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
E/POTENTIAL LWR LIMBS
Austin, TX
See all hospitals reporting CPT 95926 →Price type
Ascension Seton’s median price of $280 is 16% below the median hospital's median price ($332), higher than 35% of the 1,755 hospitals reporting CPT 95926. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 6 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $174 | $174 | — | — | — | $174 – $174 |
| 2 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $213 | $213 | — | — | — | $213 – $213 |
| 3 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $347 | $347 | — | — | — | $347 – $347 |
| 4 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $347 | $347 | — | — | — | $347 – $347 |
| 5 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $382 | $382 | — | — | — | $382 – $382 |
| 6 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $423 | $423 | — | — | — | $423 – $423 |
Last updated: Jan 1, 2026
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