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 27228 Fee Schedule
Last Verified: September 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 Hip Fracture S, Open Treatment Of Acetabular Fracture S Involving Anterior And Posterior Two Columns Includes T Fracture And Both Column Fracture With Complete Articular Detachment Or Single Column Or Transverse Fracture With Associated Acetabular Wall Fracture With Internal Fixation
| 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 27228 |
| Medicaid Fee Schedule | View Medicaid rates for 27228 |
National average reimbursement for CPT 27228 by major payers:
$2,582.32
$2,558.11
$2,673.57
$3,069.58
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27228.
CPT 27228
5 of 25 sample ratesHigher to lower in this preview
Reston Surgery Center, Lp
Reston Surgery Center Lp
$6,281.00Published rateSaint Thomas Campus Surgicare Lp
$4,671.00Published rateEast Cobb Podiatry Surgery Center, LLC
East Cobb Podiatry Surgery Center LLC
$2,946.00Published rateWildcreek Surgery Center
$1,907.00Published rateMelbourne Asc Lp, The Surgery Center Of Melbourne
Melbourne Asc Lp
$410.00Published 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 27228 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27228 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 27228 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 |
|---|---|---|
| 27226-CPT | High | Open Treatment Of Posterior Or, Open Treatment Of Posterior Or Anterior Acetabularwallfracture With Internal Fixation Open Treatm Ent Of Posterior Or Anterior Acetabular Wall |
| 27227-CPT | High | Open Treatment Of Acetabular F, Open Treatment Of Acetabular Fracture(S) Involvinganterior Or Posterior (One) Column Or A Fracture Running Transversely Across The Acetabulum With Internal Fixation |
| 27228-CPT | High | Treat Hip Fracture S, Open Treatment Of Acetabular Fracture S Involving Anterior And Posterior Two Columns Includes T Fracture And Both Column Fracture With Complete Articular Detachment Or Single Column Or Transverse Fracture With Associated Acetabular Wall Fracture With Internal Fixation |
| 27254-CPT | High | Open Treatment Of Hip Dislocat, Open Treatment Of Hip Dislocation Traumatic Withacetabular Wall And Femoral Head Fracture With Orwithout Internal Or External Fixation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27228. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27228 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 27228) and we'll show you how you compare in 15 minutes or less.