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See a sample rate comparisonCPT 27358 Fee Schedule
Medicare rates as of October 2026
CPT 27358 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 21Inpatient Hospital |
| Common Modifiers | LTLeft side of body RTRight side of body |
| Surgery Center Payment (ASC) | N1 - Packaged; no separate payment |
| Add-on Code For | 2735527356Sign up to view all 3 |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $236.48 national non-facility rate (2026)View Medicare rates for 27358 |
| Medicaid Fee Schedule | $206.89 median of the 8 states in the free previewView Medicaid rates for 27358 |
National average reimbursement for CPT 27358 by major payers:
$415.02
BCBS / Anthem
$384.10
UnitedHealthcare
$395.87
Aetna
$455.45
Cigna
Compare published rates across providers.
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CPT 27358
5 of 25 sample ratesHigher to lower in this preview
Seashore Surgical Institute, LLC
Seashore Surgical Institute
$1,708.00Published rateRoswell Surgery Center LLC, Roswell Surgery Center
Roswell Surgery Center LLC
$531.00Published rateFindlay Surgery Center Ltd
Findlay Surgery Center, Ltd
$275.00Published rateVacco LLC
$150.00Published rateCoppel Surgical Solutions, Nevada Surgical Suites
Coppel Surgical Solutions
$40.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27358 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27358. 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 27358. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27358 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
How does Medicare pay for CPT 27358 in an ambulatory surgery center?
CMS lists CPT 27358 with ASC payment indicator N1: Packaged; no separate payment.
Is CPT 27358 an add-on code?
Yes. CMS add-on code edits list CPT 27358 as an add-on code, billed with a primary code. Its primary codes: 27355, 27356 and 27357.
Which revenue codes are billed with CPT 27358?
Hospital price transparency files list CPT 27358 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.