95886

Needle measurement of electrical activity in arm or leg muscles, complete study

Medicare pricing data for 10,331 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $50 in North Dakota to $110 in Alaska. 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

Needle measurement of electrical activity in arm or leg muscles, complete study (HCPCS code 95886) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $89.89, but hospitals typically charge $284.81 — a 3.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$17.98

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $89.89, your out-of-pocket cost would be approximately $17.98. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$89.89
Average Hospital Charge
$284.81
Markup Ratio
3.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$284.81
Medicare Allowed$89.89
Medicare Payment$70.68

Hospitals charge 3.2x more than what Medicare allows for this procedure. Medicare actually pays $70.68 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$110$1,050251,523+22.0%
New York$107$29496885,585+18.5%
New Jersey$105$41940529,579+16.5%
California$104$27485184,398+16.0%
District of Columbia$103$214191,548+14.3%
Maryland$102$24821024,739+13.9%
Rhode Island$100$265351,740+11.7%
Puerto Rico$98$1541182,174+8.5%
Florida$97$29669562,354+8.1%
Colorado$94$27818110,679+5.1%
Wyoming$94$352192,048+4.8%
Connecticut$93$3881376,832+3.9%
Nevada$93$4997715,626+3.4%
Delaware$91$355285,849+1.7%
Arizona$91$30019024,490+1.7%
Virginia$90$24725922,893+0.4%
Oregon$90$2731058,228-0.2%
Texas$88$34467263,813-1.8%
Hawaii$88$206271,742-2.1%
North Carolina$88$23833720,690-2.4%
Washington$86$22920214,295-4.1%
Utah$86$377946,185-4.4%
Kansas$85$215728,879-5.5%
Louisiana$85$28112912,926-5.7%
South Carolina$85$25514814,945-5.7%
Massachusetts$85$29720117,929-5.7%
Georgia$85$31344816,709-5.9%
Minnesota$84$35917711,935-6.2%
Michigan$84$22643828,588-6.6%
Indiana$81$26323416,753-9.4%
Tennessee$81$21820019,390-9.5%
Pennsylvania$81$23548938,059-9.6%
New Mexico$81$230393,293-10.3%
Illinois$80$33038031,820-10.5%
Nebraska$80$239515,242-10.9%
New Hampshire$79$300522,814-11.8%
Oklahoma$79$270679,803-12.2%
Alabama$78$18615611,136-12.8%
Iowa$78$262766,162-13.4%
Mississippi$78$190568,877-13.7%
Arkansas$77$224638,362-14.4%
West Virginia$75$207414,342-16.5%
Ohio$73$18340732,267-19.0%
Kentucky$72$20915410,192-20.0%
Wisconsin$71$5591939,236-20.7%
Missouri$71$22519113,924-21.1%
Montana$70$200353,444-22.0%
South Dakota$64$201375,578-29.0%
Maine$63$202272,495-29.4%
Vermont$60$24923878-32.7%
Idaho$60$172603,098-33.6%
North Dakota$50$158281,642-43.9%

⚠️ 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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