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See a sample rate comparisonCPT 27470 Fee Schedule
Medicare rates as of October 2026
CPT 27470 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Rpair Nonunion Or Malunion Femur Distal To Head & Nck; W/O, Repair Nonunion Or Malunion Femur Distal To Head And Neck; Without
| 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) | G2 - Paid separately, from the OPPS relative weight |
| Add-on Codes | 2070220703 |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $1,085.20 national non-facility rate (2026)View Medicare rates for 27470 |
| Medicaid Fee Schedule | $862.61 median of the 8 states in the free previewView Medicaid rates for 27470 |
National average reimbursement for CPT 27470 by major payers:
$1,556.22
BCBS / Anthem
$1,597.03
UnitedHealthcare
$1,688.71
Aetna
$1,932.18
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27470.
CPT 27470
5 of 25 sample ratesHigher to lower in this preview
Medical City Surgery Center Of Alliance, LLC
Medical City Surgery Center Of Alliance LLC
$8,207.00Published rateWiregrass Ranch Asc Holdings, Wiregrass Ranch Ambulatory Surgery Center
Wiregrass Ranch Asc Holdings
$5,000.00Published rateEast Oregon Surgery Center, LLC
East Oregon Suregery Center LLC
$3,500.00Published rateSan Antonio Childrens Surgical
$2,394.00Published rateMidwest Eye Consultants Ohio, Inc, Cataract & Laser Institute #351
Midwest Eye Consultants Ohio Inc
$1,100.00Published rate
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See a sample payer proposalCPT 27470 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27470. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27470-CPT | Rpair Nonunion Or Malunion Femur Distal To Head & Nck; W/O, Repair Nonunion Or Malunion Femur Distal To Head And Neck; Without |
| 27472-CPT | Repair Nonunion Or Malunion, Repair Nonunion Or Malunion Femur Distal To Head Andneck With Iliac Or Other Autogenous Bone Graft (Includes Obtaining Graft) |
| 27475-CPT | Arrest Epiphyseal Any Mthod (Eg Epiphysiodes); Distal Femur, Arrest Epiphyseal Any Method (Eg Epiphysiodesis); Distal Femur |
| 27503-CPT | Treatment Of Thigh Fracture, Closed Treatment Of Supracondylar Or Transcondylar Femoral Fracture With Or Without Intercondylar Extension With Manipulation With Or Without Skin Or Skeletal Traction |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27470. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27470 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 27470 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27470 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 27470 in an ambulatory surgery center?
CMS lists CPT 27470 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Which add-on codes are billed with CPT 27470?
CMS add-on code edits list CPT 27470 as a primary code for these add-on codes: 20702 and 20703.
Which revenue codes are billed with CPT 27470?
Hospital price transparency files list CPT 27470 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.