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See a sample rate comparisonCPT 27230 Fee Schedule
Medicare rates as of October 2026
CPT 27230 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Closed Treatment Of Femoral Fr, Closed Treatment Of Femoral Fracture Proximal End Neckwithout Manipulation Closed Treatment Of Femoral Fracture Proximal End Neck
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 23Emergency Room 11Office |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5111 - Level 1 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 04500360Sign up to view all 8 |
| Medicare Fee Schedule | $536.42 national non-facility rate (2026)View Medicare rates for 27230 |
| Medicaid Fee Schedule | $424.90 median of the 8 states in the free previewView Medicaid rates for 27230 |
National average reimbursement for CPT 27230 by major payers:
$631.22
BCBS / Anthem
$640.15
UnitedHealthcare
$672.03
Aetna
$783.65
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27230.
CPT 27230
5 of 25 sample ratesHigher to lower in this preview
Ochsner Medical Center, Ochsner Outpatient Surgery Suite
Ochsner Clinic Foundation
$2,500.00Published rateAdvanced Surgical Concepts LLC
$555.00Published rateSnks Enterprises LLC, Sol Valley Surgery Center
Snks Enterprises LLC
$200.00Published rateBlue Ash Endoscopy Center, LLC
$114.00Published rateGreenville Endoscopy Center Inc
$50.00Published rate
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See a sample payer proposalCPT 27230 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27230. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27230-CPT | Closed Treatment Of Femoral Fr, Closed Treatment Of Femoral Fracture Proximal End Neckwithout Manipulation Closed Treatment Of Femoral Fracture Proximal End Neck |
| 27232-CPT | Closed Treatment Of Femoral Fr, Closed Treatment Of Femoral Fracture Proximal End Neckwith Manipulation With Or Without Skeletaltraction Closed Treatment Of Femoral Fracture P Roximal End Neck |
| 27235-CPT | Percutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Femoral Fracture Proximalend Neck Undisplaced Mildly Displaced Or Impacted Fracture |
| 27236-CPT | Repair And Secure A Broken Hip, Surgery To Repair A Broken Hip. Pins Wires Or Rods May Hold The Bone Together. The End Of The Bone May Be Replaced With An Artificial Part. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27230. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27230 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 27230 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27230 to APC 5111 (Level 1 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27230 in an ambulatory surgery center?
CMS lists CPT 27230 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27230?
Hospital price transparency files list CPT 27230 under these revenue codes: including 0450, 0360, 0761, 0361 and 0981. A revenue code names the hospital department or charge category for the line; it does not change what the service is.