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See a sample rate comparisonCPT 27228 Fee Schedule
Medicare rates as of October 2026
CPT 27228 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Treat Hip Fracture S, Open Treatment Of Acetabular Fracture S Involving Anterior And Posterior Two Columns Includes T Fracture And Both Column Fracture With Complete Articular Detachment Or Single Column Or Transverse Fracture With Associated Acetabular Wall Fracture With Internal Fixation
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $1,685.74 national non-facility rate (2026)View Medicare rates for 27228 |
| Medicaid Fee Schedule | $1,334.98 median of the 8 states in the free previewView Medicaid rates for 27228 |
National average reimbursement for CPT 27228 by major payers:
$2,582.32
BCBS / Anthem
$2,558.11
UnitedHealthcare
$2,673.57
Aetna
$3,069.58
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27228.
CPT 27228
5 of 25 sample ratesHigher to lower in this preview
Reston Surgery Center, Lp
Reston Surgery Center Lp
$6,281.00Published rateSaint Thomas Campus Surgicare Lp
$4,671.00Published rateEast Cobb Podiatry Surgery Center, LLC
East Cobb Podiatry Surgery Center LLC
$2,946.00Published rateWildcreek Surgery Center
$1,907.00Published rateMelbourne Asc Lp, The Surgery Center Of Melbourne
Melbourne Asc Lp
$410.00Published rate
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See a sample payer proposalCPT 27228 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27228. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27226-CPT | Open Treatment Of Posterior Or, Open Treatment Of Posterior Or Anterior Acetabularwallfracture With Internal Fixation Open Treatm Ent Of Posterior Or Anterior Acetabular Wall |
| 27227-CPT | Open Treatment Of Acetabular F, Open Treatment Of Acetabular Fracture(S) Involvinganterior Or Posterior (One) Column Or A Fracture Running Transversely Across The Acetabulum With Internal Fixation |
| 27228-CPT | Treat Hip Fracture S, Open Treatment Of Acetabular Fracture S Involving Anterior And Posterior Two Columns Includes T Fracture And Both Column Fracture With Complete Articular Detachment Or Single Column Or Transverse Fracture With Associated Acetabular Wall Fracture With Internal Fixation |
| 27254-CPT | Open Treatment Of Hip Dislocat, Open Treatment Of Hip Dislocation Traumatic Withacetabular Wall And Femoral Head Fracture With Orwithout Internal Or External Fixation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27228. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27228 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 27228 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27228 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27228 in an ambulatory surgery center?
CMS lists CPT 27228 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 27228?
Hospital price transparency files list CPT 27228 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.