95930

Measurement of nerve conduction using visual stimulation testing with report

Medicare pricing data for 1,212 providers across 41 states

🤖AI Overview

Prices vary significantly by location — from $30 in West Virginia to $78 in District of Columbia. 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

Measurement of nerve conduction using visual stimulation testing with report (HCPCS code 95930) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $67.33, but hospitals typically charge $219.42 — a 3.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$13.47

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $67.33, your out-of-pocket cost would be approximately $13.47. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$67.33
Average Hospital Charge
$219.42
Markup Ratio
3.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$219.42
Medicare Allowed$67.33
Medicare Payment$51.62

Hospitals charge 3.3x more than what Medicare allows for this procedure. Medicare actually pays $51.62 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$78$262351+16.4%
New York$78$224703,115+15.3%
Alaska$76$529320+13.4%
California$76$2061306,203+12.9%
New Jersey$76$198411,111+12.3%
Hawaii$72$2898587+7.2%
Washington$72$2011267+7.2%
Connecticut$72$2371052+6.8%
Colorado$72$270219+6.3%
Massachusetts$70$257822+4.4%
Oregon$68$2261196+1.1%
Delaware$67$223219-1.1%
Puerto Rico$66$686121-1.9%
Michigan$65$261391,201-3.1%
Arizona$65$22520331-3.2%
Florida$65$2101094,739-3.5%
Texas$64$2401955,676-4.5%
Nevada$63$17933858-5.9%
Virginia$63$317391,006-6.3%
Wisconsin$63$3343187-6.4%
Pennsylvania$62$297421,028-7.4%
Illinois$62$224999-7.5%
Utah$62$2641098-7.9%
Maine$62$227596-8.3%
Georgia$62$25724397-8.6%
North Carolina$61$141391,483-8.9%
South Carolina$61$34410159-9.6%
Kentucky$61$1661580-9.7%
Idaho$60$157225-10.8%
Tennessee$60$18538696-11.0%
South Dakota$60$1328184-11.1%
Oklahoma$60$19013264-11.3%
Alabama$59$19730245-12.3%
Maryland$59$16219128-12.4%
Louisiana$59$21223267-12.6%
Mississippi$57$24210150-15.6%
Ohio$53$16337263-20.6%
Missouri$52$15415543-22.9%
Arkansas$51$181766-24.0%
Indiana$47$979137-29.7%
West Virginia$30$39279-55.3%

⚠️ 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