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See a sample rate comparisonCPT 27111 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.
Move Tendon At Front Of Hip, A Functioning Iliopsoas Tendon Is Detached And Re-Sewn Onto A Different Location Of The Hip Bone. The Procedure Is Done To Relieve Pain And Spasm And Increase Hip Function.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital |
| Common Modifiers | None |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27111 |
| Medicaid Fee Schedule | View Medicaid rates for 27111 |
National average reimbursement for CPT 27111 by major payers:
$1,185.63
$1,207.04
$1,224.32
$1,473.70
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CPT 27111
5 of 25 sample ratesHigher to lower in this preview
Disc Surgery Center At Marina Del Rey LLC
$15,000.00Published rateBanner Surgery Center
$4,014.00Published rateDlv Vision Asc
$2,500.00Published rateBentonville Ambulatory Surgery Center, LLC
Bentonville Ambulatory Surgery Center LLC
$1,473.00Published rateGem State Endoscopy
$1,068.00Published rate
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See a sample payer proposalCPT 27111 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27111 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 27111 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 |
|---|---|---|
| 27105-CPT | High | Trnsfer Paraspinal Muscl To Hip (Inclu Fascial Or Tndon Extensio, Transfer Paraspinal Muscle To Hip (Includes Fascial Or Tendon Extensio |
| 27110-CPT | High | Move Tendon At Front Of Hip, A Functioning Iliopsoas Tendon Is Detached And Re-Sewn Onto A Different Location Of The Hip Bone. The Procedure Is Done To Relieve Pain And Spasm And Increase Hip Function. |
| 27111-CPT | High | Move Tendon At Front Of Hip, A Functioning Iliopsoas Tendon Is Detached And Re-Sewn Onto A Different Location Of The Hip Bone. The Procedure Is Done To Relieve Pain And Spasm And Increase Hip Function. |
| 27130-CPT | High | Surgical Service Bundle Includes All Surgery Related Health Services Which Are Incurred In Connection With An Approved Outpatient Surgical Procedure, Billed Via The Agreed Upon Cpt Codes And Reimbursed At A Single Payment Rate Including All Services Such |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27111. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27111 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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