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See a sample rate comparisonCPT 27454 Fee Schedule
Medicare rates as of October 2026
CPT 27454 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Osteotomy Multiple With Real, Osteotomy Multiple With Realignment On Intramedullary Rodfemoral Shaft (Eg Sofield Type Procedure) Osteotomy Multiple With Realignment On Intramedullary Rod
| 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 | $1,181.39 national non-facility rate (2026)View Medicare rates for 27454 |
| Medicaid Fee Schedule | $938.085 median of the 8 states in the free previewView Medicaid rates for 27454 |
National average reimbursement for CPT 27454 by major payers:
$1,690.34
BCBS / Anthem
$1,750.81
UnitedHealthcare
$1,794.48
Aetna
$2,111.00
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27454.
CPT 27454
5 of 25 sample ratesHigher to lower in this preview
East Mequon Surgery Center LLC
$14,053.00Published rateEl Paso Center For Gastrointestinal Endoscopy, LLC
El Paso Center For Gastrointestinal Endoscopy LLC
$6,365.00Published rateLufkin Endoscopy Center Ltd
$3,686.00Published rateRush Surgicenter At The Professional Building Ltd. Partnership, Rush Surgicenter Ltd. Partnership
Rush Surgicenter, Ltd.
$1,924.00Published rateDigestive Health Specialists Endoscopy Center Arizona, LLC
Digestive Health Specialists Endoscopy Center Arizona LLC
$1,222.00Published rate
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See a sample payer proposalCPT 27454 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27454. 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 27454. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27454 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 27454 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27454 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 27454 in an ambulatory surgery center?
CMS lists CPT 27454 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 27454?
Hospital price transparency files list CPT 27454 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.