95911

Nerve conduction, 9-10 studies

Medicare pricing data for 8,150 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, 9-10 studies (HCPCS code 95911) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $200.21, but hospitals typically charge $748.95 — a 3.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$40.04

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $200.21, your out-of-pocket cost would be approximately $40.04. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$200.21
Average Hospital Charge
$748.95
Markup Ratio
3.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$748.95
Medicare Allowed$200.21
Medicare Payment$154.54

Hospitals charge 3.7x more than what Medicare allows for this procedure. Medicare actually pays $154.54 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$249$2,94524295+24.4%
New York$230$72576919,186+15.1%
New Jersey$230$1,5753287,174+14.7%
California$226$79764616,142+13.1%
District of Columbia$223$74216202+11.3%
Maryland$217$6771624,588+8.5%
Rhode Island$215$53325306+7.3%
Nevada$208$2,592542,145+3.8%
Colorado$207$6021442,240+3.6%
Puerto Rico$205$23580304+2.6%
Arizona$202$6081544,775+0.8%
Florida$202$67752013,164+0.8%
Delaware$202$1,01125984+0.7%
Oregon$201$658871,354+0.2%
Virginia$198$5502104,214-1.2%
Connecticut$198$8531051,462-1.2%
Texas$197$6544989,661-1.5%
Wyoming$196$1,31916285-2.2%
Utah$193$692771,429-3.7%
Washington$193$5701632,622-3.8%
Georgia$192$7393423,935-3.9%
North Carolina$192$6142484,019-4.3%
Michigan$191$6213184,491-4.8%
Hawaii$190$47919114-5.0%
Massachusetts$190$8451773,654-5.0%
Minnesota$189$9441441,362-5.6%
South Carolina$189$6111243,749-5.7%
New Mexico$188$51632680-6.1%
Louisiana$187$831972,372-6.6%
Pennsylvania$184$6283927,373-8.2%
Indiana$183$7161712,179-8.5%
Illinois$183$7953125,831-8.5%
Kansas$183$485591,587-8.7%
Oklahoma$183$534571,514-8.7%
Tennessee$182$5291694,176-9.3%
Arkansas$181$530511,286-9.5%
Mississippi$180$663462,065-10.0%
Alabama$179$4411302,800-10.8%
New Hampshire$178$1,37543508-11.0%
Nebraska$175$579471,004-12.5%
Ohio$174$4423495,960-12.9%
West Virginia$172$50137839-14.2%
Montana$172$49929553-14.3%
Missouri$171$7271672,938-14.6%
Iowa$170$79357942-15.1%
Wisconsin$167$1,5371581,347-16.6%
Kentucky$165$5631312,002-17.4%
Idaho$161$47845596-19.5%
South Dakota$160$63229550-20.1%
Maine$145$58623298-27.5%
North Dakota$144$47223293-28.0%
Vermont$139$58919190-30.3%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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