95887

Needle measurement of electrical activity in trunk or head muscles

Medicare pricing data for 866 providers across 40 states

🤖AI Overview

Prices vary significantly by location — from $33 in Mississippi to $93 in Indiana. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 trunk or head muscles (HCPCS code 95887) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $81.82, but hospitals typically charge $244.15 — a 3.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$16.36

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $81.82, your out-of-pocket cost would be approximately $16.36. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$81.82
Average Hospital Charge
$244.15
Markup Ratio
3.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$244.15
Medicare Allowed$81.82
Medicare Payment$65.06

Hospitals charge 3.0x more than what Medicare allows for this procedure. Medicare actually pays $65.06 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Indiana$93$2041874+13.6%
California$91$264961,716+11.8%
Connecticut$91$322813+11.5%
Maryland$88$25126998+7.6%
New York$87$298781,037+6.1%
New Jersey$86$26020308+5.5%
Colorado$86$13022489+4.8%
Pennsylvania$86$16237353+4.7%
Massachusetts$85$3392657+4.2%
Washington$85$2571641+3.8%
Minnesota$84$43850602+2.6%
Nevada$82$248644+0.3%
Michigan$82$14518379+0.3%
Texas$81$23862499-1.2%
Missouri$79$2861277-3.2%
North Carolina$79$24630337-3.5%
Arizona$79$35925120-4.0%
Iowa$78$211512-4.9%
Florida$78$24254384-4.9%
South Carolina$78$20924349-5.0%
Illinois$77$3042168-5.3%
Nebraska$77$1736224-5.6%
Utah$77$1969128-6.1%
West Virginia$76$5101178-7.1%
Alabama$75$172728-8.1%
Tennessee$75$15220215-8.7%
Ohio$71$15133311-13.6%
Oklahoma$70$220665-14.4%
Louisiana$69$184511-15.9%
Virginia$67$2212685-18.0%
Oregon$67$2091881-18.3%
Kentucky$62$133914-24.3%
Kansas$53$1511249-35.3%
Georgia$52$12121537-36.8%
Rhode Island$37$112542-54.4%
New Hampshire$37$323420-54.8%
Wisconsin$35$4141881-57.1%
South Dakota$35$383157-57.1%
Idaho$35$79734-57.7%
Mississippi$33$71247-59.2%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber