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See a sample rate comparisonCPT 27066 Fee Schedule
Medicare rates as of October 2026
CPT 27066 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
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
| 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 5113 - Level 3 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600960 |
| Medicare Fee Schedule | $758.53 national non-facility rate (2026)View Medicare rates for 27066 |
| Medicaid Fee Schedule | $605.05 median of the 8 states in the free previewView Medicaid rates for 27066 |
National average reimbursement for CPT 27066 by major payers:
$1,132.91
BCBS / Anthem
$1,092.31
UnitedHealthcare
$1,149.06
Aetna
$1,335.02
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27066.
CPT 27066
5 of 25 sample ratesHigher to lower in this preview
Baptist Surgery Center Lp, Baptist Ambulatory Surgery Center
Baptist Surgery Center Lp
$5,772.00Published rateAmbulatory Surgery Center For Pelvic Neuro Science LLC
$3,075.00Published rateGeorgia Spine Surgery Center, LLC, Gns Surgery Center
Georgia Spine Surgery Center, LLC
$2,159.00Published rateRockville Esc North Md Endoscopy Asc LLC, Endoscopic Surgical Centre Of Maryland
$1,423.00Published rateMichael Smith
Deaconess Hospital Inc
$643.71Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27066 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27066. 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 27066. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27066 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 27066 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27066 to APC 5113 (Level 3 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27066 in an ambulatory surgery center?
CMS lists CPT 27066 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27066?
Hospital price transparency files list CPT 27066 under these revenue codes: 0360 and 0960. A revenue code names the hospital department or charge category for the line; it does not change what the service is.