Measurement of brain wave activity (eeg), awake and drowsy
Medicare pricing data for 8,022 providers across 52 states
Prices vary significantly by location — from $53 in Idaho to $345 in California. 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), awake and drowsy (HCPCS code 95816) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $213.53, but hospitals typically charge $485.77 — a 2.3x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $213.53, your out-of-pocket cost would be approximately $42.71. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.3x more than what Medicare allows for this procedure. Medicare actually pays $168.07 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $345 | $557 | 696 | 65,760 | +61.5% |
| Puerto Rico | $313 | $335 | 37 | 286 | +46.5% |
| New York | $280 | $613 | 607 | 26,098 | +31.0% |
| Wyoming | $273 | $669 | 8 | 176 | +27.9% |
| Arizona | $236 | $552 | 190 | 6,669 | +10.7% |
| Texas | $212 | $572 | 782 | 18,469 | -0.8% |
| Virginia | $209 | $428 | 174 | 5,804 | -2.3% |
| New Jersey | $208 | $560 | 284 | 9,937 | -2.4% |
| Missouri | $205 | $384 | 155 | 8,630 | -3.9% |
| Michigan | $199 | $490 | 262 | 6,893 | -6.9% |
| District of Columbia | $196 | $401 | 28 | 951 | -8.4% |
| New Mexico | $193 | $355 | 20 | 368 | -9.6% |
| Arkansas | $187 | $613 | 58 | 2,085 | -12.6% |
| Hawaii | $183 | $409 | 21 | 410 | -14.3% |
| Nevada | $182 | $410 | 103 | 6,808 | -14.8% |
| Rhode Island | $181 | $484 | 36 | 1,286 | -15.1% |
| North Carolina | $180 | $498 | 232 | 5,365 | -15.6% |
| Florida | $180 | $549 | 751 | 20,881 | -15.6% |
| West Virginia | $176 | $386 | 33 | 1,344 | -17.6% |
| Alaska | $169 | $779 | 23 | 149 | -20.8% |
| Louisiana | $148 | $474 | 125 | 3,196 | -30.9% |
| Oklahoma | $141 | $319 | 69 | 2,029 | -33.8% |
| Utah | $141 | $389 | 32 | 612 | -34.0% |
| South Carolina | $139 | $452 | 128 | 4,545 | -34.7% |
| Georgia | $137 | $433 | 241 | 5,488 | -35.9% |
| Alabama | $135 | $301 | 136 | 2,965 | -37.0% |
| Ohio | $132 | $307 | 272 | 9,401 | -38.2% |
| Mississippi | $131 | $349 | 63 | 2,020 | -38.7% |
| Maryland | $127 | $304 | 142 | 5,357 | -40.5% |
| Tennessee | $125 | $343 | 202 | 4,869 | -41.6% |
| Indiana | $125 | $271 | 216 | 5,636 | -41.7% |
| Minnesota | $118 | $512 | 143 | 1,873 | -44.8% |
| Colorado | $110 | $629 | 93 | 1,518 | -48.4% |
| Massachusetts | $107 | $404 | 160 | 5,206 | -50.1% |
| Oregon | $100 | $308 | 58 | 803 | -53.1% |
| North Dakota | $97 | $447 | 24 | 485 | -54.7% |
| Illinois | $95 | $388 | 294 | 6,940 | -55.3% |
| Wisconsin | $92 | $583 | 146 | 1,887 | -57.0% |
| Connecticut | $90 | $614 | 85 | 2,426 | -57.9% |
| Washington | $86 | $266 | 122 | 2,192 | -59.9% |
| Maine | $82 | $336 | 41 | 443 | -61.7% |
| Delaware | $81 | $373 | 35 | 893 | -62.2% |
| Vermont | $78 | $465 | 17 | 295 | -63.5% |
| Pennsylvania | $77 | $345 | 305 | 9,107 | -63.8% |
| Kentucky | $77 | $202 | 94 | 3,118 | -63.9% |
| Nebraska | $77 | $289 | 38 | 665 | -64.0% |
| New Hampshire | $74 | $474 | 55 | 1,052 | -65.1% |
| Kansas | $73 | $329 | 59 | 1,090 | -65.8% |
| Iowa | $62 | $403 | 43 | 803 | -71.0% |
| Montana | $57 | $162 | 24 | 215 | -73.1% |
| South Dakota | $54 | $126 | 31 | 692 | -74.5% |
| Idaho | $53 | $133 | 22 | 407 | -75.3% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber