95812

Measurement of brain wave activity (eeg), 41-60 minutes

Medicare pricing data for 2,201 providers across 50 states

🤖AI Overview

Prices vary significantly by location — from $52 in Idaho to $344 in Delaware. Where you get this procedure matters more than almost any other factor. 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), 41-60 minutes (HCPCS code 95812) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $171.71, but hospitals typically charge $618.87 — a 3.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$34.34

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $171.71, your out-of-pocket cost would be approximately $34.34. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$171.71
Average Hospital Charge
$618.87
Markup Ratio
3.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$618.87
Medicare Allowed$171.71
Medicare Payment$134.12

Hospitals charge 3.6x more than what Medicare allows for this procedure. Medicare actually pays $134.12 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$344$5981109+100.3%
Alaska$326$2,64510145+89.7%
New Jersey$299$65574638+74.0%
Minnesota$280$96273727+63.2%
New York$262$6091881,687+52.7%
Nevada$244$1,41824722+42.3%
California$237$8282102,994+37.8%
Arizona$227$826541,131+32.0%
Alabama$215$39919118+24.9%
Wyoming$207$626644+20.6%
Maryland$188$36442369+9.4%
South Carolina$188$40422459+9.2%
District of Columbia$182$4331373+6.0%
Texas$173$5781451,234+0.5%
North Carolina$170$61141179-0.7%
Tennessee$166$361671,022-3.2%
Oklahoma$163$61015102-4.8%
Florida$153$5941511,184-11.1%
Michigan$147$59272400-14.7%
Pennsylvania$111$584104595-35.4%
Georgia$111$1,32862402-35.4%
West Virginia$109$32418195-36.3%
Louisiana$104$70933231-39.7%
Wisconsin$102$77147223-40.8%
Virginia$85$31738166-50.5%
Connecticut$83$37727312-51.8%
Ohio$75$32965260-56.1%
Utah$75$33026370-56.1%
Montana$73$18317107-57.6%
Colorado$72$33439307-58.3%
Massachusetts$68$25159660-60.5%
Missouri$67$33452262-60.9%
Illinois$66$2321221,009-61.6%
New Mexico$58$23414151-66.3%
Oregon$58$2761326-66.4%
Puerto Rico$55$88121-67.9%
Washington$55$23139335-68.0%
North Dakota$55$41413101-68.1%
New Hampshire$55$49020147-68.2%
Kansas$53$239916-68.9%
Indiana$53$5402391-68.9%
Iowa$53$18310116-69.0%
Maine$53$287728-69.0%
South Dakota$53$27010130-69.0%
Vermont$53$257541-69.1%
Kentucky$53$17428127-69.1%
Nebraska$53$39412187-69.4%
Mississippi$52$3601346-69.5%
Arkansas$52$6181065-69.7%
Idaho$52$124726-69.7%

⚠️ 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