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See a sample rate comparisonCPT 27178 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.
Treatment For Hip Bone, Surgery To Repair A Slipped Capital Femoral Epiphysis A Hip Problem That Primarily Affects Children. The Surgery Moves Back Into Place The Head Or Ball Of The Thigh Bone Which Has Slipped Off The Long Portion Of The Bone.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27178 |
| Medicaid Fee Schedule | View Medicaid rates for 27178 |
National average reimbursement for CPT 27178 by major payers:
$1,166.98
$1,229.34
$1,247.50
$1,500.77
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CPT 27178
5 of 25 sample ratesHigher to lower in this preview
Endoscopy Center Of Northern Ohio, LLC
Endoscopy Center Of Northern Ohio LLC
$6,588.00Published rateTexas Endoscopy Centers, LLC, Texas Endoscopy
$4,704.00Published rateWestern Washington Endoscopy Centers LLC, Puyallup Endoscopy Center
Western Washington Endoscopy Centers LLC
$2,237.00Published rateBaltimore Ambulatory Center For Endoscopy
Baltimore Ambulatory Center Fo
$1,610.00Published rateAnderson Endoscopy Center LLC
$665.00Published rate
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See a sample payer proposalCPT 27178 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27178 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 27178 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 |
|---|---|---|
| 27170-CPT | High | Repair Graft Femur Head Neck, Bone Graft Femoral Head Neck Intertrochanteric Or Subtrochanteric Area Includes Obtaining Bone Graft |
| 27175-CPT | Moderate | Treatment For Hip Condition, Treatment Of Slipped Capital Femoral Epiphysis (Scfe; Hip Condition) Using Traction Or Bone Pins Inserted Through The Skin. In Scfe The Head Or Ball Of The Thigh Bone Slips Off The Long Portion Of The Bone. Scfe Primarily Affects Children. |
| 27178-CPT | High | Treatment For Hip Bone, Surgery To Repair A Slipped Capital Femoral Epiphysis A Hip Problem That Primarily Affects Children. The Surgery Moves Back Into Place The Head Or Ball Of The Thigh Bone Which Has Slipped Off The Long Portion Of The Bone. |
| 27179-CPT | High | Treatment For Hip Bone, Surgery To Repair A Slipped Capital Femoral Epiphysis A Hip Problem That Primarily Affects Children. The Surgery Moves Back Into Place The Head Or Ball Of The Thigh Bone Which Has Slipped Off The Long Portion Of The Bone. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27178. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27178 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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