☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC

☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC

☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
  1. Home
  2. /Codes
  3. /CPT
  4. /95863
  5. /Case rate
CPT 95863

NEEDLE EMG 3 EXTREMITIES

Reported by 155 hospitals in the network under the case rate methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$1

Average

$993

Median

$197

High

$19.8k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1The Finley HospitalDubuque, IA$157$227$130—$138$471
2Northwest Iowa Hospital CorporationSioux City, IA$158$158$2—$120$418
3St Luke's Methodist HospitalCedar Rapids, IA$150$150$2—$138$390
4Trinity Medical CenterRock Island, IL$171$239$124—$122$471
5Trinity Medical CenterBettendorf, IA$151$161$29—$135$402
6Unity HealthcareMuscatine, IA$151$221$127—$135$471
7Trinity Regional Medical CenterFort Dodge, IA$149$149$2—$133$411
8Meriter Hospital, IncMadison, WI$271$292$153—$91$1.7k
9Central Iowa Hospital CorporationDes Moines, IA$151$151$2—$149$385
10Central Iowa Hospital CorporationDes Moines, IA$162$162$2—$151$402
Page 1 of 16

Look up this code directly

Ask Claude or any MCP client for CPT 95863 pricing at a specific hospital — see how to connect.

☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC