Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC Ssep Upper Limbs
Prices here combine facility and professional fees. See them separately →Experimental
Low
$75
Average
$1.2k
Median
$821
High
$23.4k
Filter by billing methodology
Reflects a negotiated per diem rate paid per day of care.
Showing only prices reported under the per diem methodology. Choose another in the filter above to change the chart. 90 hospitals; the 90th percentile is 13.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Barnes Jewish Hospital St. Louis, MO | $542 | $542 | — | — | 1–10 | $542 – $542 |
| 2 | University of Virginia Haymarket Medical Center Haymarket, VA | $807 | $837 | $104 | 12% | — | $726 – $1.0k |
| 3 | Hospital for Special Surgery White Plains, NY | $177 | $158 | $40 | 25% | — | $112 – $214 |
| 4 | Deaconess Hospital, Inc Newburgh, IN | $308 | $308 | — | — | — | $308 – $308 |
| 5 | Rex Hospital, Inc. Raleigh, NC | $1.5k | $1.5k | $325 | 22% | — | $1.2k – $1.8k |
| 6 | Mercy Rehabilitation Hospital St. Louis Chesterfield, MO | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 7 | Mercy Rehabilitation Hospital Oklahoma City, LLC City, OK | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 8 | Manatee Memorial Hospital Bradenton, FL | $673 | $602 | $88 | 15% | — | $474 – $673 |
| 9 | Hospital for Special Surgery New York, NY | $177 | $175 | $30 | 17% | — | $112 – $214 |
| 10 | Methodist Lebonheur Germantown Hosp GERMANTOWN, TN | $1.0k | $897 | $334 | 37% | — | $50 – $1.2k |
Ask Claude or any MCP client for CPT 95925 pricing at a specific hospital — see how to connect.