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See a sample rate comparisonCPT 27236 Fee Schedule
Medicare rates as of October 2026
CPT 27236 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
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 | 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) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 03600975Sign up to view all 4 |
| Medicare Fee Schedule | $1,089.87 national non-facility rate (2026)View Medicare rates for 27236 |
| Medicaid Fee Schedule | $866.225 median of the 8 states in the free previewView Medicaid rates for 27236 |
National average reimbursement for CPT 27236 by major payers:
$1,640.52
BCBS / Anthem
$1,608.63
UnitedHealthcare
$1,714.03
Aetna
$1,947.38
Cigna
Compare published rates across providers.
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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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Payer Contract Negotiation
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See a sample payer proposalCPT 27236 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27236. 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 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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Frequently Asked Questions
What APC is CPT 27236 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27236 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 27236 in an ambulatory surgery center?
CMS lists CPT 27236 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 27236?
Hospital price transparency files list CPT 27236 under these revenue codes: 0360, 0975, 0960 and 0989. A revenue code names the hospital department or charge category for the line; it does not change what the service is.