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 27532 Fee Schedule
CPT 27532 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
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)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 23Emergency Room |
| Common Modifiers | LTLeft side of body RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5113 - Level 3 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 04500360Sign up to view all 7 |
| Medicare Fee Schedule | View Medicare rates for 27532 |
| Medicaid Fee Schedule | $538.105 median of the 8 states in the free previewView Medicaid rates for 27532 |
National average reimbursement for CPT 27532 by major payers:
$837.38
BCBS / Anthem
$824.02
UnitedHealthcare
$878.22
Aetna
$1,037.26
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27532.
CPT 27532
5 of 25 sample ratesHigher to lower in this preview
Physicians West El Paso Surgery Center, LLC
$2,833.00Published rateWestminster Surgery Center
Westminster Surgery Center LLC
$1,258.00Published rateRegency Surgery Center, LLC
Regency Surgery Center LLC
$788.00Published rateJohns Hopkins Surgery Centers Series, Green Spring Station Surgery Center
Johns Hopkins Surgery Center Series
$614.00Published rateDowntown Baltimore Surgery Center, LLC
Downtown Baltimore Surgery Center LLC
$376.00Published 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 27532 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27532. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 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) |
| 27535-CPT | Surgical Repair Of Broken Leg, Surgery To Repair A Broken Leg Bone (Tibia). Pins Plates Wires Or Screw May Be Used To Stabilize The Broken Bone. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27532. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27532 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 27532) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
What APC is CPT 27532 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27532 to APC 5113 (Level 3 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27532 in an ambulatory surgery center?
CMS lists CPT 27532 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27532?
Hospital price transparency files list CPT 27532 under these revenue codes: including 0450, 0360, 0361, 0761 and 0960. A revenue code names the hospital department or charge category for the line; it does not change what the service is.