CPT 27165 Surgery - Musculoskeletal
Incision/fixation of femur Cost
Body System: Musculoskeletal
Medicare Facility Rate
$1,260
CMS PFS CY2026
Medicare Non-Facility Rate
$1,260
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
19.78
Work RVU
13.72
Facility PE RVU
4.21
Malpractice RVU
37.71
Total RVU
Frequently Asked Questions
How much does Incision/fixation of femur cost?
The Medicare facility rate is $1,260. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Incision/fixation of femur 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 $1,260.