Common surgery & pain management

27130 - RVUs & Medicare payment (2026)

Total hip arthroplasty (hip replacement).

Component	Non-facility	Facility
Work RVU	19.11	19.11
Practice expense RVU	11.63	11.63
Malpractice RVU	4.05	4.05
Total RVUs	34.79	34.79
National payment (CF $33.4009)	$1,162.02	$1,162.02
Qualifying APM payment (CF $33.5675)	$1,167.81	$1,167.81

How 27130 payment varies by locality

Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for 27130 ranges from $1,041.64 in Arkansas (AR) to $1,445.67 in Alaska (AK); calculate 27130 for your locality.

Alaska (AK) $1,445.67 NYC Suburbs/Long Island (NY) $1,392.21 Miami (FL) $1,384.78 Manhattan (NY) $1,345.07 Chicago (IL) $1,343.61 San Jose-Sunnyvale-Santa Clara (CA) $1,341.16 Queens (NY) $1,333.36 San Jose-Sunnyvale-Santa Clara (CA) $1,322.36 National average $1,162.02 … 97 more localities between … Wisconsin (WI) $1,052.09 Nebraska (NE) $1,047.97 Iowa (IA) $1,047.43 Arkansas (AR) $1,041.64

Non-facility payment for 27130 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: 090

90-day global period: routine pre- and post-operative care within 90 days is included in the payment.

Related codes - common surgery & pain management

29881 · knee arthroscopy with meniscectomy
27447 · total knee arthroplasty (knee replacement)
47562 · laparoscopic cholecystectomy (gallbladder removal)
49505 · open repair of inguinal hernia, initial
19120 · excision of breast lesion
63030 · lumbar discectomy, single level
62323 · lumbar/caudal epidural injection with imaging guidance
64483 · transforaminal epidural injection, lumbar/sacral, first level
64493 · facet joint injection, lumbar/sacral, first level
59400 · vaginal delivery with antepartum and postpartum care

Frequently asked questions

How much does Medicare pay for 27130 in 2026?

The national non-facility payment is $1,162.02 and the facility payment is $1,162.02, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.

What is the work RVU for 27130?

The 2026 work RVU for 27130 is 19.11. Total RVUs are 34.79 in the non-facility setting and 34.79 in the facility setting.

Why are the facility and non-facility amounts different?

Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.