95939

Placement of skin electrodes and measurement of central motor stimulation in arms and legs

Medicare pricing data for 645 providers across 40 states

🤖AI Overview

This procedure has a 35.1x markup — hospitals charge $4,356 but Medicare allows only $124.08. Uninsured patients may face bills 35.1 times higher than what insurance negotiates. 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 central motor stimulation in arms and legs (HCPCS code 95939) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $124.08, but hospitals typically charge $4,356 — a 35.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$24.82

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $124.08, your out-of-pocket cost would be approximately $24.82. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$124.08
Average Hospital Charge
$4,356
Markup Ratio
35.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$4,356.26
Medicare Allowed$124.08
Medicare Payment$98.40

Hospitals charge 35.1x more than what Medicare allows for this procedure. Medicare actually pays $98.40 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$154$2,3361233+23.8%
Texas$151$5,710746,526+21.3%
California$132$3,322867,640+6.1%
District of Columbia$128$3,9462187+2.8%
New York$126$5,065553,717+1.8%
Massachusetts$124$2,9737734+0.1%
Connecticut$121$4,8293817-2.3%
Washington$121$4,675121,084-2.4%
New Jersey$120$7,819141,034-3.5%
Maryland$119$2,935261,209-3.7%
Hawaii$119$4,0611219-3.9%
Illinois$119$3,832391,130-4.3%
Oregon$119$1,4525231-4.4%
Utah$118$5,8486813-4.9%
Tennessee$118$2,858171,107-5.0%
Florida$118$3,479273,291-5.1%
Colorado$117$6,114222,948-5.4%
Nevada$116$2,49161,383-6.6%
New Hampshire$116$1,571451-6.7%
Michigan$116$2,84417768-6.9%
Virginia$115$7,09351,089-7.0%
Pennsylvania$115$7,497291,802-7.7%
Arizona$115$4,389211,789-7.7%
Georgia$114$2,786191,306-8.2%
Minnesota$113$2,46516861-8.6%
Missouri$113$430244-9.1%
Nebraska$112$384127-9.7%
New Mexico$112$4,061191-10.1%
North Carolina$111$3,129161,573-10.2%
Ohio$111$5,757261,684-10.5%
South Carolina$111$3,1147257-10.5%
Wisconsin$111$4,53615606-10.7%
Louisiana$111$61891,021-10.8%
Arkansas$111$5,8293122-10.9%
Maine$110$711331-11.0%
Oklahoma$110$6325259-11.1%
Indiana$110$3406118-11.3%
Kansas$110$3,4407703-11.5%
Iowa$110$6706148-11.6%
Mississippi$101$836419-18.7%

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

Related from TheDataProject.ai

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