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See a sample rate comparisonCPT 27513 Fee Schedule
Medicare rates as of October 2026
CPT 27513 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 With 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 | 03600960Sign up to view all 3 |
| Medicare Fee Schedule | $1,106.91 national non-facility rate (2026)View Medicare rates for 27513 |
| Medicaid Fee Schedule | $877.27 median of the 8 states in the free previewView Medicaid rates for 27513 |
National average reimbursement for CPT 27513 by major payers:
$1,666.15
BCBS / Anthem
$1,703.77
UnitedHealthcare
$1,763.12
Aetna
$2,032.62
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27513.
CPT 27513
5 of 25 sample ratesHigher to lower in this preview
Aurora Surgery Centers, LLC
Aurora Surgery Centers LLC
$11,972.00Published ratePrince Frederick Surgery Center LLC
Prince Frederick Surgery Center, LLC
$5,354.00Published rateHealthone Ridge View Endoscopy Center, LLC, South Denver Endoscopy Center
$2,781.00Published ratePremier 2020, LLC, Premier Surgical Center
Premier 2020 LLC
$1,592.00Published ratePremier Endoscopy Center LLC
$383.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27513 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27513. 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 |
| 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 |
| 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 |
| 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 27513. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27513 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 27513 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27513 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 27513 in an ambulatory surgery center?
CMS lists CPT 27513 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 27513?
Hospital price transparency files list CPT 27513 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.