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Procedure price report · Nonoperative urinary system measurements

Needle muscle signal study of the anal or urinary sphincter

CPT 51785the billing code this page is about

A fine needle electrode is placed in the muscle that closes the anus or urethra to record its electrical activity.

Hospitals typically charge $494 cash for this outpatient procedure — the median across 941 hospitals that filed a usable cash price; the average of the middle 60% is $495. Most fall between $235 and $882 (20th–80th percentile).

Hospitals
941
States
49
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 941 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$156$262$494$786$1,249

The most expensive tenth of hospitals charges at least 8.0× what the cheapest tenth charges ($156 vs $1,249).

How the prices are spread

$118 – $155: 46 hospitals$118$155 – $202: 55 hospitals$202 – $264: 92 hospitals$202$264 – $345: 108 hospitals$345 – $451: 79 hospitals$345$451 – $590: 161 hospitals$590 – $771: 114 hospitals$590$771 – $1,007: 94 hospitals$1,007 – $1,317: 81 hospitals$1,007$1,317 – $1,721: 22 hospitals$1,317median $494price bands are equal on a log scale
Hospitals per price band (852 of 941 — the bands cover the 5th to 95th percentile)
FromToHospitals
$118$15546
$155$20255
$202$26492
$264$345108
$345$45179
$451$590161
$590$771114
$771$1,00794
$1,007$1,31781
$1,317$1,72122

Against Medicare

Medicare pays (OPPS 2026, national rate)$255
Median cash price$494
Cash as a multiple of Medicare1.94×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $494.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 4 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $449 across 10 hospitalsWA$449Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $412 across 16 hospitalsMN$412Illinois: median $617 across 40 hospitalsIL$617Wisconsin: median $603 across 41 hospitalsWI$603Michigan: median $418 across 39 hospitalsMI$418New York: median $297 across 31 hospitalsNY$297Massachusetts: median $903 across 12 hospitalsMA$903Oregon: median $592 across 21 hospitalsOR$592Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $221 across 15 hospitalsIA$221Indiana: median $793 across 24 hospitalsIN$793Ohio: median $810 across 40 hospitalsOH$810Pennsylvania: median $459 across 48 hospitalsPA$459New Jersey: median $325 across 34 hospitalsNJ$325Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $811 across 72 hospitalsCA$811Utah: median $208 across 26 hospitalsUT$208Colorado: median $265 across 28 hospitalsCO$265Nebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $503 across 17 hospitalsMO$503Kentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $288 across 12 hospitalsWV$288Virginia: median $494 across 31 hospitalsVA$494Maryland: 5 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $118 across 14 hospitalsTN$118North Carolina: median $262 across 31 hospitalsNC$262South Carolina: median $538 across 23 hospitalsSC$538Oklahoma: median $151 across 18 hospitalsOK$151Louisiana: median $155 across 17 hospitalsLA$155Mississippi: median $259 across 15 hospitalsMS$259Alabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $672 across 47 hospitalsGA$672Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $486 across 87 hospitalsTX$486Florida: median $872 across 36 hospitalsFL$872
Cash price by state, most expensive first. National median $494. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA12$903+83%$587 – $1,025
Florida FL36$872+77%$538 – $1,298
California CA72$811+64%$465 – $1,249
Ohio OH40$810+64%$437 – $941
Indiana IN24$793+60%$260 – $1,165
Georgia GA47$672+36%$393 – $1,168
Illinois IL40$617+25%$133 – $786
Wisconsin WI41$603+22%$521 – $1,630
Oregon OR21$592+20%$168 – $880
South Carolina SC23$538+9%$538 – $717
Missouri MO17$503+2%$187 – $779
Virginia VA31$4940%$268 – $603
Texas TX87$486−2%$376 – $547
Pennsylvania PA48$459−7%$207 – $873
Washington WA10$449−9%$421 – $793
Michigan MI39$418−15%$286 – $618
Minnesota MN16$412−17%$151 – $680
New Jersey NJ34$325−34%$269 – $5,339
New York NY31$297−40%$288 – $949
West Virginia WV12$288−42%$282 – $406
Colorado CO28$265−46%$256 – $710
North Carolina NC31$262−47%$129 – $340
Mississippi MS15$259−48%$200 – $304
Iowa IA15$221−55%$221 – $221
Utah UT26$208−58%$187 – $240
Louisiana LA17$155−69%$126 – $260
Oklahoma OK18$151−70%$151 – $496
Tennessee TN14$118−76%$44 – $312
Idaho ID9not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Alabama AL7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Maryland MD5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $494.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care788$494$235 – $903
Children’s42$682$260 – $1,001
Critical access107$444$218 – $687
Ownership
For-profit83$486$250 – $991
Government106$307$129 – $724
Non-profit748$507$241 – $892
System affiliation
Part of a system842$503$235 – $892
Independent99$417$233 – $861

Cash price vs list price

Median list price (chargemaster)$826
Median cash price$494
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

717 hospitals filed a usable inpatient cash price for this code. The median is $507 and the average of the middle 60% is $515; most fall between $231 and $882.

Cash price percentiles, inpatient, across 717 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$157$260$507$788$1,249

The most expensive tenth of hospitals charges at least 8.0× what the cheapest tenth charges ($157 vs $1,249).

Of the 757 hospitals that filed this code inpatient, 717 gave a usable cash price; 21 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 19 a list price only.

How complete is this

941 of the 3,956 hospitals with a price file in our corpus (24%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 993 hospitals that filed this code at all gave us
Usable cash price — counted941
Cash price carrying a plausibility flag — shown on the compare tool, excluded here32
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded19
Hospitals that filed this code993

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Nonoperative urinary system measurements family.

Hospitals file this code under descriptions such as Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq|PROFESSIONAL COMPONENT.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Needle muscle signal study of the anal or urinary sphincter (CPT 51785) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-51785-needle-muscle-signal-study-of-the-anal-or-urinary-sphincter