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See a sample rate comparisonCPT 27246 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Closed Treatment Of Greater Tr, Closed Treatment Of Greater Trochanteric Fracturewithoutmanipulation Closed Treatment Of Greater Trochanteric Fracture Without
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office 23 - Emergency Room |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27246 |
| Medicaid Fee Schedule | View Medicaid rates for 27246 |
National average reimbursement for CPT 27246 by major payers:
$543.78
$520.90
$541.67
$636.71
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CPT 27246
5 of 25 sample ratesHigher to lower in this preview
Surgcenter Of Pine Ridge LLC
$940.00Published rateTimonium Surgery Center, LLC
Timonium Surgery Center LLC
$555.00Published rateRma Of Philadelphia Surgical Center LLC
$350.00Published rateStuart Cardon, Cascade Foot And Ankle PLLC
Stuart Cardon Dba Cascade Foot &
$118.00Published rateEndoscopy Asc Of Middle Georgia LLC
$75.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27246 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27246 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 27246 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 |
|---|---|---|
| 27238-CPT | Moderate | Closed Treatment Of Intertroch, Closed Treatment Of Intertrochanteric Pertrochanteric Orsubtrochanteric Femoral Fracture Without Manipulation Closed Treatment Of Intertrochanteric Pertrochanteric Or |
| 27246-CPT | Moderate | Closed Treatment Of Greater Tr, Closed Treatment Of Greater Trochanteric Fracturewithoutmanipulation Closed Treatment Of Greater Trochanteric Fracture Without |
| 27248-CPT | High | Surgical Repair Of Broken Hip, Surgery To Repair A Broken Hip Bone (Greater Trochanter). Pins Wires Or Screws May Be Used To Hold The Bone Together. |
| 27250-CPT | Moderate | Closed Treatment Of Hip Disloc, Closed Treatment Of Hip Dislocation Traumatic Withoutanesthesia Closed Treatment Of Hip Dislocation Traumatic Without |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27246. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27246 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.
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