95940

Continuous monitoring of nervous system during operation, each 15 minutes

Medicare pricing data for 144 providers across 15 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

Continuous monitoring of nervous system during operation, each 15 minutes (HCPCS code 95940) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $33.68, but hospitals typically charge $155.99 — a 4.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$6.74

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $33.68, your out-of-pocket cost would be approximately $6.74. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$33.68
Average Hospital Charge
$155.99
Markup Ratio
4.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$155.99
Medicare Allowed$33.68
Medicare Payment$26.84

Hospitals charge 4.6x more than what Medicare allows for this procedure. Medicare actually pays $26.84 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$35$166131,368+3.4%
California$34$145398,779+1.4%
Tennessee$34$592787+0.2%
Maryland$34$108671+0.0%
District of Columbia$33$332117-0.6%
Pennsylvania$33$998663-2.5%
Arkansas$33$3061125-3.4%
New Hampshire$32$4604507-3.8%
Texas$32$14110205-5.8%
Minnesota$31$454989-6.6%
Florida$31$778245-6.7%
Arizona$31$618374-7.0%
Ohio$31$796278-7.1%
Vermont$31$1661292-7.8%
North Carolina$30$1055197-10.7%

⚠️ 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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