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 27394 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.
Lengthen Hamstring Multiple Unilat
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27394 |
| Medicaid Fee Schedule | View Medicaid rates for 27394 |
National average reimbursement for CPT 27394 by major payers:
$845.62
$880.68
$896.81
$1,074.68
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27394.
CPT 27394
5 of 25 sample ratesHigher to lower in this preview
North Campus Surgery Center LLC
$7,825.00Published rateJacksonville Endoscopy Centers LLC, Jacksonville Center For Endoscopy
$3,500.00Published rateAesthetic Associates Inc., P.S, Seattle Facial Plastic Surgery Center
Aesthetic Associates Inc Ps
$2,565.00Published rateCardiovascular Institute Of The South Asc, LLC
Cardiovascular Institute Of The South Asc LLC
$1,563.00Published rateGastrointestinal Diagnostic Endoscopy Woodstock, LLC, Town Lake Endoscopy Center
Gastrointestinal Diagnostic Endoscopy Woodstock LLC
$515.00Published 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 27394 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27394 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 27394 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 |
|---|---|---|
| 27390-CPT | Moderate | Tenotomy Hamstring Single |
| 27391-CPT | Moderate | Tenotomy Hamstring Multiple Unilat |
| 27392-CPT | Moderate | Tenotomy Open Hmstring Knee To Hip; Multi Tendons Bilate, Tenotomy Open Hamstring Knee To Hip; Multiple Tendons Bilateral |
| 27394-CPT | Moderate | Lengthen Hamstring Multiple Unilat |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27394. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27394 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 27394) and we'll show you how you compare in 15 minutes or less.