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See a sample rate comparisonCPT 27065 Fee Schedule
Medicare rates as of October 2026
CPT 27065 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From A Bone In The Pelvis Or Hip. The Area May Be Repaired With A Bone Graft.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22On Campus Outpatient Hospital 21Inpatient 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 | $508.36 national non-facility rate (2026)View Medicare rates for 27065 |
| Medicaid Fee Schedule | $402.565 median of the 8 states in the free previewView Medicaid rates for 27065 |
National average reimbursement for CPT 27065 by major payers:
$732.01
BCBS / Anthem
$690.90
UnitedHealthcare
$726.97
Aetna
$856.60
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27065.
CPT 27065
5 of 25 sample ratesHigher to lower in this preview
Advanced Medical Imaging Surgery Center, LLC
Advanced Medical Imaging Surgery Center LLC
$3,348.22Published rateSurgery Centre Of Sw Florida LLC, Cape Health Surgery Center
$2,206.00Published rateDay-Op Center Of Long Island LLC, Day-Op Center Of Long Island
Day Op Center Of Long Island Inc
$1,656.00Published rateChesapeake Eye Surgery Center, LLC
$1,148.00Published rateGreat Lakes Ambulatory Surgery Center
$663.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27065 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27065. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27060-CPT | Excision Ischial Bursa |
| 27062-CPT | Excision; Trochanteric Bursaor Calcific |
| 27065-CPT | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From A Bone In The Pelvis Or Hip. The Area May Be Repaired With A Bone Graft. |
| 27066-CPT | Remove Hip Bone Les Deep, Excision Of Bone Cyst Or Benign Tumor Wing Of Ilium Symphysis Pubis Or Greater Trochanter Of Femur Deep Subfascial Includes Autograft When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27065. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27065 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 27065 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27065 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 27065 in an ambulatory surgery center?
CMS lists CPT 27065 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27065?
Hospital price transparency files list CPT 27065 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.