# CPT 27236: Open treatment of femoral fracture, proximal end, neck

Medicare CPT 27236 pays $1,089.87 in a non-facility setting and $1,089.87 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $975.58 in Arkansas to $1,348.21 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/27236-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,089.87 |
| National facility | $1,089.87 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,348.21 | $1,348.21 |
| New York | $1,206.17 | $1,206.17 |
| Florida | $1,205.34 | $1,205.34 |
| District of Columbia | $1,204.92 | $1,204.92 |
| Illinois | $1,188.37 | $1,188.37 |
| New Jersey | $1,179.22 | $1,179.22 |
| Connecticut | $1,157.14 | $1,157.14 |
| Washington | $1,137.91 | $1,137.91 |
| Massachusetts | $1,136.23 | $1,136.23 |
| California | $1,127.78 | $1,127.78 |
| Maryland | $1,123.49 | $1,123.49 |
| Michigan | $1,114.86 | $1,114.86 |
| Rhode Island | $1,100.81 | $1,100.81 |
| Georgia | $1,096.22 | $1,096.22 |
| Colorado | $1,095.68 | $1,095.68 |
| Pennsylvania | $1,095.24 | $1,095.24 |
| Hawaii | $1,093.33 | $1,093.33 |
| Puerto Rico | $1,092.42 | $1,092.42 |
| Virgin Islands | $1,092.42 | $1,092.42 |
| New Hampshire | $1,091.03 | $1,091.03 |
| West Virginia | $1,089.99 | $1,089.99 |
| Montana | $1,089.63 | $1,089.63 |
| Oregon | $1,082.30 | $1,082.30 |
| New Mexico | $1,081.26 | $1,081.26 |
| Texas | $1,078.32 | $1,078.32 |
| Delaware | $1,075.81 | $1,075.81 |
| Nevada | $1,070.13 | $1,070.13 |
| Louisiana | $1,061.11 | $1,061.11 |
| Arizona | $1,060.24 | $1,060.24 |
| Wyoming | $1,058.52 | $1,058.52 |
| Ohio | $1,056.40 | $1,056.40 |
| Missouri | $1,055.39 | $1,055.39 |
| Utah | $1,053.82 | $1,053.82 |
| Virginia | $1,047.69 | $1,047.69 |
| South Carolina | $1,041.70 | $1,041.70 |
| Kentucky | $1,035.69 | $1,035.69 |
| Maine | $1,027.22 | $1,027.22 |
| Vermont | $1,026.35 | $1,026.35 |
| Oklahoma | $1,020.63 | $1,020.63 |
| North Carolina | $1,019.82 | $1,019.82 |
| North Dakota | $1,018.25 | $1,018.25 |
| Minnesota | $1,016.46 | $1,016.46 |
| South Dakota | $1,009.81 | $1,009.81 |
| Mississippi | $1,003.38 | $1,003.38 |
| Indiana | $999.00 | $999.00 |
| Tennessee | $998.03 | $998.03 |
| Idaho | $994.66 | $994.66 |
| Kansas | $992.07 | $992.07 |
| Wisconsin | $989.81 | $989.81 |
| Alabama | $988.07 | $988.07 |
| Nebraska | $984.40 | $984.40 |
| Iowa | $983.52 | $983.52 |
| Arkansas | $975.58 | $975.58 |

## 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 27236 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