CPT code 27130: Hip replacement, total joint, primary procedure2026 Medicare rate & RVUs in Redding, CA

Report this procedure when a surgeon replaces both the femoral and acetabular sides of a hip joint with prosthetic components.

CMS RVU26DEffective Oct 1, 2026One payment locality325.2K Medicare services in 2024

In Redding, CA, Medicare pays $1,147.39 for 27130 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,147.39Hospital or facility

Check a contract rate as a % of Medicare · 27130 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 27130 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Redding, CA
  2. What 27130 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 27130 covers

An orthopedic surgeon performs a total hip arthroplasty by replacing the damaged femoral head and the hip socket with prosthetic components. It is commonly performed for advanced hip arthritis or other conditions that have severely damaged the joint. The procedure is typically done in a hospital or other surgical setting; the operative report should establish that both sides of the joint were replaced, rather than only the femoral head or a component of an existing implant.

Select this code for a primary total replacement, not a partial replacement, conversion after prior hip surgery, or revision of an existing prosthesis. Document the operative work, the components implanted, the side treated, and whether the procedure was primary or a conversion or revision. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral procedures reported with modifier 50, CMS pays at 150%. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Redding, CA compares for 27130

Across 109 of 109 payment localities, the facility rate for 27130 runs from $1,041.64 in Arkansas to $1,445.67 in Alaska. Redding, CA pays $1,147.39. The RVUs are the same everywhere; the geographic indexes change the dollars.

27130 in Redding, CA vs other payment areas
  1. Redding, CA · this page$1,147.39
  2. Bakersfield, CA · California$1,158.54+$11.15
  3. Chico, CA · California$1,147.39
  4. El Centro, CA · California$1,148.07+$0.68
  5. Fresno, CA · California$1,147.39
  6. Hanford, CA · California$1,147.39
  7. Los Angeles, CA · California$1,213.82+$66.43

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

27130 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia—$1,147.39
Merced, CACalifornia—$1,147.39
Modesto, CACalifornia—$1,147.39
Napa, CACalifornia—$1,259.20
Oxnard, CACalifornia—$1,199.59
Rest of CaliforniaCalifornia—$1,147.39
Riverside, CACalifornia—$1,190.91
Sacramento, CACalifornia—$1,185.55

27130 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
27130 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 27130 in every payment locality

How the 27130 rate is calculated

Each of 27130’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 27130

RVUs × geographic indexes × conversion factor

Office or facility?

Work19.11

19.11 RVUs× 1.000 GPCI

Practice expense11.63

11.63 RVUs× 1.000 GPCI

Malpractice4.05

4.05 RVUs× 1.000 GPCI

Adjusted RVUs

34.7900

Conversion factor

$33.4009

Medicare rate

$1,162.02

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Redding, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,760

Code
27130
Physician work
19.11
Practice expense
11.63
Malpractice
4.05

GPCI2026.csv

19

Locality
Redding, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Facility calculation for 27130 in Redding, CA
ComponentRVULocality factorAdjusted
Physician work19.11× 1.01719.4349
Practice expense11.63× 1.09612.7465
Malpractice4.05× 0.5362.1708
Total RVUs34.3521
Conversion factor× 33.4009

Facility rate, Redding, CA$1147.39

Facility: (19.11 × 1.017 + 11.63 × 1.096 + 4.05 × 0.536) × $33.4009 = $1147.39

Open 27130 in the RVU calculator

Payment rules and modifiers for 27130

27130 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27130

Hip replacement, total joint, primary procedure

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 27130

Hip replacement, total joint, primary procedure

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

27130 without 50 · national facility

$1,162.02

Hip replacement, total joint, primary procedure

27130-50 · Bilateral: 150%

$1,743.03

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

How 27130 has changed in Redding, CA

27130 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,147.39RVU26D
2026-07-01Not available in this setting$1,147.39RVU26C
2026-04-01Not available in this setting$1,147.39RVU26B
2026-01-01Not available in this setting$1,147.39RVU26A
2025-10-01Not available in this setting$1,257.48RVU25D
2025-07-01Not available in this setting$1,257.48RVU25C
2025-04-01Not available in this setting$1,257.48RVU25B
2025-01-01Not available in this setting$1,257.48RVU25A
2024-10-01Not available in this setting$1,282.44RVU24D
2024-07-01Not available in this setting$1,282.44RVU24C
2024-04-01Not available in this setting$1,282.44RVU24B
2024-03-09Not available in this setting$1,282.44RVU24AR
2024-01-01Not available in this setting$1,261.51RVU24A
2023-10-01Not available in this setting$1,298.42RVU23D
2023-07-01Not available in this setting$1,298.42RVU23C
2023-04-01Not available in this setting$1,298.42RVU23B
2023-01-01Not available in this setting$1,298.42RVU23A
2022-10-01Not available in this setting$1,310.53RVU22D
2022-07-01Not available in this setting$1,310.53RVU22C
2022-04-01Not available in this setting$1,310.53RVU22B
2022-01-01Not available in this setting$1,310.53RVU22A
2021-10-01Not available in this setting$1,318.73RVU21D
2021-07-01Not available in this setting$1,318.73RVU21C
2021-04-01Not available in this setting$1,318.73RVU21B
2021-01-01Not available in this setting$1,318.73RVU21A
2020-10-01Not available in this setting$1,407.05RVU20D
2020-07-01Not available in this setting$1,407.05RVU20C
2020-04-01Not available in this setting$1,407.05RVU20B
2020-01-01Not available in this setting$1,407.05RVU20A
2019-10-01Not available in this setting$1,398.33RVU19D
2019-07-01Not available in this setting$1,398.33RVU19C
2019-04-01Not available in this setting$1,398.33RVU19B
2019-01-01Not available in this setting$1,398.33RVU19A
2018-10-01Not available in this setting$1,400.06RVU18D
2018-07-01Not available in this setting$1,400.06RVU18C
2018-04-01Not available in this setting$1,400.06RVU18B
2018-01-01Not available in this setting$1,400.06RVU18AR1
2017-10-01Not available in this setting$1,405.76RVU17D
2017-07-01Not available in this setting$1,405.76RVU17C
2017-04-01Not available in this setting$1,405.76RVU17B
2017-01-01Not available in this setting$1,405.76RVU17A
2016-10-01Not available in this settingRate data unavailableRVU16D
2016-07-01Not available in this settingRate data unavailableRVU16C
2016-04-01Not available in this settingRate data unavailableRVU16B
2016-01-01Not available in this settingRate data unavailableRVU16A
2015-10-01Not available in this settingRate data unavailableRVU15D
2015-07-01Not available in this settingRate data unavailableRVU15C
2015-04-01Not available in this settingRate data unavailableRVU15B
2015-01-01Not available in this settingRate data unavailableRVU15A
2014-10-01Not available in this settingRate data unavailableRVU14D
2014-07-01Not available in this settingRate data unavailableRVU14C
2014-04-01Not available in this settingRate data unavailableRVU14B
2014-01-01Not available in this settingRate data unavailableRVU14A
2013-10-01Not available in this settingRate data unavailableRVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 27130 for an earlier date of service

Where the Redding, CA rate applies

Redding, CA is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Redding
  • Anderson
  • Bella Vista
  • Big Bend
  • Burney
  • Cassel
  • Castella
  • Centerville

Browse all communities in California

27130 billing questions

When should I report this instead of a partial hip replacement?

Report this code when both the femoral and acetabular sides are replaced. A partial replacement, such as a femoral head replacement without replacement of the socket, is reported with 27125.

How is a conversion after prior hip surgery distinguished?

Use 27132 when prior hip surgery is converted to a total hip arthroplasty. The operative documentation should clarify whether the surgeon is performing a primary replacement, a conversion, or revision of an existing prosthesis.

Are related postoperative visits included?

Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How is a bilateral procedure reported?

For bilateral total hip replacements performed in the same session, report modifier 50. CMS pays the bilateral procedure at 150%.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.

What happens when another procedure is performed in the same session?

Under the standard multiple procedure reduction, CMS pays the highest-valued procedure in full and other procedures at 50%. The operative record should support each procedure reported.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 27130PPRRVU2026_Oct_nonQPP.csv, line 2,760 (RVU26D)
Geographic factors for Redding, CAGPCI2026.csv, line 19 (RVU26D)

Open CMS sourceHow we calculate rates

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