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See a sample rate comparisonCPT 27240 Fee Schedule
Medicare rates as of October 2026
CPT 27240 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Closed Treatment Of Intertroch, Closed Treatment Of Intertrochanteric Pertrochanteric Orsubtrochanteric Femoral Fracture With Manipulation With Or Without Skin Or Skeletal Traction
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 23Emergency Room 22On Campus Outpatient Hospital |
| Common Modifiers | LTLeft side of body RTRight 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 | $898.15 national non-facility rate (2026)View Medicare rates for 27240 |
| Medicaid Fee Schedule | $713.76 median of the 8 states in the free previewView Medicaid rates for 27240 |
National average reimbursement for CPT 27240 by major payers:
$1,350.35
BCBS / Anthem
$1,284.78
UnitedHealthcare
$1,318.39
Aetna
$1,557.38
Cigna
Compare published rates across providers.
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CPT 27240
5 of 25 sample ratesHigher to lower in this preview
Community Endoscopy Center LLC
$3,994.00Published rateLong Island Ambulatory Surgery Center, LLC
Long Island Ambulatory Surgery Center LLC
$1,500.00Published rateVip Surg Asc, LLC, Vip Surgical Center
Vip Surg Asc LLC
$975.00Published rateGc Surgery Center LLC
$607.00Published rateBerkeley Endoscopy Center LLC
$389.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27240 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27240. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 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. |
| 27238-CPT | Closed Treatment Of Intertroch, Closed Treatment Of Intertrochanteric Pertrochanteric Orsubtrochanteric Femoral Fracture Without Manipulation Closed Treatment Of Intertrochanteric Pertrochanteric Or |
| 27240-CPT | Closed Treatment Of Intertroch, Closed Treatment Of Intertrochanteric Pertrochanteric Orsubtrochanteric Femoral Fracture With Manipulation With Or Without Skin Or Skeletal Traction |
| 27244-CPT | Open Treatment Of Intertrochan, Open Treatment Of Intertrochanteric Pertrochanteric Orsubtrochanteric Femoral Fracture With Platescrew Type Implant With Or Without Cerclage |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27240. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27240 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 27240 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27240 to APC 5112 (Level 2 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27240 in an ambulatory surgery center?
CMS lists CPT 27240 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27240?
Hospital price transparency files list CPT 27240 under these revenue codes: 0450, 0360, 0361 and 0960. A revenue code names the hospital department or charge category for the line; it does not change what the service is.