# CPT 27130: Total hip arthroplasty

Medicare CPT 27130 pays $1,162.02 in a non-facility setting and $1,162.02 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,041.64 in Arkansas to $1,445.67 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/27130-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Orthopaedic Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,162.02 |
| National facility | $1,162.02 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,445.67 | $1,445.67 |
| Florida | $1,291.37 | $1,291.37 |
| New York | $1,285.82 | $1,285.82 |
| District of Columbia | $1,280.92 | $1,280.92 |
| Illinois | $1,274.38 | $1,274.38 |
| New Jersey | $1,254.99 | $1,254.99 |
| Connecticut | $1,233.10 | $1,233.10 |
| Washington | $1,207.96 | $1,207.96 |
| Massachusetts | $1,207.01 | $1,207.01 |
| Maryland | $1,197.31 | $1,197.31 |
| California | $1,194.17 | $1,194.17 |
| Michigan | $1,193.45 | $1,193.45 |
| Rhode Island | $1,172.35 | $1,172.35 |
| Georgia | $1,171.69 | $1,171.69 |
| West Virginia | $1,169.43 | $1,169.43 |
| Pennsylvania | $1,169.13 | $1,169.13 |
| Colorado | $1,164.91 | $1,164.91 |
| Puerto Rico | $1,164.26 | $1,164.26 |
| Virgin Islands | $1,164.26 | $1,164.26 |
| Montana | $1,161.75 | $1,161.75 |
| New Hampshire | $1,161.03 | $1,161.03 |
| Hawaii | $1,158.29 | $1,158.29 |
| New Mexico | $1,156.97 | $1,156.97 |
| Oregon | $1,150.51 | $1,150.51 |
| Texas | $1,149.89 | $1,149.89 |
| Delaware | $1,146.88 | $1,146.88 |
| Nevada | $1,139.82 | $1,139.82 |
| Louisiana | $1,134.58 | $1,134.58 |
| Arizona | $1,130.50 | $1,130.50 |
| Ohio | $1,129.30 | $1,129.30 |
| Missouri | $1,127.91 | $1,127.91 |
| Wyoming | $1,126.85 | $1,126.85 |
| Utah | $1,124.91 | $1,124.91 |
| Virginia | $1,115.64 | $1,115.64 |
| South Carolina | $1,112.20 | $1,112.20 |
| Kentucky | $1,107.40 | $1,107.40 |
| Maine | $1,094.21 | $1,094.21 |
| Vermont | $1,091.31 | $1,091.31 |
| Oklahoma | $1,090.29 | $1,090.29 |
| North Carolina | $1,087.16 | $1,087.16 |
| North Dakota | $1,081.66 | $1,081.66 |
| Minnesota | $1,078.05 | $1,078.05 |
| Mississippi | $1,072.72 | $1,072.72 |
| South Dakota | $1,072.20 | $1,072.20 |
| Indiana | $1,064.13 | $1,064.13 |
| Tennessee | $1,064.04 | $1,064.04 |
| Idaho | $1,059.65 | $1,059.65 |
| Kansas | $1,057.63 | $1,057.63 |
| Alabama | $1,054.75 | $1,054.75 |
| Wisconsin | $1,052.09 | $1,052.09 |
| Nebraska | $1,047.97 | $1,047.97 |
| Iowa | $1,047.43 | $1,047.43 |
| Arkansas | $1,041.64 | $1,041.64 |

## Related codes

- 20100: Exploration of penetrating wound, neck — https://www.med-reveal.com/rates/20100-cpt-fee-schedule
- 20103: Exploration of penetrating wound, extremity — https://www.med-reveal.com/rates/20103-cpt-fee-schedule
- 20200: Biopsy, muscle, superficial — https://www.med-reveal.com/rates/20200-cpt-fee-schedule
- 20220: Biopsy, bone, trocar or needle, superficial — https://www.med-reveal.com/rates/20220-cpt-fee-schedule
- 20245: Biopsy, bone, open, deep — https://www.med-reveal.com/rates/20245-cpt-fee-schedule
- 20500: Injection of sinus tract — https://www.med-reveal.com/rates/20500-cpt-fee-schedule
- 20526: Injection, carpal tunnel — https://www.med-reveal.com/rates/20526-cpt-fee-schedule
- 20550: Injection, single tendon sheath or ligament — https://www.med-reveal.com/rates/20550-cpt-fee-schedule

Commercial negotiated rates for 27130 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules