CPT code 27236: Femoral neck repair, open fixation or replacement2026 Medicare rate & RVUs in Montana

In Montana, Medicare pays $1,089.63 for 27236 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27236 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 27236 covers

This code describes open surgery for a fracture through the femoral neck, the part of the thigh bone connecting its head to the shaft. The orthopedic surgeon exposes the fracture and treats it with internal fixation or replaces the fractured portion with a prosthesis. It is commonly performed in a hospital operating room for patients whose femoral neck fracture requires this open approach and treatment; it is distinct from percutaneous fixation and closed fracture care.

Select the code when the operative report supports the femoral neck location, open exposure, and fixation or prosthetic replacement. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral reporting 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 Montana compares for 27236

Across 109 of 109 payment localities, the facility rate for 27236 runs from $975.58 in Arkansas to $1,348.21 in Alaska. Montana pays $1,089.63. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27236 rates by state

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

See 27236 in every payment locality

How the 27236 rate is calculated

Each of 27236’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 27236

27236 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 27236

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

How 27236 has changed in Montana

Price 27236 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

• Absarokee
• Acton
• Alberton
• Alder
• Alzada
• Amsterdam
• Anaconda-Deer Lodge County
• Antelope

Browse all communities in Montana

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