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See a sample rate comparisonCPT 27364 Fee Schedule
Medicare rates as of October 2026
CPT 27364 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Radical Resection Of Tumor (Eg, Radical Resection Of Tumor (Eg Malignant Neoplasm) Soft Tissue Of Thigh Or Knee Area 5 Cm Or Greater
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22On Campus Outpatient Hospital 21Inpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5073 - Level 3 Excision/ Biopsy/ Incision and Drainage |
| Surgery Center Payment (ASC) | G2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600761 |
| Medicare Fee Schedule | $1,430.56 national non-facility rate (2026)View Medicare rates for 27364 |
| Medicaid Fee Schedule | $1,119.71 median of the 8 states in the free previewView Medicaid rates for 27364 |
National average reimbursement for CPT 27364 by major payers:
$2,052.77
BCBS / Anthem
$2,149.56
UnitedHealthcare
$2,243.85
Aetna
$2,571.15
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27364.
CPT 27364
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Katy LLP
$5,729.00Published ratePrescott Outpatient Surgical Center LLC
Prescott Outpatient Surgical Center, Lp
$2,307.00Published rateCrossings Surgery Center, LLC
Orthopedics Rhode Island, Inc.
$1,311.00Published rateHattiesburg Surgery Center, LLC
Hattiesburg Surgery Center LLC
$904.00Published rateNorthern Arizona Surgicenter, LLC
Northern Arizona Surgicenter LLC
$800.00Published rate
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See a sample payer proposalCPT 27364 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27364. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27337-CPT | Xcision Tumor Sft Tissue Of Thigh/ Knee Area Subcutane 3 Cm, Excision Tumor Soft Tissue Of Thigh Or Knee Area Subcutaneous; 3 Cm |
| 27339-CPT | Exc Thigh Knee Tum Dep 5cm, Excision Tumor Soft Tissue Of Thigh Or Knee Area Subfascial Eg Intramuscular 5 Cm Or Greater |
| 27364-CPT | Radical Resection Of Tumor (Eg, Radical Resection Of Tumor (Eg Malignant Neoplasm) Soft Tissue Of Thigh Or Knee Area 5 Cm Or Greater |
| 27365-CPT | Remove Growth And Leg Bone, Surgery To Remove An Abnormal Growth (Tumor) And A Section Of An Upper Leg (Femur) Or Knee Bone. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27364. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27364 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 27364 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27364 to APC 5073 (Level 3 Excision/ Biopsy/ Incision and Drainage). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27364 in an ambulatory surgery center?
CMS lists CPT 27364 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27364?
Hospital price transparency files list CPT 27364 under these revenue codes: 0360 and 0761. A revenue code names the hospital department or charge category for the line; it does not change what the service is.