Placement Of Skin Electrodes And Measurement Of Stimulated Sites In Arms
What Medicare pays for 95925, what providers bill, and how the price varies across 33 states, drawn from CMS 2023 claims data.
95925 · the short answer
For placement of skin electrodes and measurement of stimulated sites in arms, Medicare pays about $119.17 while providers bill $392.59 on average, a 3.3× markup, one of the smaller markups in the catalog. State-level Medicare rates range 681% from lowest to highest.
- Medicare pays
- $119.17
- Providers bill
- $392.59
- Markup
- 3.3×
- Markup percentile
- 18th
Medicare amounts are CMS-published; markup = average submitted charge ÷ average Medicare payment.
Price Range Across States
What You Might Pay
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
How we estimate these prices
These estimates are based on the RAND Hospital Price Transparency Study (4th Edition, 2024), which found that commercial insurance prices average 224% of Medicare rates nationally. We apply category-specific ratios: Medicine procedures average 2.15x Medicare rates. Cash/self-pay estimates blend typical cash discounts (55% of billed charges) with Medicare-based estimates (150% of allowed amounts). These are statistical estimates, not quotes. Contact your insurer or provider for actual costs.
Where this markup sits nationally
Markup (billed ÷ Medicare) across 8,901 procedures with a meaningful Medicare rate
3 more affordable than 18% of 8,901 procedures
Each bar is a band; taller bars hold more procedures. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Physician & Other Practitioners · 2023
Prices by State
| State | Medicare Payment | Billed Charge |
|---|---|---|
| District of Columbia | $163.43 | $243.86 |
| Alaska | $160.15 | $1,733.33 |
| New York | $152.48 | $373.10 |
| California | $143.31 | $325.98 |
| Nevada | $141.11 | $1,125.64 |
| Maryland | $139.38 | $467.19 |
| Puerto Rico | $135.24 | $172.50 |
| Kentucky | $123.38 | $392.39 |
| New Jersey | $118.43 | $447.92 |
| Alabama | $113.97 | $207.25 |
| Georgia | $106.30 | $633.06 |
| Florida | $99.53 | $651.82 |
| Ohio | $97.49 | $372.50 |
| Michigan | $76.66 | $229.27 |
| Texas | $74.26 | $552.76 |
| Arizona | $69.38 | $434.14 |
| Massachusetts | $59.61 | $275.25 |
| Minnesota | $45.26 | $281.14 |
| Illinois | $23.49 | $447.92 |
| Connecticut | $23.32 | $399.71 |
| Washington | $22.96 | $195.77 |
| Colorado | $22.95 | $1,394.74 |
| Utah | $22.77 | $1,767.53 |
| New Hampshire | $22.67 | $316.12 |
| Virginia | $21.85 | $367.90 |
| Pennsylvania | $21.83 | $259.37 |
| Missouri | $21.43 | $110.44 |
| Louisiana | $21.41 | $194.08 |
| North Carolina | $21.35 | $433.93 |
| South Carolina | $21.19 | $348.93 |
| Indiana | $21.13 | $87.00 |
| Wisconsin | $21.11 | $1,066.30 |
| Kansas | $20.93 | $340.45 |
What the Data Says About Placement Of Skin Electrodes And Measurement Of Stimulated Sites In Arms
Across 33 states with reporting providers, CPT code 95925 (Placement Of Skin Electrodes And Measurement Of Stimulated Sites In Arms) shows a national average Medicare payment of $119.17 against an average billed charge of $392.59. That gap, a 3.3x markup, or 229% above the Medicare allowed amount, is among the tightest billed-to-paid spreads we track, this code's chargemaster rate tracks unusually close to the Medicare benchmark.
Medicine procedures like this one saw 6.2K services billed to Medicare in 2023 by 453 distinct providers, serving 5.9K unique beneficiaries. State-level variation is significant: Kansas reports the lowest average payment at $20.93, while District of Columbia reports the highest at $163.43. A 681% spread this wide is typically a GPCI story: practice-expense and malpractice-premium components of the fee formula diverge sharply by locality even though the procedure code never changes.
Applying RAND 2024 commercial-to-Medicare ratios specific to the Medicine category (2.15x), the estimated commercial insurance price lands near $323.74, with self-pay cash discounts commonly bringing the figure closer to $220.90. Within Medicine, Placement Of Skin Electrodes And Measurement Of Stimulated Sites In Arms ranks #125 of 533 tracked procedures by national average Medicare payment.
What to do with this
If you may have placement of skin electrodes and measurement of stimulated sites in arms done, these steps turn the numbers above into a real-world cost estimate.
- Request a Good Faith Estimate from your provider at least 3 business days before a scheduled procedure, under the No Surprises Act it is an enforceable written price.
- Compare placement of skin electrodes and measurement of stimulated sites in arms costs in your state, Medicare rates vary by locality. Browse states
- Check a hospital’s published cash price, which is often far below the billed charge. Price transparency
- Understand why billed charges run several times the Medicare rate before you negotiate. Read the guide
Figures here are averages and estimates, not a quote. Confirm coverage and out-of-pocket costs with your insurer and provider.
Frequently Asked Questions
How much does Placement Of Skin Electrodes And Measurement Of Stimulated Sites In Arms cost?
Placement Of Skin Electrodes And Measurement Of Stimulated Sites In Arms (CPT 95925) shows unusually wide state-to-state pricing: Medicare pays $119.17 on average nationally, but the $20.93-$163.43 range across states spans more than double from cheapest to priciest.
Why do providers charge more than Medicare pays?
Providers set their own chargemaster rates (billed charges), which are typically much higher than what any insurer pays. Medicare pays a fixed rate based on the procedure code and geographic location. The billed charge is relevant mainly for uninsured patients, who may face prices closer to the submitted charge.
How much does Placement Of Skin Electrodes And Measurement Of Stimulated Sites In Arms cost with insurance?
With commercial insurance, placement of skin electrodes and measurement of stimulated sites in arms costs an estimated $323.74 on average (range: $226.62-$453.24), a moderate premium over Medicare's $119.17. Without insurance, the estimated cash price is $220.90.
Which state has the lowest cost for Placement Of Skin Electrodes And Measurement Of Stimulated Sites In Arms?
Kansas has by far the lowest average Medicare payment for Placement Of Skin Electrodes And Measurement Of Stimulated Sites In Arms at $20.93, while District of Columbia pays more than double at $163.43 - a $142.50 gap.
How many providers perform Placement Of Skin Electrodes And Measurement Of Stimulated Sites In Arms?
Placement Of Skin Electrodes And Measurement Of Stimulated Sites In Arms is comparatively uncommon: only 453 providers nationally billed Medicare for it in 2023, serving 5.9K beneficiaries via 6.2K total services.
What is the billed-to-Medicare markup for Placement Of Skin Electrodes And Measurement Of Stimulated Sites In Arms?
Providers bill 3.3x what Medicare pays for Placement Of Skin Electrodes And Measurement Of Stimulated Sites In Arms - one of the smaller markups in the catalog at 229% above the Medicare rate.
Related Guides
Tips to reduce out-of-pocket costs
Your right to upfront pricing
How Medicare payments work
Decode charges and codes
Why bills exceed actual costs
Geographic pricing factors
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology - how this data is sourced, computed, and verified.
Related
Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.