95913

Nerve conduction, 13 or more studies

Medicare pricing data for 5,475 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, 13 or more studies (HCPCS code 95913) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $269.12, but hospitals typically charge $937.10 — a 3.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$53.82

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $269.12, your out-of-pocket cost would be approximately $53.82. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$269.12
Average Hospital Charge
$937.10
Markup Ratio
3.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$937.10
Medicare Allowed$269.12
Medicare Payment$209.84

Hospitals charge 3.5x more than what Medicare allows for this procedure. Medicare actually pays $209.84 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$308$1,4891421,164+14.5%
Alaska$306$3,4191594+13.6%
California$304$1,00753512,383+13.1%
New York$303$1,1264718,312+12.4%
Maryland$293$8621243,090+8.9%
Nevada$282$922452,630+4.7%
District of Columbia$282$1,10413425+4.7%
Rhode Island$281$571723+4.4%
Puerto Rico$279$32733108+3.5%
Colorado$277$81675676+3.1%
Florida$277$8683635,368+2.9%
Arizona$275$9081153,103+2.0%
Oregon$271$91864844+0.7%
Wyoming$270$771967+0.4%
Texas$270$9193967,862+0.4%
Connecticut$270$1,27156240+0.2%
Washington$269$8741161,257-0.1%
Delaware$265$1,25410223-1.7%
Virginia$263$7041141,332-2.2%
Kansas$261$53250714-2.9%
Utah$261$71146492-3.0%
Hawaii$260$60210244-3.3%
Minnesota$260$1,09494722-3.4%
North Carolina$256$7611521,386-4.8%
Massachusetts$254$1,0521522,273-5.6%
South Carolina$252$1,032961,236-6.2%
Louisiana$250$82873949-7.2%
Michigan$248$6801691,390-7.7%
Pennsylvania$246$7272512,427-8.5%
Indiana$246$1,121931,040-8.6%
Georgia$244$8482292,245-9.5%
New Hampshire$239$1,84929132-11.2%
Mississippi$239$1,025411,284-11.2%
Kentucky$238$1,16085925-11.5%
Oklahoma$238$57047990-11.5%
Arkansas$237$87237496-11.8%
Missouri$236$9231061,118-12.1%
Maine$236$1,00613118-12.5%
Tennessee$234$839105989-13.2%
West Virginia$231$68325374-14.1%
Illinois$229$1,1102312,370-15.1%
South Dakota$225$783211,249-16.5%
New Mexico$224$73014331-16.7%
Wisconsin$223$1,943105646-17.2%
Iowa$221$83040287-17.9%
Vermont$221$1,0871780-18.0%
Alabama$220$5211182,220-18.3%
Nebraska$215$74330371-20.1%
Idaho$215$92229234-20.2%
Ohio$205$6582171,355-23.8%
Montana$198$51121155-26.3%
North Dakota$183$5771768-31.9%

⚠️ 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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