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 27218 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.
Treat Pelvic Ring Fracture, Open Treatment Of Posterior Pelvic Bone Fracture And Or Dislocation For Fracture Patterns That Disrupt The Pelvic Ring Unilateral Includes Internal Fixation When Performed Includes Ipsilateral Ilium Sacroiliac Joint And Or Sacrum
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27218 |
| Medicaid Fee Schedule | View Medicaid rates for 27218 |
National average reimbursement for CPT 27218 by major payers:
$1,708.96
$1,632.92
$1,664.13
$1,956.99
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27218.
CPT 27218
5 of 25 sample ratesHigher to lower in this preview
Lexington Health Inc, Lmc Lexington Asc
Lexington Health Inc
$3,557.00Published rateBethesda Chevy Chase Surgery Center, LLC
Bethesda Chevy Chase Surgery Cen
$1,258.00Published rateComprehensive Pain Management Center, Inc.
$874.00Published rateNorthern New Jersey Eye Institute PA
Northern New Jersey Eye Institute, P.A.
$563.00Published rateGreen Surgery Center LLC
$393.00Published 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 27218 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27218 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 27218 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 |
|---|---|---|
| 27197-CPT | Low | Clsd Tx Pelvic Ring Fx, Closed Treatment Of Posterior Pelvic Ring Fracture S Dislocation S Diastasis Or Subluxation Of The Ilium Sacroiliac Joint And Or Sacrum With Or Without Anterior Pelvic Ring Fracture S And Or Dislocation S Of The Pubic Symphysis And Or Superior Inferior Rami Unilateral Or Bilateral Without Manipulation |
| 27198-CPT | Moderate | Clsd Tx Pelvic Ring Fx, Closed Treatment Of Posterior Pelvic Ring Fracture S Dislocation S Diastasis Or Subluxation Of The Ilium Sacroiliac Joint And Or Sacrum With Or Without Anterior Pelvic Ring Fracture S And Or Dislocation S Of The Pubic Symphysis And Or Superior Inferior Rami Unilateral Or Bilateral With Manipulation Requiring More Than Local Anesthesia Ie General Anesthesia Moderate Sedation Spinal Epidural |
| 27217-CPT | High | Treat Pelvic Ring Fracture, Open Treatment Of Anterior Pelvic Bone Fracture And Or Dislocation For Fracture Patterns That Disrupt The Pelvic Ring Unilateral Includes Internal Fixation When Performed Includes Pubic Symphysis And Or Ipsilateral Superior Inferior Rami |
| 27218-CPT | High | Treat Pelvic Ring Fracture, Open Treatment Of Posterior Pelvic Bone Fracture And Or Dislocation For Fracture Patterns That Disrupt The Pelvic Ring Unilateral Includes Internal Fixation When Performed Includes Ipsilateral Ilium Sacroiliac Joint And Or Sacrum |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27218. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27218 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 27218) and we'll show you how you compare in 15 minutes or less.