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See a sample rate comparisonCPT 27450 Fee Schedule
Medicare rates as of October 2026
CPT 27450 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Osteotomy Femur W Fixation Unilat
| 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 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $928.55 national non-facility rate (2026)View Medicare rates for 27450 |
| Medicaid Fee Schedule | $739.46 median of the 8 states in the free previewView Medicaid rates for 27450 |
National average reimbursement for CPT 27450 by major payers:
$1,347.31
BCBS / Anthem
$1,377.67
UnitedHealthcare
$1,467.91
Aetna
$1,663.72
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27450.
CPT 27450
5 of 25 sample ratesHigher to lower in this preview
St Davids Austin Area Asc LLC, St . David'S Austin Surgery Center
St Davids Austin Area Asc LLC
$6,973.00Published rateLindenhurst Surgery Center LLC, Red Oaks Surgical Suites
Lindenhurst Surgery Center LLC
$5,300.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$3,474.00Published rateBay Area Endoscopy Center Limited Partnership
$2,123.00Published rateLake Surgery & Endoscopy Center Ltd
Lake Surgery Endoscopy Center Ltd
$740.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27450 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27450. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27448-CPT | Osteotmy,Femr,Shft/Supracndy;Wo Fix |
| 27450-CPT | Osteotomy Femur W Fixation Unilat |
| 27454-CPT | Osteotomy Multiple With Real, Osteotomy Multiple With Realignment On Intramedullary Rodfemoral Shaft (Eg Sofield Type Procedure) Osteotomy Multiple With Realignment On Intramedullary Rod |
| 27457-CPT | Knee/Leg Surgery, Osteotomy Proximal Tibia Including Fibular Excision Or Osteotomy (Includes Correction Of Genu Varus (Bowleg) Or Genu Valgus (Knock-Knee)) Unilateral; After Epiphyseal Closure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27450. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27450 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 27450 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27450 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27450 in an ambulatory surgery center?
CMS lists CPT 27450 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 27450?
Hospital price transparency files list CPT 27450 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.