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See a sample rate comparisonCPT 27236 Fee Schedule
Last Verified: September 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.
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.
| 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 27236 |
| Medicaid Fee Schedule | View Medicaid rates for 27236 |
National average reimbursement for CPT 27236 by major payers:
$1,640.52
$1,608.63
$1,714.03
$1,947.38
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CPT 27236
5 of 25 sample ratesHigher to lower in this preview
Hcn Ep Horizon City, LLC, The Hospitals Of Providence Northeast Campus
Hcn Ep Horizon City LLC
$11,730.00Published ratePend Oreille Surgery Center LLC
$3,843.00Published rateRsc Surgery Center, LLC
$3,058.00Published ratePine Grove Ambulatory Surgical
$1,462.00Published rateSpalding Endoscopy Center, LLC
Spalding Endoscopy Center LLC
$729.00Published rate
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See a sample payer proposalCPT 27236 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27236 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 27236 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 |
|---|---|---|
| 27230-CPT | Moderate | Closed Treatment Of Femoral Fr, Closed Treatment Of Femoral Fracture Proximal End Neckwithout Manipulation Closed Treatment Of Femoral Fracture Proximal End Neck |
| 27232-CPT | High | 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 | High | Percutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Femoral Fracture Proximalend Neck Undisplaced Mildly Displaced Or Impacted Fracture |
| 27236-CPT | High | 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 27236. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27236 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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