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See a sample rate comparisonCPT 27511 Fee Schedule
Medicare rates as of October 2026
CPT 27511 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Open Treatment Of Femoral Supr, Open Treatment Of Femoral Supracondylar Or Transcondylar Fracture Without Intercondylar Extension Includes Internal Fixation When Performed
| 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 5115 - Level 5 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 03600975Sign up to view all 3 |
| Medicare Fee Schedule | $900.82 national non-facility rate (2026)View Medicare rates for 27511 |
| Medicaid Fee Schedule | $714.835 median of the 8 states in the free previewView Medicaid rates for 27511 |
National average reimbursement for CPT 27511 by major payers:
$1,353.74
BCBS / Anthem
$1,364.53
UnitedHealthcare
$1,436.29
Aetna
$1,636.71
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27511.
CPT 27511
5 of 25 sample ratesHigher to lower in this preview
Iu Health Arnett Hospital, Inc, Arnett Surgery Center, LLC
Indiana University Health Arnett Inc
$13,049.00Published rateAdvanced Surgical Center Of Sunset Hills LLC
Advanced Surgical Center Of Sunset Hills, LLC
$4,100.00Published rateSurgical Specialty Center Of Mid Atlantic, LLC
Surgical Specialty Center Of Mid-Atlantic, LLC
$2,814.00Published rateNathan Reed
Deaconess Hospital Inc
$1,737.08Published rateSuffolk Surgery Center LLC
$795.00Published rate
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See a sample payer proposalCPT 27511 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27511. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 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 |
| 27509-CPT | Treatment Of Thigh Fracture, Percutaneous Skeletal Fixation Of Femoral Fracture Distal End Medial Or Lateral Condyle Or Supracondylar Or Transcondylar With Or Without Intercondylar Extension Or Distal Femoral Epiphyseal Separation |
| 27511-CPT | Open Treatment Of Femoral Supr, Open Treatment Of Femoral Supracondylar Or Transcondylar Fracture Without Intercondylar Extension Includes Internal Fixation When Performed |
| 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 27511. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27511 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 27511 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27511 to APC 5115 (Level 5 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27511 in an ambulatory surgery center?
CMS lists CPT 27511 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 27511?
Hospital price transparency files list CPT 27511 under these revenue codes: 0360, 0975 and 0960. A revenue code names the hospital department or charge category for the line; it does not change what the service is.