to lower in this preview
Memorial Surgery Center, LLC
Memorial Surgery Center LLC
$5,433.00Published rateNorth Atlantic Surgical Suites, LLC
$4,781.00Published rateCenter For Assisted Reproduction Laboratory And Surgery Center, Inc.
Center For Assisted Reproduction Laboratory And Surgery Center Inc
$2,800.00Published rateValdosta Foot & Ankle Surgery Center, P.C.
Valdosta Foot Ankle Surgery Center PC
$1,978.00Published ratePain Mds Inc
$750.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Looking for other data?
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 27036 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27036. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 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 |
| 27035-CPT | Denervation Of Hip Joint, Denervation Hip Joint Intrapelvic Or Extrapelvic Intra Articular Branches Of Sciatic Femoral Or Obturator Nerves |
| 27036-CPT | Excision Of Hip Joint Muscle, Capsulectomy Or Capsulotomy Hip With Or Without Excision Of Heterotopic Bone With Release Of Hip Flexor Muscles Ie Gluteus Medius Gluteus Minimus Tensor Fascia Latae Rectus Femoris Sartorius Iliopsoas |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27036. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27036 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 27036) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
What APC is CPT 27036 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27036 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 27036 in an ambulatory surgery center?
CMS lists CPT 27036 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27036?
Hospital price transparency files list CPT 27036 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.