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CPT 95926

CHRG - SOMATO LOWER LIMBS

Reported by 12 hospitals in the network under the per diem 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 negotiated per diem rate paid per day of care.

National pricing summary

Low

$228

Average

$629

Median

$783

High

$962

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$202$228$228$939—
2Lutheran Musculoskeletal Center LLCFort Wayne, IN$202$343$343$939$114
3St. Joseph Health System, LLCIN 46802, IN$202$228$228$939—
4La Porte Hospital Company LLCLa Porte, IN$203$229$229$931—
5Saint Alphonsus Regional Medical Center - BoiseBoise, ID$49$746$746$77.3k—
6Mount Carmel New Albany Surgical HospitalNew Albany, OH$183$945$821$945$176
7Mount Carmel DublinDublin, OH$183$945$821$945$176
8Mount Carmel Grove CityGrove City, OH$180$945$821$945$176
9Diley Ridge Medical CenterCanal Winchester, OH$183$770$704$861$93
10Mount Carmel St Ann'sWesterville, OH$183$945$821$945$176
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