How can I find out the cost of a specific medical procedure?

The cost of medical procedures can vary significantly based on the provider, location, and your insurance coverage. For a general estimate, you can contact the provider's billing department. However, for a more precise understanding of prices for specific services (using CPT codes) in your area, you can use tools like Payerprice. Payerprice offers a fee schedule lookup tool that allows you to search with a CPT code and your specific location to get an idea of potential costs.

What is a CPT code, and why is it important?

CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services to health insurance companies. They are crucial for accurate billing and claims processing, ensuring that providers are reimbursed correctly and that patients' benefits are applied appropriately. Understanding the CPT codes associated with your care can help you better understand your medical bills and insurance coverage.

How do I know what my insurance will cover?

To understand what your insurance plan will cover, it's best to contact your insurance provider directly. You can typically find a customer service number on your insurance card or by logging into your online member portal. Be prepared to ask about your deductible, copayments, coinsurance, and whether specific services or providers are covered under your plan. Reviewing your plan's Summary of Benefits and Coverage (SBC) is also highly recommended.

What should I do if I receive a medical bill I don't understand?

If you receive a medical bill you don't understand, start by comparing it with your Explanation of Benefits (EOB) from your insurance company. The EOB details what your insurer paid and what you might owe. If discrepancies exist or if you still have questions, contact the provider's billing department directly. They can explain the charges and correct any errors. If you're still not satisfied, you can then contact your insurance company for further clarification.

What is the difference between an in-network and out-of-network provider?

An "in-network" provider has a contract with your health insurance plan to provide services at pre-negotiated rates. When you see an in-network provider, your out-of-pocket costs (like copays, deductibles, and coinsurance) are generally lower. An "out-of-network" provider does not have a contract with your insurance plan. While your plan might still cover some of the cost, you typically pay a higher percentage of the bill, and the provider might balance bill you for the difference between their charge and what your insurance pays.

How can I compare prices for healthcare services in my area?

Comparing healthcare prices can be challenging due to variations in provider fees and insurance contracts. However, for specific price transparency and comparison based on CPT codes and your location, Payerprice is a valuable resource. Their fee schedule lookup tool allows users to search for prices for various medical services, helping you make more informed decisions about your healthcare spending.

CPT 27299 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.

Unlisted Proc Pelvis Or Hip Joint, Unlisted Procedure Pelvis Or Hip Joint

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 RT - Right side of body LT - Left side of body
Complexity Level	High
Medicare Fee Schedule	View Medicare rates for 27299
Medicaid Fee Schedule	View Medicaid rates for 27299

National average reimbursement for CPT 27299 by major payers:

$1,673.04

$421.93

$7,710.16

$3,650.35

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 27299.

CPT 27299

5 of 25 sample ratesHigher to lower in this preview

Surgical Specialists At Princeton LLC
Surgical Specialists At Prince
NJAmbulatory Surgical Clinic/CenterNPI 1730410697Tax ID 27-0749140
$1,708.00Published rate
Northern Lakes Surgery Center LLC
MNAmbulatory Surgical Clinic/CenterNPI 1649922485Tax ID 87-4431494
$800.00Published rate
Chelmsford Surgery Center LLC
MAAmbulatory Surgical Clinic/CenterNPI 1578142352Tax ID 85-4172372
$550.00Published rate
Western Ambulatory Surgery LLC
WYAmbulatory Surgical Clinic/CenterNPI 1447293113Tax ID 83-0303151
$232.00Published rate
Mid-Florida Endoscopy & Surgery Center LLC
Mid-Florida Endoscopy & Surger
FLAmbulatory Surgical Clinic/CenterNPI 1417190935Tax ID 26-3388221
$80.00Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 27299 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The CPT 27299 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 27299 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
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
27290-CPT	High	Interpelviabdominal Amputation Hindquar
27295-CPT	High	Disarticulation Hip
27299-CPT	High	Unlisted Proc Pelvis Or Hip Joint, Unlisted Procedure Pelvis Or Hip Joint

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27299. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 27299 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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CPT 27299 Fee Schedule

Surgical Specialists At Princeton LLC

Northern Lakes Surgery Center LLC

Chelmsford Surgery Center LLC

Western Ambulatory Surgery LLC

Mid-Florida Endoscopy & Surgery Center LLC