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See a sample rate comparisonCPT 27360 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient Hospital |
| 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 | 2070020702 |
| Common Revenue Codes | 03600960Sign up to view all 3 |
| Medicare Fee Schedule | $856.73 national non-facility rate (2026)View Medicare rates for 27360 |
| Medicaid Fee Schedule | $684.46 median of the 8 states in the free previewView Medicaid rates for 27360 |
National average reimbursement for CPT 27360 by major payers:

$1,257.01
BCBS / Anthem

$1,173.33
UnitedHealthcare

$1,256.09
Aetna

$1,458.56
Cigna
Choose a payer to see a sample of rates for CPT 27360.
Aurora Gi Asc LLC, Wisconsin Digestive Health Center
Aurora Gi Asc LLC
Winter Haven Ambulatory Surgical Center LLC
Winter Haven Ambulatory Surgical Center, LLC
Northwest Renal Clinic, Inc., Northwest Dialysis Access Center
Northwest Renal Clinic, PC
University Center For Ambulatory Surgery, LLC, Ucas, LLC
University Center For Ambulatory Surgery, LLC
Endoscopy Center Of Toms River, LLC
Endoscopy Center Of Toms River LLC
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Rate Benchmarking
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See a sample payer proposalCPT 27360 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27360. 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. |
| 27360-CPT | Partial Removal Leg Bone S, Partial Excision Craterization Saucerization Or Diaphysectomy Bone Femur Proximal Tibia And Or Fibula Eg Osteomyelitis Or Bone Abscess |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27360. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27360 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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Medicare's hospital outpatient payment system (OPPS) assigns CPT 27360 to APC 5113 (Level 3 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
CMS lists CPT 27360 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
CMS add-on code edits list CPT 27360 as a primary code for these add-on codes: 20700 and 20702.
Hospital price transparency files list CPT 27360 under these revenue codes: 0360, 0960 and 0361. A revenue code names the hospital department or charge category for the line; it does not change what the service is.