95822

Measurement of brain wave activity (eeg), in coma or asleep

Medicare pricing data for 2,332 providers across 48 states

🤖AI Overview

This procedure has a 8.8x markup — hospitals charge $515.02 but Medicare allows only $58.46. Uninsured patients may face bills 8.8 times higher than what insurance negotiates. 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), in coma or asleep (HCPCS code 95822) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $58.46, but hospitals typically charge $515.02 — a 8.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$11.69

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $58.46, your out-of-pocket cost would be approximately $11.69. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$58.46
Average Hospital Charge
$515.02
Markup Ratio
8.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$515.02
Medicare Allowed$58.46
Medicare Payment$45.94

Hospitals charge 8.8x more than what Medicare allows for this procedure. Medicare actually pays $45.94 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$76$3952102,474+29.3%
Alaska$75$682515+28.2%
District of Columbia$62$25310132+5.4%
Massachusetts$59$23446634+1.3%
New Jersey$59$39741304+1.1%
Maryland$59$221691,085+0.5%
Connecticut$59$80826350+0.1%
Washington$58$75956408-0.2%
New York$58$3121321,155-0.6%
Rhode Island$57$162728-3.1%
Oregon$57$17227149-3.3%
Illinois$56$434110741-3.8%
Colorado$56$68138273-4.5%
New Hampshire$56$5041485-4.5%
Montana$56$1361133-4.5%
Texas$56$1,4081752,413-4.7%
Hawaii$56$141915-4.8%
Pennsylvania$56$509112803-4.8%
Florida$56$3561861,260-4.9%
Nevada$56$92728352-5.0%
Minnesota$55$27838398-5.2%
North Dakota$55$4181265-5.3%
Virginia$55$24738385-5.8%
Michigan$55$27779405-6.2%
Georgia$55$31069689-6.3%
New Mexico$55$121556-6.7%
Arizona$54$86745456-6.8%
Tennessee$54$18748400-6.9%
South Dakota$54$1921476-7.0%
North Carolina$54$50663363-7.5%
Idaho$54$184833-7.5%
Utah$54$1,64311234-7.5%
Wisconsin$54$59655257-7.6%
Ohio$54$35693627-7.6%
Maine$54$36013108-7.9%
Missouri$54$24344282-8.0%
Iowa$54$6121162-8.3%
Louisiana$54$30338317-8.3%
Kansas$54$5112169-8.3%
West Virginia$54$130661-8.3%
South Carolina$54$28938329-8.4%
Kentucky$53$16245367-8.7%
Oklahoma$53$17031649-8.8%
Indiana$53$20071411-8.8%
Alabama$53$17133175-9.4%
Nebraska$53$1641181-9.5%
Mississippi$52$12917188-10.9%
Arkansas$52$66216390-11.0%

⚠️ 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