95720

Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional

Medicare pricing data for 3,015 providers across 52 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 review and report by health care professional (HCPCS code 95720) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $206.72, but hospitals typically charge $951.43 — a 4.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$41.34

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $206.72, your out-of-pocket cost would be approximately $41.34. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$206.72
Average Hospital Charge
$951.43
Markup Ratio
4.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$951.43
Medicare Allowed$206.72
Medicare Payment$163.90

Hospitals charge 4.6x more than what Medicare allows for this procedure. Medicare actually pays $163.90 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$268$2,462131+29.5%
New York$228$1,31624317,626+10.3%
District of Columbia$224$1,142191,096+8.4%
California$218$1,1832219,013+5.7%
New Jersey$216$7931337,585+4.7%
Massachusetts$216$774894,608+4.3%
Maryland$215$731662,911+4.1%
Connecticut$215$875441,367+3.8%
Puerto Rico$212$461338+2.6%
Virginia$212$586653,108+2.4%
Maine$211$2,22315456+2.2%
Washington$210$663401,412+1.4%
Hawaii$209$5255135+1.0%
Illinois$207$9211255,061+0.0%
Florida$205$1,0492417,467-0.9%
Rhode Island$205$59311380-0.9%
Delaware$204$55110643-1.2%
Nevada$204$63132488-1.3%
Wyoming$203$633231-2.0%
Oregon$203$62329716-2.0%
Pennsylvania$203$7331135,492-2.0%
Colorado$202$844591,861-2.4%
New Hampshire$201$2,68913565-2.8%
Texas$201$1,0412578,438-2.9%
Montana$200$512732-3.2%
Georgia$200$596601,563-3.2%
Arizona$200$1,176632,092-3.2%
Michigan$200$5691124,021-3.3%
North Dakota$199$6235415-3.6%
New Mexico$199$59811309-3.8%
Minnesota$198$907753,126-4.1%
Louisiana$198$587411,022-4.1%
Missouri$197$625653,076-4.6%
Vermont$197$1,0206451-4.6%
Ohio$196$1,3061278,194-5.0%
Utah$195$47115676-5.5%
North Carolina$194$7171005,171-6.0%
West Virginia$194$69415432-6.2%
South Dakota$193$43513245-6.7%
Iowa$193$1,119261,000-6.8%
Oklahoma$192$481331,372-7.0%
Kentucky$192$578401,571-7.2%
Tennessee$192$726632,442-7.2%
South Carolina$192$659392,342-7.2%
Kansas$192$594111,052-7.3%
Wisconsin$192$1,647532,248-7.3%
Mississippi$190$71817302-8.0%
Indiana$190$738671,924-8.2%
Nebraska$190$60215608-8.3%
Alabama$189$570351,514-8.4%
Idaho$187$4908222-9.5%
Arkansas$184$50022735-11.1%

⚠️ 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