How can I find out the cost of a medical procedure before I have it?

To find out the cost of a medical procedure beforehand, it's best to contact your healthcare provider directly and ask for an estimated cost. You should also contact your insurance company to understand your coverage, deductibles, co-pays, and out-of-pocket maximums for that specific procedure. For a more general idea of prices for specific CPT codes in your area, you could use tools like Payerprice to search for typical fee schedules.

What is a CPT code and how does it relate to billing?

CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit codes used by healthcare professionals to describe medical, surgical, and diagnostic services. They are essential for billing and help ensure consistent reporting of procedures to insurance companies and other payers. Each code corresponds to a specific service, allowing for accurate processing of claims and understanding of services rendered.

Where can I look up the reimbursement rates for specific medical services?

Reimbursement rates can vary significantly based on the insurance plan, provider, and location. For specific, localized, and up-to-date fee schedule information based on CPT codes, tools like Payerprice are designed for this purpose. Payerprice allows users to search with CPT codes and specific locations to find relevant fee schedules, helping you understand potential costs or reimbursements.

Why do prices for the same medical service vary so much?

The variation in prices for the same medical service can be attributed to several factors. These include differences in a provider's operating costs, negotiated rates with various insurance companies, geographic location, facility type (e.g., hospital vs. outpatient clinic), the technology and expertise involved, and whether the provider is in-network or out-of-network for a particular insurance plan.

What should I do if I receive a medical bill that seems too high?

If you receive a medical bill that seems too high, the first step is to carefully review it for errors. Compare it against your Explanation of Benefits (EOB) from your insurance company. If discrepancies exist or you have questions, contact your provider's billing department to request an itemized bill and clarify any charges. You can also negotiate the price or inquire about financial assistance programs. For understanding typical costs for the billed CPT codes in your area to gauge fairness, you can utilize resources like Payerprice.

CPT 27687 Fee Schedule

Last Verified: October 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Gastrocnemius Recession-Strayer Procedur

Key Fact	Detail
Service Type	Surgery Surgical Procedures on the Musculoskeletal System
Common Place of Service	24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital
Common Modifiers	None LT - Left side of body RT - Right side of body
Complexity Level	Moderate
Medicare Fee Schedule	View Medicare rates for 27687
Medicaid Fee Schedule	View Medicaid rates for 27687

National average reimbursement for CPT 27687 by major payers:

$599.41

$621.06

$653.52

$758.78

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CPT 27687

5 of 25 sample ratesHigher to lower in this preview

Wisconsin Surgery Center LLC
Wisconsin Surgery Center, LLC
WIAmbulatory Surgical Clinic/CenterNPI 1396774543Tax ID 38-3661215
$9,270.00Published rate
Tucson Digestive Institute LLC, Arizona Digestive Institute
AZAmbulatory Surgical Clinic/CenterNPI 1932636123Tax ID 82-1568426
$3,623.00Published rate
Murrieta Valley Surgery Center, Inc.A Professional Corporation
Murrieta Valley Surgery Center Inca Professional Corporation
CAAmbulatory Surgical Clinic/CenterNPI 1144673526Tax ID 81-3020819
$2,400.00Published rate
Georgia Eye Surgicenter, LLC, Georgia Eye Institute Surgery Center
GAAmbulatory Surgical Clinic/CenterNPI 1063007573Tax ID 86-1925762
$1,479.00Published rate
Amanda Romerhausen
Deaconess Hospital Inc
INAcute Care Nurse PractitionerNPI 1649606815Tax ID 35-0593390
$368.64Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 27687 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The CPT 27687 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 27687 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
27648-CPT	Moderate	Contrast Injection Into Joint, Injection Of Contrast Material For A Joint Study (Arthrography). The Contrast Highlights Areas Of Interest On Images Taken By X-Ray Ct Or Mri.
27650-CPT	Moderate	Repair,Primary,Open/Percut.Ruptured Achi
27656-CPT	Moderate	Repair Leg Connective Tissue, Surgery To Repair A Problem (Abnormality) In The Strong Connective Tissue (Fascia) Of A Leg.
27687-CPT	Moderate	Gastrocnemius Recession-Strayer Procedur

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27687. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 27687 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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CPT 27687 Fee Schedule

Wisconsin Surgery Center LLC

Tucson Digestive Institute LLC, Arizona Digestive Institute

Murrieta Valley Surgery Center, Inc.A Professional Corporation

Georgia Eye Surgicenter, LLC, Georgia Eye Institute Surgery Center

Amanda Romerhausen