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CPT 95926

CHRG - SOMATO LOWER LIMBS

Reported by 34 hospitals in the network under the other methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$156

Average

$1.6k

Median

$299

High

$26.1k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$92$92$181$3.1k$127
2Lutheran Musculoskeletal Center LLCFort Wayne, IN$71$92$200$3.5k$136
3St. Joseph Health System, LLCIN 46802, IN$92$92$360$3.4k$769
4La Porte Hospital Company LLCLa Porte, IN$71$92$156$1.5k$111
5Saint Alphonsus Regional Medical Center - BoiseBoise, ID$49$29.0k$26.1k$77.3k$23.0k
6Saint Alphonsus Medical Center - NampaNampa, ID$111$238$320$1.1k$133
7Mercy Health Hackley CampusMuskogen, MI$121$7.8k$14.3k$44.9k$15.2k
8Mercy Health Saint MarysGrand Rapids, MI$121$211$212$693$60
9Holy Cross Hospital-Silver SpringSilver Spring, MD$229$264$264$264—
10Mount Carmel New Albany Surgical HospitalNew Albany, OH$183$777$677$945$202
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