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 27497 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.
Surgery On Thigh Or Knee, Surgery To Cut The Connective Tissue In The Thigh Or Knee. The Procedure May Involve Removal Of Tissue Damaged By Buildup Of Pressure From Swelling (Compartment Syndrome).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 23 - Emergency Room |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27497 |
| Medicaid Fee Schedule | View Medicaid rates for 27497 |
National average reimbursement for CPT 27497 by major payers:
$818.84
$771.23
$787.83
$947.84
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27497.
CPT 27497
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Fort Worth
Texas Health Harris Methodist Hospital Southwest Fort Worth
$6,245.00Published ratePacific Endoscopy Center, LLC
$2,388.00Published rateTowson Surgical Center LLC, Towson Surgical Center
Towson Surgical Center LLC
$1,450.00Published rateOrange County Ophthalmology Medical Group, Orange County Eye Surgical Center
Robert H. Collier, Md, Inc. Et Al, Ptr. Orange County Ophthalmology Me
$1,101.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$691.00Published 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 27497 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27497 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 27497 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 |
|---|---|---|
| 27496-CPT | Moderate | Surgery On Thigh Or Knee, Surgery To Cut The Connective Tissue In The Thigh Or Knee. The Procedure May Involve Removal Of Tissue Damaged By Buildup Of Pressure From Swelling (Compartment Syndrome). |
| 27497-CPT | Moderate | Surgery On Thigh Or Knee, Surgery To Cut The Connective Tissue In The Thigh Or Knee. The Procedure May Involve Removal Of Tissue Damaged By Buildup Of Pressure From Swelling (Compartment Syndrome). |
| 27498-CPT | Moderate | Surgery On Thigh Or Knee, Surgery To Cut The Connective Tissue In The Thigh Or Knee. The Procedure May Involve Removal Of Tissue Damaged By Buildup Of Pressure From Swelling (Compartment Syndrome). |
| 27499-CPT | Moderate | Surgery On Thigh Or Knee, Surgery To Cut The Connective Tissue In The Thigh Or Knee. The Procedure May Involve Removal Of Tissue Damaged By Buildup Of Pressure From Swelling (Compartment Syndrome). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27497. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27497 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 27497) and we'll show you how you compare in 15 minutes or less.