CPT 95928 Neurology/EMG

How Much Does C Motor Evoked Uppr Limbs Cost?

Also known as: C motor evoked uppr limbs (CPT 95928)

C Motor Evoked Uppr Limbs (CPT 95928) costs $256 at Medicare rates. Hospital outpatient rate: $877.

Cost Comparison by Payer

How much C motor evoked uppr limbs costs across different settings and payers

Medicare
Facility rate
$256
Hospital Outpatient
OPPS rate
$877
Medicare (Facility)
$256
CMS PFS 2026 national rate
Hospital Outpatient
$877
OPPS rate

Procedures Commonly Done Together

These procedures are frequently performed alongside C motor evoked uppr limbs

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How to Reduce Your Cost for C motor evoked uppr limbs

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

1.46
Work RVU
6.12
Practice Expense RVU
0.09
Malpractice RVU
7.67
Total RVU

Payment = Total RVU (7.67) x CF ($33.40) = $256

Frequently Asked Questions

How much does C motor evoked uppr limbs cost?

The Medicare facility rate for C motor evoked uppr limbs is $256. In a hospital outpatient setting, the rate is $877. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does C motor evoked uppr limbs cost without insurance?

Without insurance, the cost of C motor evoked uppr limbs can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover C motor evoked uppr limbs?

Most commercial health insurance plans and Medicare cover C motor evoked uppr limbs when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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