95909

Nerve conduction, 5-6 studies

Medicare pricing data for 7,273 providers across 52 states

🤖AI Overview

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

Nerve conduction, 5-6 studies (HCPCS code 95909) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $119.37, but hospitals typically charge $457.87 — a 3.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$23.87

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $119.37, your out-of-pocket cost would be approximately $23.87. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$119.37
Average Hospital Charge
$457.87
Markup Ratio
3.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$457.87
Medicare Allowed$119.37
Medicare Payment$90.46

Hospitals charge 3.8x more than what Medicare allows for this procedure. Medicare actually pays $90.46 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$154$1,21125457+29.1%
District of Columbia$144$625982+20.8%
New Jersey$140$6632332,648+17.6%
California$138$5075336,606+15.5%
Rhode Island$133$41331513+11.2%
Puerto Rico$133$1461235+11.0%
Hawaii$132$29423274+10.8%
Delaware$132$67923883+10.2%
Maryland$130$4071622,027+8.8%
Colorado$129$4601551,615+7.7%
Wyoming$128$93017594+7.6%
New York$128$4683603,516+6.8%
Connecticut$127$6081021,248+6.7%
Oregon$126$412961,234+5.7%
Arizona$124$4641372,378+4.2%
Florida$124$4594457,170+3.6%
Nevada$123$1,02050734+3.4%
Virginia$123$3952034,191+3.2%
Minnesota$123$7111572,608+3.1%
North Carolina$120$3982273,626+0.5%
Texas$120$4254536,300+0.4%
South Carolina$119$395992,976+0.0%
Nebraska$119$34842741-0.4%
Georgia$118$5113032,501-0.8%
Louisiana$117$447981,561-1.9%
Kansas$117$336581,130-2.0%
Massachusetts$117$4921642,619-2.1%
Washington$117$3631842,324-2.4%
Pennsylvania$116$3773805,895-2.4%
Indiana$116$4581973,498-2.5%
New Mexico$116$34236706-2.9%
Tennessee$115$3821592,674-3.3%
Alabama$115$2771171,278-3.5%
Michigan$115$3473254,319-3.6%
Utah$115$84572928-3.6%
Illinois$114$5373114,518-4.1%
New Hampshire$114$66547714-4.3%
Oklahoma$114$307571,393-4.9%
Iowa$112$467661,580-5.9%
Arkansas$112$34153986-5.9%
Ohio$108$3033355,465-9.7%
Wisconsin$108$9911611,851-9.9%
Mississippi$106$49537386-11.2%
Montana$106$31931849-11.5%
West Virginia$105$38429547-12.1%
South Dakota$105$52135465-12.3%
Missouri$103$3711742,687-13.8%
Kentucky$103$2911261,505-13.9%
Maine$96$37226432-19.2%
Idaho$92$26049751-23.3%
Vermont$90$35820311-24.6%
North Dakota$83$25323412-30.8%

⚠️ 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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