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See a sample rate comparisonCPT 27078 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.
Rsect Hip Tum Incl Femur, Radical Removal Of Growth From Sit Bone Of Pelvis (Ischial Tuberosity) And Upper End Of Shaft Of Thigh Bone (Greater Trochanter)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27078 |
| Medicaid Fee Schedule | View Medicaid rates for 27078 |
National average reimbursement for CPT 27078 by major payers:
$2,568.11
$2,479.20
$2,700.85
$3,191.95
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CPT 27078
5 of 25 sample ratesHigher to lower in this preview
Milwaukee Surgicenter LLC
$7,602.00Published rateMadison Physician Surgery Center, LLC, Madison Physicians Surgery Center, LLC
Madison Physician Surgery Center LLC
$3,487.00Published rateNovant Health Wilmington Endoscopy Center LLC, Novant Health Wilmington Endoscopy Center
Carolina Healthcare Associates Inc
$1,980.00Published rateCasc Aquisition Inc, Carolina Ambulatory Surgery Center
Casc Aquisition Inc
$1,512.00Published rateRiverside Surgery Center Inc
$829.00Published rate
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See a sample payer proposalCPT 27078 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27078 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 27078 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 |
|---|---|---|
| 27078-CPT | High | Rsect Hip Tum Incl Femur, Radical Removal Of Growth From Sit Bone Of Pelvis (Ischial Tuberosity) And Upper End Of Shaft Of Thigh Bone (Greater Trochanter) |
| 27080-CPT | Moderate | Coccygectomy Primary |
| 27147-CPT | High | Osteotomy Iliac Acetabular Or Innominate Bone; W/ Open Reduct O, Osteotomy Iliac Acetabular Or Innominate Bone; With Open Reduction O |
| 27197-CPT | Low | Clsd Tx Pelvic Ring Fx, Closed Treatment Of Posterior Pelvic Ring Fracture S Dislocation S Diastasis Or Subluxation Of The Ilium Sacroiliac Joint And Or Sacrum With Or Without Anterior Pelvic Ring Fracture S And Or Dislocation S Of The Pubic Symphysis And Or Superior Inferior Rami Unilateral Or Bilateral Without Manipulation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27078. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27078 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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