95700

Measurement of brain wave activity (eeg), continuous

Medicare pricing data for 972 providers across 40 states

🤖AI Overview

This procedure has a 5.0x markup — hospitals charge $1,227 but Medicare allows only $243.93. Uninsured patients may face bills 5.0 times higher than what insurance negotiates. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Measurement of brain wave activity (eeg), continuous (HCPCS code 95700) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $243.93, but hospitals typically charge $1,227 — a 5.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$48.79

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $243.93, your out-of-pocket cost would be approximately $48.79. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$243.93
Average Hospital Charge
$1,227
Markup Ratio
5.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,226.92
Medicare Allowed$243.93
Medicare Payment$191.18

Hospitals charge 5.0x more than what Medicare allows for this procedure. Medicare actually pays $191.18 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Hawaii$288$905324+17.9%
California$283$948701,848+16.1%
Washington$268$521589+9.8%
Pennsylvania$256$53315164+4.8%
Oklahoma$255$5635196+4.6%
Maryland$255$1,01335297+4.6%
Louisiana$255$934511+4.6%
Delaware$255$313128+4.5%
Mississippi$255$3,3956186+4.5%
Florida$253$2,788981,523+3.8%
Arkansas$252$905451+3.4%
Texas$252$1,6541353,882+3.3%
New Jersey$252$986641,079+3.3%
District of Columbia$248$715657+1.6%
Colorado$247$903894+1.1%
Arizona$247$1,26252832+1.1%
New York$241$1,0131111,869-1.2%
Connecticut$241$1,107897-1.3%
Nebraska$241$2,000118-1.3%
Virginia$241$93516155-1.3%
Puerto Rico$240$244723-1.6%
Utah$232$709431-4.9%
Iowa$228$751322-6.3%
Indiana$227$83321341-6.8%
Rhode Island$224$568431-8.1%
Tennessee$224$48611103-8.2%
Maine$221$1,902216-9.3%
Massachusetts$216$79512110-11.4%
Georgia$214$6002150-12.2%
South Carolina$213$75114130-12.6%
Nevada$212$333231,966-13.2%
Minnesota$211$84754289-13.4%
Michigan$211$47423173-13.5%
Illinois$209$82432345-14.4%
Kentucky$207$964438-15.3%
North Carolina$206$1,32221243-15.4%
Alabama$202$6551073-17.1%
Ohio$198$53916119-18.9%
Wisconsin$195$5738138-20.1%
New Hampshire$193$384426-20.8%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber