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See a sample rate comparisonCPT 27750 Fee Schedule
Medicare rates as of October 2026
CPT 27750 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Closed Treatment Of Tibial Sha, Closed Treatment Of Tibial Shaft Fracture (With Orwithoutfibular Fracture) Without Manipulation C Losed Treatment Of Tibial Shaft Fracture (With Or Without
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11Office 23Emergency Room 22On Campus Outpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5111 - Level 1 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 04500761Sign up to view all 11 |
| Medicare Fee Schedule | $395.47 national non-facility rate (2026)View Medicare rates for 27750 |
| Medicaid Fee Schedule | $314.695 median of the 8 states in the free previewView Medicaid rates for 27750 |
National average reimbursement for CPT 27750 by major payers:
$476.01
BCBS / Anthem
$457.61
UnitedHealthcare
$491.66
Aetna
$533.37
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27750.
CPT 27750
5 of 25 sample ratesHigher to lower in this preview
Ambulatory Center For Endoscopy, LLC
$1,145.00Published rateScp Indianapolis LLC
$438.00Published rateFolsom Outpatient Surgery Center, Lp, Folsom Surgery Center
Folsom Outpatient Surgery Center Lp
$268.00Published rateEndoscopy Center Of Washington Dc Lp, The Endoscopy Center Of Washington, D.C.
Endoscopy Center Of Washington Dc Lp
$109.00Published rateInnovative Surgery Center, LLC
Innovative Surgery Center LLC
$60.00Published rate
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See a sample payer proposalCPT 27750 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27750. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27750-CPT | Closed Treatment Of Tibial Sha, Closed Treatment Of Tibial Shaft Fracture (With Orwithoutfibular Fracture) Without Manipulation C Losed Treatment Of Tibial Shaft Fracture (With Or Without |
| 27752-CPT | Treatment Of Tibia Fracture, Closed Treatment Of Tibial Shaft Fracture With Or Without Fibular Fracture With Manipulation With Or Without Skeletal Traction |
| 27756-CPT | Percutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Tibial Shaft Fracture(With Or Without Fibular Fracture) (Eg Pins Or Screws) Percutaneous Skeletal Fixation Of Tibial Shaft Fracture |
| 27759-CPT | Open Treatment Of Tibial Shaft, Open Treatment Of Tibial Shaft Fracture (With Or Withoutfibular Fracture) By Intramedullary Implantwith Or Without Interlocking Screws Andor Cercl Age |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27750. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27750 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 27750 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27750 to APC 5111 (Level 1 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27750 in an ambulatory surgery center?
CMS lists CPT 27750 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27750?
Hospital price transparency files list CPT 27750 under these revenue codes: including 0450, 0761, 0361, 0360 and 0981. A revenue code names the hospital department or charge category for the line; it does not change what the service is.