95718

Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional

Medicare pricing data for 2,328 providers across 49 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), 2-12 hours with review and report by health care professional (HCPCS code 95718) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $132.88, but hospitals typically charge $576.63 — a 4.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$26.58

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $132.88, your out-of-pocket cost would be approximately $26.58. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$132.88
Average Hospital Charge
$576.63
Markup Ratio
4.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$576.63
Medicare Allowed$132.88
Medicare Payment$104.71

Hospitals charge 4.3x more than what Medicare allows for this procedure. Medicare actually pays $104.71 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$147$7141873,271+10.7%
District of Columbia$143$73211139+8.0%
New Jersey$140$569851,330+5.5%
Massachusetts$140$494681,007+5.2%
California$139$5841913,855+4.7%
Connecticut$139$64133400+4.6%
Maine$138$1,2331180+4.2%
Maryland$138$41460700+3.9%
Washington$136$43837366+2.4%
Illinois$136$652811,435+2.4%
Hawaii$136$344418+2.2%
Virginia$135$38846961+1.7%
Pennsylvania$133$433971,488+0.3%
Rhode Island$132$38110102-0.4%
Delaware$132$350894-0.5%
Florida$132$6911491,558-0.9%
Nevada$132$41222111-0.9%
Colorado$131$59753550-1.5%
Oregon$130$42420130-1.8%
Texas$130$6501712,192-2.1%
Georgia$130$35956506-2.5%
New Mexico$129$38412110-2.8%
North Dakota$129$418879-3.0%
Michigan$129$3501021,629-3.0%
Arizona$129$1,06244575-3.1%
Louisiana$129$36734262-3.2%
Minnesota$128$714701,084-3.7%
Missouri$128$40648566-3.8%
Vermont$127$6557114-4.3%
Ohio$127$908931,796-4.4%
New Hampshire$127$1,36612180-4.6%
Wisconsin$126$92946483-4.8%
Utah$126$31014366-4.9%
South Dakota$126$4481126-4.9%
North Carolina$126$468791,154-5.2%
Montana$126$320713-5.3%
Oklahoma$125$30721248-5.6%
Iowa$125$64317375-5.8%
South Carolina$124$41931517-6.3%
Kentucky$124$35735474-6.4%
Kansas$124$4339244-6.4%
Nebraska$124$45410174-6.5%
West Virginia$123$4511086-7.5%
Alabama$123$37927657-7.6%
Indiana$122$35651614-8.0%
Tennessee$122$474631,304-8.3%
Mississippi$121$315769-9.1%
Idaho$119$319951-10.2%
Arkansas$119$3231087-10.6%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber