CPT 27220 Surgery - Musculoskeletal

How Much Does Treat Hip Socket Fracture Cost?

Also known as: Treat hip socket fracture (CPT 27220)

Non-surgical treatment of a hip socket (acetabulum) fracture using casts, braces, or traction.

Treat Hip Socket Fracture (CPT 27220) costs $390 at Medicare rates. Hospital outpatient rate: $252.

Cost Comparison by Payer

How much Treat hip socket fracture costs across different settings and payers

Medicare
Facility rate
$390
Hospital Outpatient
OPPS rate
$252
Surgery Center
ASC rate
$136
Medicare (Facility)
$390
CMS PFS 2026 national rate
Medicare (Office/Clinic)
$451
Non-facility setting
Hospital Outpatient
$252
OPPS rate
Surgery Center (ASC)
$136
Ambulatory surgery center

Patient Guide: Treat Hip Socket Fracture

What you need to know before your appointment

What to Expect

Your doctor will manage your hip socket fracture without surgery, using bed rest, traction, or braces. You may need to avoid putting weight on the leg for several weeks.

How Long Does It Take?

Office visit plus weeks of restricted activity

Common Reasons Doctors Order This

Stable hip socket fracture, fracture in a patient too high-risk for surgery

How to Prepare

Arrange help at home for several weeks. Get a walker or crutches as directed.

Procedures Commonly Done Together

These procedures are frequently performed alongside Treat hip socket fracture

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How to Reduce Your Cost for Treat hip socket fracture

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($451) differs from the facility rate ($390). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

  • 4
    Check ambulatory surgery centers (ASCs)

    This procedure is available at ASCs for $136, compared to $252 at hospital outpatient departments. ASCs often offer lower costs with comparable quality.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

5.36
Work RVU
5.19
Practice Expense RVU
1.14
Malpractice RVU
13.50
Total RVU

Payment = Total RVU (13.50) x CF ($33.40) = $451

Frequently Asked Questions

How much does Treat hip socket fracture cost?

The Medicare facility rate for Treat hip socket fracture is $390. In a hospital outpatient setting, the rate is $252. At an ambulatory surgery center, the rate is $136. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Treat hip socket fracture cost without insurance?

Without insurance, the cost of Treat hip socket fracture can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Treat hip socket fracture?

Most commercial health insurance plans and Medicare cover Treat hip socket fracture when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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