CPT 95866 Neurology/EMG
Needle emg hemidiaphragm Cost
Body System: Nervous
Medicare Facility Rate
$136
CMS PFS CY2026
Medicare Non-Facility Rate
$136
Office/clinic setting
Hospital Outpatient
$131
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.22
Work RVU
2.81
Facility PE RVU
0.05
Malpractice RVU
4.08
Total RVU
Frequently Asked Questions
How much does Needle emg hemidiaphragm cost?
The Medicare facility rate is $136. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $131.
How much does Needle emg hemidiaphragm cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $136.