CPT 27091 Surgery - Musculoskeletal

Removal of hip prosthesis Cost

Body System: Musculoskeletal

Medicare Facility Rate
$1,437
CMS PFS CY2026
Medicare Non-Facility Rate
$1,437
Office/clinic setting

Relative Value Units (RVUs)

Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)

23.74
Work RVU
14.26
Facility PE RVU
5.03
Malpractice RVU
43.03
Total RVU

Frequently Asked Questions

How much does Removal of hip prosthesis cost?

The Medicare facility rate is $1,437. Commercial insurance typically pays 150-250% of Medicare rates (varies).

How much does Removal of hip prosthesis cost without insurance?

Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $1,437.

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