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CPT 27500 Fee Schedule

Last Verified: September 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 Femoral Sh, Closed Treatment Of Femoral Shaft Fracture Withoutmanipulation Closed Treatment Of Femoral Shaft Fracture Without
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Musculoskeletal System

Common Place of Service

11 - Office

21 - Inpatient Hospital

Common Modifiers

None

LT - Left side of body

RT - Right side of body

Complexity LevelModerate
Medicare Fee ScheduleView Medicare rates for 27500
Medicaid Fee ScheduleView Medicaid rates for 27500

National average reimbursement for CPT 27500 by major payers:

bcbs

$698.29

uhc

$696.28

aetna

$731.86

cigna

$849.15

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 27500.

CPT 27500
5 of 25 sample ratesHigher to lower in this preview
  1. Saint Lukes South Surgery Center LLC

    KSAmbulatory Surgical Clinic/CenterNPI 1528121316Tax ID 20-1721929

    $5,213.00Published rate
  2. Puget Sound Surgical Clinic Inc

    Puget Sound Surgical Center LLC

    WAAmbulatory Surgical Clinic/CenterNPI 1689814998Tax ID 91-1687859

    $600.00Published rate
  3. Wichita Falls Endoscopy Center

    TXAmbulatory Surgical Clinic/CenterNPI 1407851090Tax ID 20-0474975

    $229.00Published rate
  4. Ft Myers Digestive Health And Pain Asc LLC, Center For Digestive Health And Pain Management

    Ft Myers Digestive Health And Pain Asc LLC

    FLAmbulatory Surgical Clinic/CenterNPI 1619940582Tax ID 62-1848758

    $128.00Published rate
  5. Digestive Health Specialists, PA

    Digestive Health Specialists, P.A.

    NCAmbulatory Surgical Clinic/CenterNPI 1487090452Tax ID 56-1242980

    $35.00Published rate

National sample. Rates vary by location, specialty, and contract.

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Payer Contract Negotiation

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CPT 27500 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The CPT 27500 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 27500 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.

CodeComplexityDescription
27500-CPTModerateClosed Treatment Of Femoral Sh, Closed Treatment Of Femoral Shaft Fracture Withoutmanipulation Closed Treatment Of Femoral Shaft Fracture Without
27501-CPTModerateClosed Treatment Of Supracondy, Closed Treatment Of Supracondylar Or Transcondylarfemoralfracture With Or Without Intercondylar Ext Ension Without Manipulation
27503-CPTHighTreatment Of Thigh Fracture, Closed Treatment Of Supracondylar Or Transcondylar Femoral Fracture With Or Without Intercondylar Extension With Manipulation With Or Without Skin Or Skeletal Traction
27506-CPTHighTreatment Of Thigh Fracture, Open Treatment Of Femoral Shaft Fracture With Or Without External Fixation With Insertion Of Intramedullary Implant With Or Without Cerclage And Or Locking Screws

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27500. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 27500 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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