Home / CPT 27538 / By billing class Preview of prices split by billing class
Knee fracture treatment CPT 27538 A hospital usually bills a facility fee (its own: room, staff, supplies) and, for some, a separate professional fee (the clinician’s). The main code page averages the two. These views keep them apart.
Typical professional fee
$570 median professional fee, 164 hospitals
The clinician's fee for this code, for the 164 hospitals that file one, each averaged over every methodology and setting it files a professional price under.
Hospitals Estimated total 71 Facility only Professional only 164 Any methodology and setting Fee schedule · Outpatient (483 fac · 98 pro) Case rate · Outpatient (249 fac · 3 pro) Percent of total billed charges · Outpatient (230 fac · 46 pro) Percent of total billed charges · Inpatient (168 fac · 12 pro) Other · Outpatient (64 fac · 8 pro) Percent of total billed charges · Both (20 fac · 30 pro) Fee schedule · Both (19 fac · 52 pro) Per diem · Outpatient (16 fac · 0 pro) Showing 1–25 of 164 hospitals i 1,667 hospitals have a price for this code. 164 of them file a professional price. The rest file only the other fee or no billing class. The “Prices filed as” dropdown lists the 8 methodology and setting combinations with the most hospitals; 7 others with fewer hospitals are not listed.
Hospital Professional↓ Barnesville Hospital Association, Inc. Barnesville, OH
$4,748 Anderson Hospital Maryville, IL
$3,728 Thedacare Regional Medical Center-Neenah Inc WI 54904-6926; 2400 Witzel Ave. Suite C Oshkosh, WI
$2,655 Thedacare Regional Medical Center-Appleton Inc. Appleton, WI
$2,640 Thedacare Regional Medical Center-Appleton Inc WI 54911; W5282 Amy Ave. Appleton WI 54911-7233; 2500 E Capital Dr. Appleton, WI
$2,640 Thedacare Regional Medical Center-Appleton Inc Fond Du Lac, WI
$2,640 Thedacare Regional Medical Center-Appleton Inc Oshkosh, WI
$2,640 ThedaCare Regional Medical Center-Berlin Inc WI 54971-9286; N2930 State Rd 22 Wautoma, WI
$2,521 Mayo Clinic Rochester, MN
$2,512 Thedacare Regional Medical Center-New London Inc WI 54961; 370 S. Main St. Clintonville, WI
$2,496 Thedacare Regional Medical Center-Waupaca Inc Waupaca, WI
$2,468 Thedacare Regional Medical Center-Shawano Inc Shawano, WI
$2,457 Thedacare Regional Medical Center-Wild Rose Inc Wild Rose, WI
$2,439 Mary Hitchcock Memorial Hospital Lebanon, NH
$1,456 Mayo Clinic Health System Sparta, WI
$1,455 Norton Kings Daughters Health Inc Madison, IN
$1,237 Blessing Care Corporation Pittsfield, IL
$1,177 University of Iowa Health Care Medical Center Downtown Iowa City, IA
$1,059 University of Iowa Health Care Medical Center Iowa City, IA
$1,035 Nationwide Children's Hospital Columbus, OH
$1,027 Seattle Children's Hospital Seattle, WA
$1,008 Mayo Clinic Health System Red Wing 55066-2848
$986 Mayo Clinic Health System Fairmont 56031-4575
$985 Mayo Clinic Health System Saint James 56081-5550
$978 Mayo Clinic Health System Owatonna 55060-5503
$978
Page 1 of 7 Next → Price distribution Professional only Any methodology and setting
164 hospitals; the 90th percentile is 2.4× the 10th.
hospitals 0 50 100 median $570 $167 $1,541+ (13 above) shaded: middle 50%