CPT code 27130: Hip replacement, total joint, primary procedure2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $1,280.92 for 27130 in a facility. There’s no office rate.

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.

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 Washington, DC area 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. Washington, DC area pays $1,280.92. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27130 rates by state

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

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.

Payment rules and modifiers for 27130

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

What modifiers do to the payment

When to use modifier 50

Codes related to 27130

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 27130 has changed in Washington, DC area

Price 27130 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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

Open CMS sourceHow we calculate rates