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See a sample rate comparisonCPT 27076 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Resect Hip Tum Incl Acetabul, Radical Removal Of Growth From Upper Pelvic Bone (Ilium) Including Hip Socket Base Of Pelvic Bone (Ischium) Including Hip Socket Or Both Pubic Bones
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None LT - Left side of body 62 - Co-Surgeons |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27076 |
| Medicaid Fee Schedule | View Medicaid rates for 27076 |
National average reimbursement for CPT 27076 by major payers:
$3,103.50
$3,148.49
$3,366.84
$3,897.16
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CPT 27076
5 of 25 sample ratesHigher to lower in this preview
Precision Ambulatory Surgery Center LLC
$10,277.00Published rateOro Valley Surgical Suites LLC
Oro Valley Surgical Suites, LLC
$6,365.00Published rateNorth Country Orthopaedic Ambulatory Surgery Center LLC
$3,937.00Published rateArkansas Outpatient Eye Surgery LLC, Mcdonald Eye Associates Surgery And Lasik Center
Arkansas Outpatient Eye Surgery LLC
$2,487.00Published ratePalmetto Endoscopy Center
$809.00Published rate
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See a sample payer proposalCPT 27076 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27076 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 27076 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.
| Code | Complexity | Description |
|---|---|---|
| 27060-CPT | Moderate | Excision Ischial Bursa |
| 27065-CPT | Moderate | 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 | High | 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 |
| 27076-CPT | High | Resect Hip Tum Incl Acetabul, Radical Removal Of Growth From Upper Pelvic Bone (Ilium) Including Hip Socket Base Of Pelvic Bone (Ischium) Including Hip Socket Or Both Pubic Bones |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27076. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27076 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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