Testing of nerve-muscle junction
Medicare pricing data for 1,545 providers across 43 states
This procedure has a 14.9x markup — hospitals charge $770.24 but Medicare allows only $51.85. Uninsured patients may face bills 14.9 times higher than what insurance negotiates. Prices vary significantly by location — from $32 in Iowa to $124 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
Testing of nerve-muscle junction (HCPCS code 95937) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $51.85, but hospitals typically charge $770.24 — a 14.9x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $51.85, your out-of-pocket cost would be approximately $10.37. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 14.9x more than what Medicare allows for this procedure. Medicare actually pays $41.07 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $124 | $179 | 5 | 22 | +138.9% |
| Minnesota | $95 | $593 | 60 | 376 | +83.8% |
| Delaware | $90 | $118 | 3 | 108 | +74.5% |
| Missouri | $86 | $250 | 32 | 257 | +65.1% |
| Louisiana | $85 | $110 | 13 | 118 | +63.6% |
| Mississippi | $84 | $262 | 8 | 50 | +62.8% |
| New York | $82 | $470 | 107 | 474 | +58.5% |
| Alabama | $76 | $329 | 20 | 147 | +46.2% |
| South Carolina | $74 | $176 | 22 | 83 | +43.5% |
| California | $65 | $766 | 143 | 7,728 | +24.6% |
| Oklahoma | $64 | $175 | 5 | 32 | +24.2% |
| Indiana | $63 | $249 | 36 | 165 | +21.2% |
| New Jersey | $62 | $741 | 37 | 516 | +20.2% |
| Connecticut | $60 | $196 | 20 | 68 | +16.6% |
| Florida | $60 | $370 | 120 | 2,081 | +14.9% |
| New Hampshire | $59 | $294 | 9 | 47 | +14.6% |
| Virginia | $48 | $3,855 | 35 | 563 | -7.3% |
| Texas | $48 | $173 | 109 | 2,159 | -7.4% |
| Oregon | $46 | $287 | 18 | 131 | -11.1% |
| Alaska | $45 | $740 | 1 | 374 | -13.3% |
| Michigan | $45 | $628 | 61 | 723 | -13.3% |
| Massachusetts | $43 | $155 | 51 | 443 | -17.4% |
| Illinois | $43 | $658 | 61 | 596 | -18.0% |
| Arizona | $42 | $2,946 | 37 | 1,196 | -19.2% |
| Colorado | $41 | $1,326 | 19 | 425 | -21.1% |
| Kentucky | $41 | $113 | 20 | 90 | -21.2% |
| Maryland | $40 | $252 | 56 | 2,601 | -22.3% |
| North Carolina | $40 | $246 | 41 | 727 | -23.2% |
| Pennsylvania | $39 | $768 | 61 | 612 | -24.2% |
| Ohio | $39 | $2,554 | 76 | 680 | -24.3% |
| Utah | $39 | $4,952 | 19 | 583 | -24.4% |
| Georgia | $39 | $115 | 38 | 798 | -25.5% |
| Washington | $38 | $120 | 31 | 1,292 | -25.9% |
| Nevada | $38 | $130 | 12 | 1,270 | -26.8% |
| Tennessee | $38 | $317 | 35 | 915 | -27.5% |
| Kansas | $37 | $188 | 22 | 283 | -28.6% |
| Wisconsin | $37 | $962 | 20 | 228 | -29.0% |
| West Virginia | $33 | $99 | 7 | 62 | -36.1% |
| Vermont | $33 | $179 | 4 | 14 | -36.3% |
| South Dakota | $33 | $35 | 3 | 76 | -36.7% |
| Maine | $32 | $223 | 3 | 11 | -37.9% |
| Nebraska | $32 | $146 | 5 | 96 | -37.9% |
| Iowa | $32 | $212 | 9 | 52 | -38.3% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber