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See a sample rate comparisonCPT 27284 Fee Schedule
Last Verified: October 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.
Fuse Bones In Hip, Surgery To Join Together Two Or More Bones Of The Hip Joint. The Procedure Is Done To Relieve Pain By Eliminating Motion Between The Bones.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office |
| Common Modifiers | None LT - Left side of body RT - Right side of body GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27284 |
| Medicaid Fee Schedule | View Medicaid rates for 27284 |
National average reimbursement for CPT 27284 by major payers:
$2,094.66
$2,162.07
$2,173.12
$2,592.94
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CPT 27284
5 of 25 sample ratesHigher to lower in this preview
Disc Surgery Center At Marina Del Rey LLC
$22,000.00Published rateTucson Digestive Institute LLC, Arizona Digestive Institute
$9,324.00Published rateRockwall Ambulatory Surgery Center LLP, Baylor Scott & White Surgicare - Rockwall
$4,946.00Published rateSouthern Urology Surgery Center, LLC
Southern Urology Surgery Center LLC
$3,186.00Published rateDigestive Disease Associates Endoscopy Suite, LLC
Digestive Disease Associates Endoscopy Suite LLC
$760.00Published rate
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See a sample payer proposalCPT 27284 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27284 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 27284 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 |
|---|---|---|
| 27258-CPT | High | Treat Hip Dislocation, Open Treatment Of Spontaneous Hip Dislocation Developmental Including Congenital Or Pathological Replacement Of Femoral Head In Acetabulum Including Tenotomy Etc |
| 27282-CPT | High | Fuse Bones Of Pelvis, Surgery To Join Together Two Or More Bones Of The Pelvis. The Procedure Is Done To Relieve Pain By Eliminating Motion Between The Bones. |
| 27284-CPT | High | Fuse Bones In Hip, Surgery To Join Together Two Or More Bones Of The Hip Joint. The Procedure Is Done To Relieve Pain By Eliminating Motion Between The Bones. |
| 27286-CPT | High | Fuse Bones In Hip, Surgery To Join Together Two Or More Bones Of The Hip Joint. The Procedure Is Done To Relieve Pain By Eliminating Motion Between The Bones. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27284. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27284 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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