Orthopedic surgery · Mississippi

Orthopedic surgery commercial reimbursement in Mississippi

How Mississippi orthopedic surgery rates compare with the national market.

Orthopedic surgery in Mississippi

39 codes · 112 sampled providers
Index vs national
111
11% above
Rank among states
16 of 51
1 = highest
Codes above national
31 of 39
median code at 111%
Providers
112
sampled

What the data shows

1

Orthopedic surgery ranks 16th of 51 states in Mississippi with an index of 111 (100 = the specialty's national median), across 39 codes and 112 sampled providers.

2

Of the 39 orthopedic surgery codes with enough data in Mississippi, 31 pay above the national median and 8 below; the typical code sits at 111% of the national median.

3

Largest premium over the national median: CPT 27245 (Treat thigh fracture) at 130%; largest discount: CPT 99215 (Office o/p est hi 40 min) at 78%.

4

Measured against Medicare, Mississippi orthopedic surgery rates have a median of 177% of the Medicare rate across these codes.

Codes above and below the national median

The five largest gaps in each direction

Highest vs national

CodeMississippNationalGapProv.
27245
Treat thigh fracture
$2,601$1,994+30%112
27130
Total hip arthroplasty
$2,797$2,158+30%112
23472
Reconstruct shoulder joint
$2,985$2,318+29%112
73221
Mri joint upr extrem w/o dye
$496$387+28%112
73721
Mri jnt of lwr extre w/o dye
$495$387+28%112

Lowest vs national

CodeMississippNationalGapProv.
99215
Office o/p est hi 40 min
$145$185-22%112
99213
Office o/p est low 20 min
$72$91-21%112
99214
Office o/p est mod 30 min
$105$132-20%112
99205
Office o/p new hi 60 min
$201$252-20%112
99204
Office o/p new mod 45 min
$157$194-19%112

All orthopedic surgery codes in Mississippi

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium
CodeMississippiNationalGap% of MedicareProvidersTINsLevel
CPT 27245
Treat thigh fracture
$2,601$1,994+30%233%112145
CPT 27130
Total hip arthroplasty
$2,797$2,158+30%241%112146
CPT 23472
Reconstruct shoulder joint
$2,985$2,318+29%230%112146
CPT 73221
Mri joint upr extrem w/o dye
$496$387+28%242%112141
CPT 73721
Mri jnt of lwr extre w/o dye
$495$387+28%242%112142
CPT 27447
Total knee arthroplasty
$2,794$2,190+28%241%112146
CPT 22633
Arthrd cmbn 1ntrspc lumbar
$3,816$2,991+28%224%112144
CPT 27487
Revise/replace knee joint
$3,599$2,840+27%229%112145
CPT 72148
Mri lumbar spine w/o dye
$468$370+27%244%112142
CPT 22551
Arthrd ant ntrbdy cervical
$3,511$2,778+26%219%112145
CPT 63047
Lam facetec & foramot lumbar
$2,217$1,796+23%208%112146
CPT 64721
Carpal tunnel surgery
$854$700+22%177%112146
CPT 97110
Therapeutic exercises
$38$31+21%130%112144
CPT 22558
Arthrd ant ntrbd min dsc lum
$2,960$2,471+20%208%112146
CPT 27236
Treat thigh fracture
$2,298$1,918+20%211%112146
CPT 22612
Arthrd pst tq 1ntrspc lumbar
$3,037$2,557+19%207%112146
CPT 20550
Njx 1 tendon sheath/ligament
$86$74+17%142%112146
CPT 20610
Drain/inj joint/bursa w/o us
$99$85+16%144%112146
CPT 29848
Wrist endoscopy/surgery
$938$817+15%193%112146
CPT 20611
Drain/inj joint/bursa w/us
$130$117+11%259%112145
CPT 93000
Electrocardiogram complete
$28$25+11%183%112142
CPT 29827
Sho arthrs srg rt8tr cuf rpr
$1,890$1,701+11%194%112145
CPT 26055
Incise finger tendon sheath
$682$614+11%237%112145
CPT 72110
X-ray exam l-2 spine 4/>vws
$77$71+9%144%112143
CPT 72100
X-ray exam l-s spine 2/3 vws
$57$53+7%141%112143
CPT 73564
X-ray exam knee 4 or more
$63$60+5%127%112145
CPT 73502
X-ray exam hip uni 2-3 views
$63$60+5%129%112142
CPT 73030
X-ray exam of shoulder
$46$45+2%129%112145
CPT 73630
X-ray exam of foot
$45$44+1%132%112143
CPT 73560
X-ray exam of knee 1 or 2
$45$45+1%131%112143
CPT 73562
X-ray exam of knee 3
$53$53+0%125%112142
CPT 73610
X-ray exam of ankle
$47$47+0%127%112143
CPT 99203
Office o/p new low 30 min
$106$123-14%90%112146
CPT 99212
Office o/p est sf 10 min
$43$51-16%72%112145
CPT 99204
Office o/p new mod 45 min
$157$194-19%88%112145
CPT 99205
Office o/p new hi 60 min
$201$252-20%85%112145
CPT 99214
Office o/p est mod 30 min
$105$132-20%77%112145
CPT 99213
Office o/p est low 20 min
$72$91-21%75%112146
CPT 99215
Office o/p est hi 40 min
$145$185-22%75%112145

Frequently asked questions

How do Mississippi orthopedic surgery rates compare with the rest of the country?

Mississippi ranks 16th of 51 states with an index of 111; 31 of 39 codes are above the national median.

Which orthopedic surgery code has the biggest premium in Mississippi?

CPT 27245 (Treat thigh fracture), at 130% of the national median.

Are these Medicare or commercial rates?

Commercial in-network negotiated rates from four national payers' published files; the Medicare comparison column uses the CY2026 Medicare physician fee schedule.

Methodology

How these numbers are calculated
  • Source: in-network negotiated-rate files published under the federal Transparency in Coverage rule, August 2026 snapshot: UnitedHealthcare Choice plans (74 files); Aetna commercial plans (70 files); Cigna national PPO (1 files); BCBS licensees' own-network files (5,387 files). Payer comparisons describe these files, not each payer's entire book of business.
  • Sample: rates come from a random sample of up to 150 providers per state and specialty. Counts on this page are sampled providers and TINs, not totals.
  • Which providers count: only providers in a specialty relevant to the code, because a rate in a payer file attaches to a provider group and is listed under every provider in that group.
  • Filters: fee-for-service, professional billing class, no modifier, negotiated or fee-schedule dollar rates. Rates outside 1% to 1,000% of the Medicare rate are excluded.
  • Statistic: one median rate per provider, then percentiles across providers. A cell is shown only with at least 15 sampled providers and 4 TINs.
  • Medicare benchmark: CY2026 national physician fee schedule, non-QPP conversion factor, unadjusted for locality. Where the non-facility rate is more than twice the facility rate (office rates that include device or supply cost), the facility rate is used so comparisons are like for like.

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