Needle measurement of electrical activity in arm or leg muscles, 2 extremities
Medicare pricing data for 1,019 providers across 43 states
This procedure has a 20.2x markup — hospitals charge $1,687 but Medicare allows only $83.57. Uninsured patients may face bills 20.2 times higher than what insurance negotiates. 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
Needle measurement of electrical activity in arm or leg muscles, 2 extremities (HCPCS code 95861) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $83.57, but hospitals typically charge $1,687 — a 20.2x 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 $83.57, your out-of-pocket cost would be approximately $16.71. 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 20.2x more than what Medicare allows for this procedure. Medicare actually pays $66.14 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| West Virginia | $120 | $463 | 2 | 11 | +43.3% |
| Alaska | $105 | $2,344 | 5 | 143 | +26.2% |
| Indiana | $94 | $313 | 16 | 96 | +12.1% |
| Oregon | $91 | $1,285 | 15 | 97 | +8.8% |
| New York | $90 | $2,238 | 81 | 3,261 | +8.1% |
| New Jersey | $90 | $2,684 | 31 | 973 | +8.0% |
| Florida | $90 | $1,964 | 69 | 2,999 | +7.6% |
| California | $88 | $1,365 | 137 | 7,056 | +4.7% |
| District of Columbia | $87 | $880 | 1 | 235 | +4.0% |
| Illinois | $85 | $1,087 | 54 | 716 | +2.0% |
| Massachusetts | $85 | $1,262 | 9 | 410 | +2.0% |
| Arizona | $85 | $1,539 | 28 | 1,800 | +1.8% |
| South Carolina | $85 | $1,129 | 16 | 128 | +1.3% |
| Washington | $84 | $2,006 | 21 | 748 | +1.1% |
| Connecticut | $83 | $1,476 | 3 | 667 | -0.3% |
| Texas | $83 | $2,024 | 96 | 8,077 | -0.7% |
| Michigan | $82 | $977 | 37 | 705 | -1.9% |
| Hawaii | $82 | $1,721 | 1 | 146 | -2.0% |
| Tennessee | $82 | $819 | 18 | 1,122 | -2.0% |
| Minnesota | $81 | $1,087 | 30 | 506 | -2.9% |
| Colorado | $81 | $1,962 | 35 | 3,362 | -2.9% |
| Nevada | $81 | $1,222 | 13 | 1,599 | -3.4% |
| Maryland | $80 | $1,249 | 12 | 834 | -3.9% |
| Pennsylvania | $80 | $2,793 | 50 | 1,605 | -3.9% |
| Virginia | $80 | $2,415 | 9 | 1,012 | -4.4% |
| Utah | $80 | $3,157 | 6 | 820 | -4.8% |
| New Hampshire | $79 | $739 | 6 | 41 | -5.3% |
| Georgia | $79 | $870 | 25 | 1,644 | -5.6% |
| Missouri | $78 | $284 | 2 | 19 | -6.2% |
| North Carolina | $78 | $1,411 | 27 | 1,424 | -7.0% |
| Nebraska | $77 | $314 | 1 | 47 | -8.0% |
| New Mexico | $77 | $1,721 | 1 | 74 | -8.0% |
| Ohio | $76 | $1,826 | 22 | 1,499 | -8.8% |
| Louisiana | $76 | $275 | 16 | 1,966 | -8.9% |
| Wisconsin | $76 | $1,595 | 8 | 800 | -8.9% |
| Maine | $76 | $391 | 2 | 16 | -9.3% |
| Kansas | $76 | $1,314 | 6 | 542 | -9.4% |
| Arkansas | $76 | $2,467 | 3 | 197 | -9.6% |
| Oklahoma | $76 | $512 | 7 | 187 | -9.6% |
| Iowa | $75 | $359 | 7 | 27 | -9.7% |
| Idaho | $75 | $197 | 3 | 36 | -10.1% |
| Alabama | $75 | $8,112 | 3 | 12 | -10.7% |
| Mississippi | $75 | $125 | 1 | 25 | -10.9% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber