95708

Measurement of brain wave activity (eeg), 12-26 hours

Medicare pricing data for 436 providers across 29 states

🤖AI Overview

Prices vary significantly by location — from $146 in Colorado to $323 in California. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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), 12-26 hours (HCPCS code 95708) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $203.45, but hospitals typically charge $926.42 — a 4.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$40.69

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $203.45, your out-of-pocket cost would be approximately $40.69. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$203.45
Average Hospital Charge
$926.42
Markup Ratio
4.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$926.42
Medicare Allowed$203.45
Medicare Payment$161.09

Hospitals charge 4.6x more than what Medicare allows for this procedure. Medicare actually pays $161.09 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$323$99225827+58.5%
Nevada$286$1,39511369+40.6%
Arizona$276$1,01719846+35.4%
Utah$217$409240+6.5%
New York$187$1,273681,287-8.3%
Connecticut$183$1,000213-10.2%
Massachusetts$180$1,381351-11.3%
Rhode Island$172$750330-15.3%
Illinois$169$60410167-17.2%
South Carolina$166$5171076-18.6%
Indiana$162$59510132-20.4%
Georgia$160$7151457-21.2%
North Carolina$160$8011559-21.3%
Michigan$160$6199100-21.5%
Minnesota$159$1,51237112-21.6%
New Hampshire$159$2,129426-22.1%
Ohio$157$39715212-22.8%
Wisconsin$157$771527-23.0%
New Jersey$156$77224558-23.6%
Alabama$154$492523-24.2%
Virginia$154$1,3659165-24.3%
Maryland$154$1,10519415-24.4%
Pennsylvania$153$927774-24.6%
Delaware$153$305132-24.8%
Florida$152$41343429-25.1%
Texas$152$43936626-25.2%
District of Columbia$150$352395-26.4%
Puerto Rico$148$175924-27.2%
Colorado$146$1,046666-28.5%

⚠️ 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