CPT 95065 Allergy/Immunology

How Much Does Dir Nsl Mucous Membrane Test Cost?

Also known as: Dir nsl mucous membrane test (CPT 95065)

Dir Nsl Mucous Membrane Test (CPT 95065) costs $28 at Medicare rates. Hospital outpatient rate: $38.

Cost Comparison by Payer

How much Dir nsl mucous membrane test costs across different settings and payers

Medicare
Facility rate
$28
Hospital Outpatient
OPPS rate
$38
Medicare (Facility)
$28
CMS PFS 2026 national rate
Hospital Outpatient
$38
OPPS rate

Procedures Commonly Done Together

These procedures are frequently performed alongside Dir nsl mucous membrane test

Loading related procedures...

How to Reduce Your Cost for Dir nsl mucous membrane test

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.

Frequently Asked Questions

How much does Dir nsl mucous membrane test cost?

The Medicare facility rate for Dir nsl mucous membrane test is $28. In a hospital outpatient setting, the rate is $38. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Dir nsl mucous membrane test cost without insurance?

Without insurance, the cost of Dir nsl mucous membrane test 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 Dir nsl mucous membrane test?

Most commercial health insurance plans and Medicare cover Dir nsl mucous membrane test 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.

Share This Cost Information

My Cost List

0 procedures

No procedures added yet

Click "Add to My List" on any procedure to start building your estimate.