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See a sample rate comparisonCPT 27235 Fee Schedule
Medicare rates as of October 2026
CPT 27235 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Percutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Femoral Fracture Proximalend Neck Undisplaced Mildly Displaced Or Impacted Fracture
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient Hospital |
| Common Modifiers | LTLeft side of body RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | G2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600975Sign up to view all 5 |
| Medicare Fee Schedule | $836.36 national non-facility rate (2026)View Medicare rates for 27235 |
| Medicaid Fee Schedule | $666.015 median of the 8 states in the free previewView Medicaid rates for 27235 |
National average reimbursement for CPT 27235 by major payers:
$1,188.76
BCBS / Anthem
$1,231.17
UnitedHealthcare
$1,300.20
Aetna
$1,490.06
Cigna
Compare published rates across providers.
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CPT 27235
5 of 25 sample ratesHigher to lower in this preview
South Campus Surgery Center
$7,825.00Published rateEl Paso Center For Gastrointestinal Endoscopy, LLC
El Paso Center For Gastrointestinal Endoscopy LLC
$3,347.00Published rateSurgery Center At 900 N Michigan Ave LLC
$2,100.00Published rateAssociates Surgery Centers, LLC
Associates Surgery Centers LLC
$1,300.00Published rateDigestive Health Complex,Inc
$600.00Published rate
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See a sample payer proposalCPT 27235 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27235. 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 27235. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27235 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 27235 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27235 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 27235 in an ambulatory surgery center?
CMS lists CPT 27235 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27235?
Hospital price transparency files list CPT 27235 under these revenue codes: 0360, 0975, 0960, 0989 and 0983. A revenue code names the hospital department or charge category for the line; it does not change what the service is.