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See a sample rate comparisonCPT 27232 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 23Emergency Room 21Inpatient Hospital |
| Common Modifiers | 54Surgical Care Only LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5112 - Level 2 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | G2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 04500360Sign up to view all 4 |
| Medicare Fee Schedule | $696.74 national non-facility rate (2026)View Medicare rates for 27232 |
| Medicaid Fee Schedule | $551.53 median of the 8 states in the free previewView Medicaid rates for 27232 |
National average reimbursement for CPT 27232 by major payers:

$1,022.46
BCBS / Anthem

$1,018.93
UnitedHealthcare

$1,025.00
Aetna

$1,235.02
Cigna
Choose a payer to see a sample of rates for CPT 27232.
Surgery Affiliate Of El Paso, LLC, Foundation Surgery Affiliate Of El Paso, LLC
Surgery Affiliate Of El Paso LLC
Maple Lawn Surgery Center
Maple Lawn Surgery Center, LLC
Integris Ddsi Endoscopy Centers LLC
Ns Surgical Center LLC
Wesley & Klippenstein, PC, Wesley Ophthalmic Plastic Surgery Center
Wesley & Klippenstein, P.C.
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Rate Benchmarking
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See a sample payer proposalCPT 27232 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27232. 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 27232. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27232 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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Medicare's hospital outpatient payment system (OPPS) assigns CPT 27232 to APC 5112 (Level 2 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
CMS lists CPT 27232 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Hospital price transparency files list CPT 27232 under these revenue codes: 0450, 0360, 0361 and 0981. A revenue code names the hospital department or charge category for the line; it does not change what the service is.