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CPT 95938

CHRG - SOMATO LWR-UP LIMBS

Reported by 54 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

$86

Average

$2.6k

Median

$977

High

$33.2k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$805$1.5k$1.4k$3.7k$265
2Lutheran Musculoskeletal Center LLCFort Wayne, IN$805$1.5k$1.4k$3.7k$291
3St. Joseph Health System, LLCIN 46802, IN$293$1.5k$1.5k$3.7k$364
4River Oaks Hospital LLCFlowood, MS$161$558$714$1.7k$394
5Northwest Sahurita Hospital LLCAZ 85748, AZ$225$484$657$1.7k$382
6Northwest Sahurita Hospital LLCAZ 85629, AZ$225$484$657$1.7k$382
7Cocke County HMA, LLCNewport, TN$323$834$888$2.8k$111
8Oro Valley Hospital LLCTucson, AZ$257$504$684$2.1k$370
9Campbell County HMA, LLCLaFollette, TN$345$939$33.2k$130.3k$56.0k
10Northwest Hospital LLCAZ 85741, AZ$252$494$694$2.1k$364
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Look up this code directly

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