95885

Needle measurement of electrical activity in arm or leg muscles, limited study

Medicare pricing data for 5,491 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $20 in Vermont to $64 in New Jersey. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Needle measurement of electrical activity in arm or leg muscles, limited study (HCPCS code 95885) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $47.71, but hospitals typically charge $188.97 — a 4.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$9.54

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $47.71, your out-of-pocket cost would be approximately $9.54. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$47.71
Average Hospital Charge
$188.97
Markup Ratio
4.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$188.97
Medicare Allowed$47.71
Medicare Payment$37.46

Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $37.46 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$64$2861483,202+34.0%
Puerto Rico$61$651372+28.3%
Wyoming$60$1495137+26.2%
Delaware$60$15319312+25.7%
Rhode Island$58$16018532+21.4%
California$58$1673989,753+21.3%
New York$57$2154148,397+18.8%
Nevada$56$58923308+17.5%
Florida$55$16536610,894+16.3%
Georgia$55$2252594,913+14.7%
Hawaii$54$12314164+13.0%
Minnesota$54$2661484,279+12.8%
Oregon$54$172781,340+12.3%
Arizona$53$1971103,755+11.8%
Colorado$52$1731071,911+9.3%
Alabama$51$100832,133+6.2%
Oklahoma$50$150301,188+5.6%
Alaska$50$33618633+4.7%
South Carolina$50$127752,982+4.5%
Arkansas$49$155401,202+3.0%
Montana$48$18126518+0.1%
Indiana$48$1421371,850-0.3%
Maryland$47$1561344,640-1.1%
Texas$47$2803227,619-1.4%
Washington$47$1471502,743-1.5%
Michigan$47$1362063,652-1.5%
Nebraska$47$14032750-2.5%
District of Columbia$46$14013317-3.0%
South Dakota$46$15817508-3.7%
North Carolina$46$1321854,614-4.2%
Connecticut$45$351601,270-5.4%
Mississippi$45$12423913-6.1%
Kentucky$45$131751,997-6.1%
Tennessee$42$1321182,252-11.2%
Pennsylvania$42$1522694,443-12.3%
Virginia$40$1471554,385-15.2%
Idaho$38$9737681-20.3%
Louisiana$37$17059924-21.9%
New Mexico$37$12129310-23.2%
Utah$37$1,014541,432-23.3%
Missouri$36$1231242,876-23.6%
Massachusetts$36$1611544,423-25.0%
Wisconsin$35$3631321,988-27.4%
Illinois$34$1612173,330-29.5%
Kansas$32$11636632-32.7%
New Hampshire$31$15431845-35.9%
Iowa$30$112441,229-36.4%
West Virginia$28$9024652-41.4%
Ohio$27$981992,880-43.3%
North Dakota$24$7523465-50.4%
Maine$21$6518183-55.6%
Vermont$20$6018390-57.1%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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