95715

Measurement of brain wave activity with video (veeg), 12-26 hours with intermittent monitoring

Medicare pricing data for 339 providers across 33 states

🤖AI Overview

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 with video (veeg), 12-26 hours with intermittent monitoring (HCPCS code 95715) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $964.05, but hospitals typically charge $4,244 — a 4.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$192.81

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $964.05, your out-of-pocket cost would be approximately $192.81. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$964.05
Average Hospital Charge
$4,244
Markup Ratio
4.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$4,243.83
Medicare Allowed$964.05
Medicare Payment$767.96

Hospitals charge 4.4x more than what Medicare allows for this procedure. Medicare actually pays $767.96 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Mississippi$1,022$4,3195460+6.0%
Pennsylvania$1,021$1,6256288+5.9%
Florida$1,017$6,550211,956+5.5%
Texas$1,012$4,466958,436+5.0%
New Jersey$1,008$2,507231,251+4.6%
Maryland$1,004$3,32713252+4.1%
Colorado$999$3,9625172+3.7%
Oklahoma$998$1,8605475+3.6%
Arkansas$997$4,0684104+3.4%
Minnesota$995$6,737341+3.3%
Connecticut$969$5,7301160+0.5%
District of Columbia$968$2,641339+0.4%
Nebraska$968$7,000157+0.4%
Tennessee$968$2,7093162+0.4%
Virginia$928$3,5713127-3.8%
Maine$923$3,000142-4.3%
California$920$2,85922470-4.5%
New York$920$5,06871,037-4.6%
Hawaii$883$3,335232-8.4%
Washington$870$2,161496-9.7%
North Carolina$841$3,8305157-12.7%
Nevada$808$3,0003433-16.2%
Indiana$799$2,5346271-17.1%
Massachusetts$799$2,78010100-17.1%
Illinois$784$3,14720470-18.7%
Arizona$777$3,76431892-19.4%
Alabama$768$5,7063102-20.4%
Michigan$761$1,587342-21.0%
South Carolina$748$9,5103147-22.4%
Kentucky$731$2,406285-24.2%
Georgia$727$2,600762-24.6%
Ohio$722$2,500132-25.1%
Wisconsin$707$2,5002155-26.6%

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

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