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CPT 27041 Fee Schedule

Last Verified: December 2025

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Biopsy, Soft Tissues;Deep-Pelvis/Hip
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Musculoskeletal System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Common Modifiers

None

59 - Distinct Procedural Service

LT - Left side of body

Complexity LevelModerate

National average reimbursement for CPT 27041 by major payers:

bcbs

$988.56

uhc

$932.76

aetna

$945.88

cigna

$1,168.24

Preview provider-level rates for...
For billing codeCPT 27041
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 27041

United
27041$574.001376885400 - MD ANAHEIM SURGERY CENTER INC462311690 - (CA) MD ANAHEIM SURGERY CENTER INCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
27041$650.001003272980 - PAIN CENTERS OF MINNESOTA352546997 - PAIN CENTERS OF MINNESOTAMNAmbulatory Surgical Clinic/Center (261QA1903X)
United
27041$800.001942548870 - ISPM ASC AT CAMP CREEK LLC, ALLIANCE SURGERY CENTER AT CAMP CREEK461000991 - (GA) ISPM ASC AT CAMP CREEK LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
27041$650.001225308257 - CROWN VALLEY OUTPATIENT SURGICAL CENTER LLC, MISSION ENDOSCOPY CENTER454125214CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
27041$1066.001073505038 - PALMETTO SURGERY CENTER LLC582333248 - (SC) PALMETTO SURGERY CENTER, LLCSCAmbulatory Surgical Clinic/Center (261QA1903X)
United
27041$460.001952355851 - ADVANCED DIAGNOSTIC AND SURGICAL CENTER INC.912155421 - (CA) ADVANCED DIAGNOSTIC AND SURGICAL CENTER, INCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
27041$2221.001114168309 - MEMORIAL CARE SURGICAL CENTER AT ORANGE COAST, LLC261394069 - (CA) MEMORIAL CARE SURGICAL CENTER AT ORANGE COAST LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
27041$1625.001861825986 - VADNAIS HEIGHTS SURGERY CENTER LLC, VADNAIS HEIGHTS SURGERY CENTER371866891MNAmbulatory Surgical Clinic/Center (261QA1903X)
United
27041$1062.001972845923 - OLIVE AMBULATORY SURGERY CENTER, LLC, EMERSON ROAD SURGERY CENTER203834012 - (MO) OLIVE AMBULATORY SURGERY CENTER LLCMOAmbulatory Surgical Clinic/Center (261QA1903X)
United
27041$720.001811076623 - SPARTANBURG SURGERY CENTER, LLC570953005 - (SC) SPARTANBURG SURGERY CENTER LLCSCAmbulatory Surgical Clinic/Center (261QA1903X)
United
27041$300.001316290380 - ATHENS SURGERY CENTER LLC, THE SURGERY CENTER OF ATHENS800812776TNAmbulatory Surgical Clinic/Center (261QA1903X)
United
27041$425.001528197191 - RWMC AMBULATORY SURGERY CENTER, LLC, SCOTTSBLUFF SURGERY CENTER205026191 - (NE) RWMC AMBULATORY SURGERY CENTER LLCNEAmbulatory Surgical Clinic/Center (261QA1903X)
United
27041$655.001861487324 - DOCTORS PARK SURGERY INC431608281 - (MO) DOCTORS PARK SURGERY, INCMOAmbulatory Surgical Clinic/Center (261QA1903X)
United
27041$371.001285944504 - NEWBRIDGE SURGERY CENTER AT PRINCE FREDERICK, LLC272840356 - (MD) NEWBRIDGE SURGERY CENTER AT PRINCE FREDERICK LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
27041$416.001538336219 - PACIFIC CATARACT AND LASER INSTITUTE INC PC911394965 - PACIFIC CATARACT AND LASER INSTITUTE, INC., PCWAAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 27041 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The CPT 27041 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 27041 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
27040-CPTModerateBiopsy Soft Tissue Hip Superficial
27041-CPTModerateBiopsy, Soft Tissues;Deep-Pelvis/Hip
27043-CPTModerateRemoval (3 Centimeters Or Greater) Tissue Growth Beneath The Skin Of Pelvis Or Hip
27045-CPTHighExc Tumor Soft Tissue Pelvis & Hip Subfasc 5 Cm

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27041. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 27041 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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