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See a sample rate comparisonCPT 27355 Fee Schedule
Medicare rates as of October 2026
CPT 27355 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From A Thigh Bone (Femur). A Device May Be Attached To The Bone To Help Repair It.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22On Campus Outpatient Hospital 24Ambulatory Surgical Center |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5113 - Level 3 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Add-on Codes | 27358 |
| Common Revenue Codes | 03600960Sign up to view all 4 |
| Medicare Fee Schedule | $577.50 national non-facility rate (2026)View Medicare rates for 27355 |
| Medicaid Fee Schedule | $461.145 median of the 8 states in the free previewView Medicaid rates for 27355 |
National average reimbursement for CPT 27355 by major payers:
$791.47
BCBS / Anthem
$817.10
UnitedHealthcare
$886.27
Aetna
$1,002.93
Cigna
Compare published rates across providers.
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CPT 27355
5 of 25 sample ratesHigher to lower in this preview
Elko Community Health Center, LLC
Elko Community Health Center LLC
$8,689.00Published rateDerry Surgical Center, LLC
Derry Surgical Center LLC
$3,500.00Published rateChildrens Surgery Center LLC, Adventhealth Surgery Center Maitland
Childrens Surgery Center LLC
$2,280.00Published rateJohns Hopkins Surgery Centers Series, Green Spring Station Surgery Center
Johns Hopkins Surgery Center Series
$1,685.00Published rateHoliday Surgery Center Limited Partnership L L P
$455.00Published rate
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See a sample payer proposalCPT 27355 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27355. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27355-CPT | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From A Thigh Bone (Femur). A Device May Be Attached To The Bone To Help Repair It. |
| 27356-CPT | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From The Thigh Bone (Femur). The Area Is Repaired With A Bone Graft. |
| 27357-CPT | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From The Thigh Bone (Femur). The Area Is Repaired With A Bone Graft. |
| 27358-CPT | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From A Thigh Bone (Femur). A Device May Be Attached To The Bone To Help Repair It. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27355. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27355 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 27355 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27355 to APC 5113 (Level 3 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27355 in an ambulatory surgery center?
CMS lists CPT 27355 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which add-on codes are billed with CPT 27355?
CMS add-on code edits list CPT 27355 as a primary code for these add-on codes: 27358.
Which revenue codes are billed with CPT 27355?
Hospital price transparency files list CPT 27355 under these revenue codes: 0360, 0960, 0975 and 0490. A revenue code names the hospital department or charge category for the line; it does not change what the service is.