95923

Testing of autonomic (sympathetic) nervous system function

Medicare pricing data for 2,672 providers across 47 states

🤖AI Overview

Prices vary significantly by location — from $43 in South Dakota to $143 in New York. 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 autonomic (sympathetic) nervous system function (HCPCS code 95923) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $125.88, but hospitals typically charge $327.51 — a 2.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$25.18

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $125.88, your out-of-pocket cost would be approximately $25.18. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$125.88
Average Hospital Charge
$327.51
Markup Ratio
2.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$327.51
Medicare Allowed$125.88
Medicare Payment$97.27

Hospitals charge 2.6x more than what Medicare allows for this procedure. Medicare actually pays $97.27 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$143$33532720,459+13.6%
New Jersey$139$3071293,830+10.5%
California$136$28620317,487+7.9%
Maryland$134$394663,537+6.8%
Hawaii$130$3546123+3.3%
Connecticut$130$40814399+3.2%
Rhode Island$129$250122+2.8%
New Hampshire$126$565133-0.0%
Indiana$125$2726173-0.6%
Puerto Rico$123$1541888-2.0%
Nevada$121$312513,936-3.8%
Colorado$121$34524374-3.9%
North Dakota$121$268197-4.2%
Delaware$120$26715341-4.4%
Michigan$120$244201,223-4.8%
Minnesota$119$630201,557-5.2%
Texas$119$33665516,187-5.3%
Georgia$117$3311004,113-6.7%
Virginia$114$291552,103-9.1%
Florida$114$3981023,941-9.2%
Pennsylvania$114$420381,071-9.2%
Utah$114$349631,701-9.7%
North Carolina$113$267892,297-10.4%
Kentucky$113$3109205-10.6%
South Carolina$112$285521,513-11.3%
Arizona$111$3532056,694-11.5%
Missouri$111$2477318-12.2%
Louisiana$110$29032404-12.7%
Tennessee$110$29043494-12.8%
Washington$110$27422428-13.0%
Oregon$109$26517628-13.1%
New Mexico$109$25233379-13.1%
Arkansas$108$31910304-14.5%
Montana$107$278366-15.0%
Idaho$106$31511141-15.8%
Oklahoma$104$21625439-17.0%
Illinois$104$30032503-17.5%
Alabama$104$19225448-17.8%
Mississippi$103$36546956-17.9%
West Virginia$101$176451-19.8%
Ohio$97$30542815-22.6%
Kansas$97$235451-22.8%
Wisconsin$96$380438-23.6%
Nebraska$93$181551-26.5%
Massachusetts$88$24115710-30.2%
Vermont$61$302270-51.7%
South Dakota$43$44118-66.0%

⚠️ 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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