Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 27185 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Epiphyseal Arrest By Epiphysiodes Or Stapl Greater Trochanter Of, Epiphyseal Arrest By Epiphysiodesis Or Stapling Greater Trochanter Of
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 50 - Bilateral Procedure LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27185 |
| Medicaid Fee Schedule | View Medicaid rates for 27185 |
National average reimbursement for CPT 27185 by major payers:
$1,018.76
$945.86
$962.16
$1,155.98
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27185.
CPT 27185
5 of 25 sample ratesHigher to lower in this preview
Texas Health Spine Surgery Center Alliance LLC
$8,818.00Published rateSt. Joseph'S Outpatient Surgery Center, LLC
St Josephs Outpatient Surgery Center LLC
$6,365.00Published rateKlamath Surgery Center LLC, Klamath Surgeons LLC
Klamath Surgery Center LLC
$3,810.00Published rateEye Surgery Center Of Northern Nevada, LLC
Eye Surgery Center Of Northern Nevada LLC
$2,231.00Published rateAtlantic Gastroenterology Endoscopy Center, PA
Atlantic Gastroenterology Endoscopy Center PA
$902.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 27185 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27185 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 27185 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 27170-CPT | High | Repair Graft Femur Head Neck, Bone Graft Femoral Head Neck Intertrochanteric Or Subtrochanteric Area Includes Obtaining Bone Graft |
| 27179-CPT | High | Treatment For Hip Bone, Surgery To Repair A Slipped Capital Femoral Epiphysis A Hip Problem That Primarily Affects Children. The Surgery Moves Back Into Place The Head Or Ball Of The Thigh Bone Which Has Slipped Off The Long Portion Of The Bone. |
| 27181-CPT | High | Treatment For Hip Bone, Surgery To Repair A Slipped Capital Femoral Epiphysis A Hip Problem That Primarily Affects Children. The Surgery Moves Back Into Place The Head Or Ball Of The Thigh Bone Which Has Slipped Off The Long Portion Of The Bone. |
| 27185-CPT | High | Epiphyseal Arrest By Epiphysiodes Or Stapl Greater Trochanter Of, Epiphyseal Arrest By Epiphysiodesis Or Stapling Greater Trochanter Of |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27185. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27185 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 27185) and we'll show you how you compare in 15 minutes or less.