CPT 27048 Surgery - Musculoskeletal

How Much Does Excision Hip/pelv Tum Deep < 5 Cm Cost?

Also known as: Exc hip/pelv tum deep < 5 cm (CPT 27048)

Excision of a soft tissue tumor, deep, less than 5 cm.

The total estimated cost of Excision Hip/pelv Tum Deep < 5 Cm (CPT 27048) is $1,972 to $3,697, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $587.

Total Estimated Cost of Care

$1,972 — $3,697

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$587
Hospital Facility Fee
$1,761
Anesthesia (est.)
$117
Important: The physician fee of $587 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$587
Physician component only — CMS PFS 2026

Patient Guide: Excision Hip/pelv Tum Deep < 5 Cm

What you need to know before your appointment

What to Expect

Under anesthesia, the surgeon removes a deep soft tissue mass through an incision.

How Long Does It Take?

30-60 minutes

Common Reasons Doctors Order This

Deep lipoma, soft tissue sarcoma, deep mass of unknown type

How to Prepare

Fast if general anesthesia. The tissue is sent to pathology. Activity restrictions depend on location.

Procedures Commonly Done Together

These procedures are frequently performed alongside Exc hip/pelv tum deep < 5 cm

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How to Reduce Your Cost for Exc hip/pelv tum deep < 5 cm

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

8.63
Work RVU
6.93
Practice Expense RVU
2.01
Malpractice RVU
17.57
Total RVU

Payment = Total RVU (17.57) x CF ($33.40) = $587

Frequently Asked Questions

How much does Exc hip/pelv tum deep < 5 cm cost?

The Medicare facility rate for Exc hip/pelv tum deep < 5 cm is $587. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Exc hip/pelv tum deep < 5 cm cost without insurance?

Without insurance, the cost of Exc hip/pelv tum deep < 5 cm can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Exc hip/pelv tum deep < 5 cm?

Most commercial health insurance plans and Medicare cover Exc hip/pelv tum deep < 5 cm when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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