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See a sample rate comparisonCPT 27356 Fee Schedule
Medicare rates as of October 2026
CPT 27356 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 The Thigh Bone (Femur). The Area Is Repaired With A Bone Graft.
| 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 | LTLeft side of body RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5115 - Level 5 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Add-on Codes | 27358 |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $696.74 national non-facility rate (2026)View Medicare rates for 27356 |
| Medicaid Fee Schedule | $561.21 median of the 8 states in the free previewView Medicaid rates for 27356 |
National average reimbursement for CPT 27356 by major payers:
$974.11
BCBS / Anthem
$996.59
UnitedHealthcare
$1,067.99
Aetna
$1,216.75
Cigna
Compare published rates across providers.
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CPT 27356
5 of 25 sample ratesHigher to lower in this preview
Rock Hill Surgery Center, LLC, Carolina Surgical Center
Rock Hill Surgery Center LLC
$17,635.00Published rateEndoscopy Center Of Northern Ohio, LLC
Endoscopy Center Of Northern Ohio LLC
$3,623.00Published rateKaty Asc, Lp, Advanced Cardiovascular & Surgery Center At Methodist West Houston
$2,080.00Published rateHeart Care Center, LLC
$1,387.00Published rateMesa Az Endoscopy Asc LLC, Desert Endoscopy Center
The Mesa Az Endoscopy Asc, LLC
$751.00Published rate
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See a sample payer proposalCPT 27356 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27356. 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 27356. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27356 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 27356 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27356 to APC 5115 (Level 5 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27356 in an ambulatory surgery center?
CMS lists CPT 27356 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which add-on codes are billed with CPT 27356?
CMS add-on code edits list CPT 27356 as a primary code for these add-on codes: 27358.
Which revenue codes are billed with CPT 27356?
Hospital price transparency files list CPT 27356 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.