95912

Nerve conduction, 11-12 studies

Medicare pricing data for 6,021 providers across 52 states

🤖AI Overview

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

Nerve conduction, 11-12 studies (HCPCS code 95912) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $235.12, but hospitals typically charge $815.23 — a 3.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$47.02

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $235.12, your out-of-pocket cost would be approximately $47.02. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$235.12
Average Hospital Charge
$815.23
Markup Ratio
3.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$815.23
Medicare Allowed$235.12
Medicare Payment$182.24

Hospitals charge 3.5x more than what Medicare allows for this procedure. Medicare actually pays $182.24 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$267$90855310,026+13.6%
California$265$7675009,241+12.5%
New Jersey$264$1,2201832,083+12.2%
Rhode Island$258$74615147+9.9%
District of Columbia$257$1,11413126+9.2%
Alaska$255$2,5021594+8.6%
Maryland$251$9321262,030+6.8%
Puerto Rico$250$45740377+6.5%
Connecticut$249$1,23687593+6.0%
Wyoming$245$1,1371075+4.3%
Nevada$244$1,201471,004+3.6%
Colorado$242$71499791+2.8%
Florida$239$8614016,210+1.8%
Delaware$238$75620623+1.0%
Arizona$237$5761091,518+0.8%
Hawaii$237$4361462+0.8%
Texas$234$7844215,011-0.6%
Washington$231$7641301,454-1.7%
Georgia$231$7852251,468-1.8%
Oregon$227$73867511-3.6%
Kansas$226$60846741-3.7%
Louisiana$226$1,06371995-4.0%
Michigan$226$6362001,878-4.0%
Virginia$224$644160967-4.9%
North Carolina$224$6861791,982-4.9%
Maine$224$68813180-4.9%
Utah$224$70455501-4.9%
Oklahoma$220$79445890-6.3%
Indiana$218$892104977-7.4%
South Carolina$217$674981,094-7.7%
Minnesota$215$916113726-8.5%
Alabama$214$463116973-8.9%
Illinois$214$1,0122392,320-9.0%
Pennsylvania$212$6372922,760-9.8%
New Hampshire$210$1,58332241-10.6%
Montana$210$61321176-10.8%
Tennessee$209$6541231,216-11.0%
Kentucky$207$70884667-11.8%
Massachusetts$206$7811571,754-12.3%
West Virginia$203$64524429-13.6%
Arkansas$202$49437839-14.2%
Iowa$200$81644342-14.8%
Missouri$200$749106787-14.8%
Nebraska$199$65138719-15.3%
Wisconsin$199$1,936115643-15.4%
Mississippi$191$1,00541870-18.9%
Ohio$190$5872732,707-19.4%
New Mexico$187$69223241-20.3%
South Dakota$186$74425411-21.0%
Idaho$185$60131198-21.4%
Vermont$184$7481487-21.9%
North Dakota$161$4781991-31.6%

⚠️ 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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