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See a sample rate comparisonCPT 27507 Fee Schedule
Medicare rates as of October 2026
CPT 27507 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Open Treatment Of Femoral Shaf, Open Treatment Of Femoral Shaft Fracture With Platescrews With Or Without Cerclage Open Treatmentof Femoral Shaft Fracture With Platescrews
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 03600960Sign up to view all 3 |
| Medicare Fee Schedule | $883.45 national non-facility rate (2026)View Medicare rates for 27507 |
| Medicaid Fee Schedule | $701.49 median of the 8 states in the free previewView Medicaid rates for 27507 |
National average reimbursement for CPT 27507 by major payers:
$1,314.36
BCBS / Anthem
$1,324.79
UnitedHealthcare
$1,395.92
Aetna
$1,593.93
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27507.
CPT 27507
5 of 25 sample ratesHigher to lower in this preview
Surgcenter Of Silver Spring, LLC
Surgcenter Of Silver Spring LLC
$5,354.00Published rateSurgery Center Of Athens LLC
$3,249.00Published rateGrhs, LLC, Rochester Ambulatory Surgery Center
Rochester Ambulatory Surgery Center
$1,909.00Published rateEye Surgery Center, LLC
Eyecare Management, LLC
$1,248.00Published rateDierdre Payne
Deaconess Hospital Inc
$777.84Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27507 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27507. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 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 |
| 27507-CPT | Open Treatment Of Femoral Shaf, Open Treatment Of Femoral Shaft Fracture With Platescrews With Or Without Cerclage Open Treatmentof Femoral Shaft Fracture With Platescrews |
| 27508-CPT | Closed Treatment Of Femoral Fr, Closed Treatment Of Femoral Fracture Distal End Medial Or Lateral Condyle Without Manipulation Closed Treatment Of Femoral Fracture Distal End Medial Or |
| 27513-CPT | Open Treatment Of Femoral Supr, Open Treatment Of Femoral Supracondylar Or Transcondylar Fracture With Intercondylar Extension Includes Internal Fixation When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27507. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27507 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 27507 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27507 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27507 in an ambulatory surgery center?
CMS lists CPT 27507 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 27507?
Hospital price transparency files list CPT 27507 under these revenue codes: 0360, 0960 and 0975. A revenue code names the hospital department or charge category for the line; it does not change what the service is.