95938

Placement of skin electrodes and measurement of stimulated sites on arms and legs

Medicare pricing data for 806 providers across 44 states

🤖AI Overview

This procedure has a 60.5x markup — hospitals charge $3,375 but Medicare allows only $55.80. Uninsured patients may face bills 60.5 times higher than what insurance negotiates. Prices vary significantly by location — from $40 in Mississippi to $160 in Alabama. 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

Placement of skin electrodes and measurement of stimulated sites on arms and legs (HCPCS code 95938) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $55.80, but hospitals typically charge $3,375 — a 60.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$11.16

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $55.80, your out-of-pocket cost would be approximately $11.16. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$55.80
Average Hospital Charge
$3,375
Markup Ratio
60.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,375.08
Medicare Allowed$55.80
Medicare Payment$44.15

Hospitals charge 60.5x more than what Medicare allows for this procedure. Medicare actually pays $44.15 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alabama$160$1,4651241+186.6%
Texas$82$4,3718814,853+46.8%
New York$75$3,312867,704+34.4%
Alaska$59$9101386+5.3%
California$58$2,5929714,336+4.4%
Minnesota$56$1,744361,458+1.1%
Louisiana$56$311182,914-0.1%
Florida$51$3,530314,122-9.1%
Michigan$50$2,166251,445-9.6%
District of Columbia$48$2,9932450-13.1%
Massachusetts$48$2,43691,163-14.8%
New Jersey$47$5,482182,167-14.9%
Connecticut$46$4,00331,584-17.0%
Washington$46$3,322132,008-17.3%
Arizona$46$3,995284,498-18.1%
Hawaii$46$3,3111403-18.3%
Maryland$46$2,130272,220-18.3%
Nevada$46$1,84992,853-18.3%
Illinois$45$2,966412,695-18.7%
Oregon$45$1,2605290-18.8%
Tennessee$45$2,156172,171-18.9%
Colorado$45$5,089236,328-19.6%
Georgia$45$2,135242,936-19.9%
Utah$45$4,97361,634-20.2%
New Hampshire$44$463460-20.4%
Delaware$44$3,311116-20.7%
Virginia$44$4,83252,126-21.0%
Pennsylvania$44$4,856323,935-21.3%
Vermont$43$232147-22.3%
North Carolina$43$2,739192,845-23.2%
Nebraska$43$464152-23.2%
New Mexico$43$3,3111192-23.7%
Wisconsin$43$3,454201,455-23.7%
South Carolina$43$2,6577416-23.8%
Ohio$43$3,944303,042-23.8%
Missouri$42$1566170-24.2%
Arkansas$42$4,5683317-24.3%
Maine$42$357347-24.3%
Oklahoma$42$5685707-24.4%
Iowa$42$3666148-24.7%
Kansas$42$2,77471,031-24.9%
Indiana$42$5048156-24.9%
Idaho$42$283132-25.1%
Mississippi$40$122539-28.0%

⚠️ 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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