95924

Testing of autonomic (sympathetic and parasympathetic) nervous system function, at least 5 minutes of tilt

Medicare pricing data for 524 providers across 38 states

🤖AI Overview

Prices vary significantly by location — from $82 in Alabama to $176 in New York. 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

Testing of autonomic (sympathetic and parasympathetic) nervous system function, at least 5 minutes of tilt (HCPCS code 95924) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $152.85, but hospitals typically charge $323.50 — a 2.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$30.57

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $152.85, your out-of-pocket cost would be approximately $30.57. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$152.85
Average Hospital Charge
$323.50
Markup Ratio
2.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$323.50
Medicare Allowed$152.85
Medicare Payment$119.07

Hospitals charge 2.1x more than what Medicare allows for this procedure. Medicare actually pays $119.07 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$176$341703,551+15.2%
Indiana$167$254297+9.4%
California$165$232546,697+8.0%
New Jersey$165$26013451+7.9%
Hawaii$163$211390+6.5%
New Hampshire$154$481136+0.7%
Colorado$154$360419+0.7%
Georgia$150$3387143-2.1%
Minnesota$150$64111854-2.1%
Puerto Rico$150$162873-2.1%
Nevada$148$266281-3.0%
Texas$148$3371363,563-3.4%
Missouri$145$3002271-5.2%
Utah$145$1858277-5.4%
Pennsylvania$143$27210554-6.1%
Arizona$142$448371,076-7.2%
Kentucky$139$4112133-9.2%
Virginia$138$43417677-10.0%
West Virginia$137$2864192-10.5%
South Carolina$135$3203138-11.4%
Mississippi$134$563794-12.2%
Ohio$132$29326698-13.5%
North Carolina$130$2746138-14.9%
Oklahoma$129$2509127-15.3%
Maryland$128$301749-16.2%
Florida$117$69414502-23.3%
Michigan$116$370241-24.1%
Wisconsin$116$487217-24.4%
Illinois$109$3227170-28.8%
Nebraska$109$151251-28.9%
Washington$108$301478-29.6%
Oregon$107$2877116-30.2%
Kansas$103$317461-32.8%
Massachusetts$96$3448352-37.5%
Tennessee$88$30111285-42.1%
Connecticut$84$210213-45.2%
South Dakota$83$85118-45.5%
Alabama$82$226234-46.6%

⚠️ 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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