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See a sample rate comparisonCPT 27514 Fee Schedule
CPT 27514 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Treatment Of Thigh Fracture, Open Treatment Of Fracture Of One Side Of Lower End Of Thigh Bone Just Above Knee Joint (Medial Or Lateral Condyle Fracture Of Femur)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient Hospital |
| Common Modifiers | LTLeft side of body RTRight 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 | View Medicare rates for 27514 |
| Medicaid Fee Schedule | $694.635 median of the 8 states in the free previewView Medicaid rates for 27514 |
National average reimbursement for CPT 27514 by major payers:
$1,377.82
BCBS / Anthem
$1,368.88
UnitedHealthcare
$1,418.45
Aetna
$1,625.32
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27514.
CPT 27514
5 of 25 sample ratesHigher to lower in this preview
Aurora Surgery Centers, LLC, Aurora Pleasant Prairie Ambulatory Surgery Center
Aurora Surgery Centers LLC
$10,989.00Published rateCampus Eye Group Asc Inc, Surgicenter Anesthesia Associates
$3,690.00Published rateSusquehanna Surgery Center Inc
$3,071.00Published rateHeritage Eye Surgery Center, LLC, Precision Vision Surgery Center
Edward D. Glinski, D.O. & Accociates, Inc.
$1,751.00Published rateMercy Ambulatory Surgery Center Ltd
$806.00Published rate
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See a sample payer proposalCPT 27514 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27514. 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 |
| 27514-CPT | Treatment Of Thigh Fracture, Open Treatment Of Fracture Of One Side Of Lower End Of Thigh Bone Just Above Knee Joint (Medial Or Lateral Condyle Fracture Of Femur) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27514. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27514 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 27514 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27514 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 27514 in an ambulatory surgery center?
CMS lists CPT 27514 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 27514?
Hospital price transparency files list CPT 27514 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.