Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 27524 Fee Schedule
Medicare rates as of October 2026
CPT 27524 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Open Treatment Of Patellar Fra, Open Treatment Of Patellar Fracture With Internalfixation Andor Partial Or Complete Patellectomy And Soft Tissue Repair
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22On Campus Outpatient Hospital 21Inpatient Hospital |
| Common Modifiers | LTLeft side of body RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | G2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600975Sign up to view all 7 |
| Medicare Fee Schedule | $705.09 national non-facility rate (2026)View Medicare rates for 27524 |
| Medicaid Fee Schedule | $562.255 median of the 8 states in the free previewView Medicaid rates for 27524 |
National average reimbursement for CPT 27524 by major payers:
$1,000.77
BCBS / Anthem
$1,018.57
UnitedHealthcare
$1,074.83
Aetna
$1,238.39
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27524.
CPT 27524
5 of 25 sample ratesHigher to lower in this preview
Virginia Mason Medical Center, Virginia Mason Bellevue Asc
Virginia Mason Medical Center
$8,180.00Published rateFolsom Outpatient Surgery Center, Lp, Folsom Surgery Center
Folsom Outpatient Surgery Center Lp
$6,345.00Published rateDigestive Disease Center, Lp, Memorial Care Digestive Care Center Saddleback Memorial, An Affiliate
Digestive Disease Center Lp
$3,425.00Published rateVan Dyck Asc, LLC
Van Dyck Asc LLC
$1,664.00Published rateSuncoast Eye Center PA, Suncoast Surgery Institute
Suncoast Eye Center PA
$610.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Looking for other data?
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 27524 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27524. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27520-CPT | Closed Treatment Of Patellar F, Closed Treatment Of Patellar Fracture Without Manipulation Closed Treatment Of Patellar Fracture Without Manipulation |
| 27524-CPT | Open Treatment Of Patellar Fra, Open Treatment Of Patellar Fracture With Internalfixation Andor Partial Or Complete Patellectomy And Soft Tissue Repair |
| 27530-CPT | Closed Treatment Of Tibial Fra, Closed Treatment Of Tibial Fracture Proximal (Plateau)Without Manipulation Closed Treatment Of Tibial Fracture Proximal (Plateau) |
| 27532-CPT | Closed Treatment Of Tibial Fra, Closed Treatment Of Tibial Fracture Proximal (Plateau)With Or Without Manipulation With Skeletal Traction Closed Treatment Of Tibial Fracture Proximal (Plateau) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27524. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27524 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 27524) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
How can I find the exact cost of a medical procedure for a specific CPT code in my location?
To find the exact cost of a medical procedure for a specific CPT code in your location, you can use Payerprice's fee schedule lookup tool. This tool allows you to search with the CPT code and your specific location to get detailed pricing information based on various payers and plans.
What factors influence the price of healthcare services?
The price of healthcare services is influenced by numerous factors, including the type of service, the provider's negotiated rates with different insurance companies, the geographic location, facility fees, the patient's specific insurance plan (deductibles, co-pays, co-insurance), and whether the provider is in-network or out-of-network. For specific pricing details related to CPT codes and your location, Payerprice offers a fee schedule lookup tool.
Where can I find fee schedules for CPT codes to understand costs?
To find fee schedules for specific CPT codes and understand the costs in your area, Payerprice provides a comprehensive fee schedule lookup tool. You can input the CPT code and your location to access relevant pricing information from various payers.
Is there a way to compare prices for medical services in my area before treatment?
Yes, comparing prices for medical services in your area before treatment is crucial for informed decision-making. Payerprice offers a fee schedule lookup tool that allows you to search for specific CPT codes by location, providing valuable insights into potential costs from different payers and enabling you to compare options.
What APC is CPT 27524 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27524 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 27524 in an ambulatory surgery center?
CMS lists CPT 27524 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27524?
Hospital price transparency files list CPT 27524 under these revenue codes: including 0360, 0975, 0960, 0490 and 0989. A revenue code names the hospital department or charge category for the line; it does not change what the service is.