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See a sample rate comparisonCPT 27500 Fee Schedule
Medicare rates as of October 2026
CPT 27500 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Closed Treatment Of Femoral Sh, Closed Treatment Of Femoral Shaft Fracture Withoutmanipulation Closed Treatment Of Femoral Shaft Fracture Without
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11Office 21Inpatient Hospital |
| Common Modifiers | LTLeft side of body RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5111 - Level 1 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 04500360Sign up to view all 7 |
| Medicare Fee Schedule | $574.50 national non-facility rate (2026)View Medicare rates for 27500 |
| Medicaid Fee Schedule | $455.335 median of the 8 states in the free previewView Medicaid rates for 27500 |
National average reimbursement for CPT 27500 by major payers:
$698.29
BCBS / Anthem
$696.28
UnitedHealthcare
$731.86
Aetna
$849.15
Cigna
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
Saint Lukes South Surgery Center LLC
$5,213.00Published ratePuget Sound Surgical Clinic Inc
Puget Sound Surgical Center LLC
$600.00Published rateWichita Falls Endoscopy Center
$229.00Published rateFt Myers Digestive Health And Pain Asc LLC, Center For Digestive Health And Pain Management
Ft Myers Digestive Health And Pain Asc LLC
$128.00Published rateDigestive Health Specialists, PA
Digestive Health Specialists, P.A.
$35.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27500 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27500. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27500-CPT | Closed Treatment Of Femoral Sh, Closed Treatment Of Femoral Shaft Fracture Withoutmanipulation Closed Treatment Of Femoral Shaft Fracture Without |
| 27501-CPT | Closed Treatment Of Supracondy, Closed Treatment Of Supracondylar Or Transcondylarfemoralfracture With Or Without Intercondylar Ext Ension Without Manipulation |
| 27503-CPT | Treatment 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-CPT | Treatment 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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Frequently Asked Questions
What APC is CPT 27500 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27500 to APC 5111 (Level 1 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27500 in an ambulatory surgery center?
CMS lists CPT 27500 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27500?
Hospital price transparency files list CPT 27500 under these revenue codes: including 0450, 0360, 0761, 0361 and 0981. A revenue code names the hospital department or charge category for the line; it does not change what the service is.