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  5. /Per diem
CPT 95938

CHRG - SOMATO LWR-UP LIMBS

Reported by 25 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

$495

Average

$903

Median

$901

High

$2.3k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$805$909$909$3.7k—
2Lutheran Musculoskeletal Center LLCFort Wayne, IN$805$1.4k$1.4k$3.7k$454
3St. Joseph Health System, LLCIN 46802, IN$805$909$909$3.7k—
4River Oaks Hospital LLCFlowood, MS$161$374$500$1.7k$195
5Northwest Sahurita Hospital LLCAZ 85748, AZ$225$466$622$1.7k$238
6Northwest Sahurita Hospital LLCAZ 85629, AZ$225$466$622$1.7k$238
7Cocke County HMA, LLCNewport, TN$166$846$890$3.1k$64
8Oro Valley Hospital LLCTucson, AZ$257$466$622$2.1k$238
9Campbell County HMA, LLCLaFollette, TN$166$907$901$130.3k$68
10Northwest Hospital LLCAZ 85741, AZ$252$466$622$2.1k$238
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