95819

Measurement of brain wave activity (eeg), awake and asleep

Medicare pricing data for 6,720 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $52 in Idaho to $390 in Hawaii. 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 asleep (HCPCS code 95819) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $229.34, but hospitals typically charge $560.39 — a 2.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$45.87

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $229.34, your out-of-pocket cost would be approximately $45.87. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$229.34
Average Hospital Charge
$560.39
Markup Ratio
2.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$560.39
Medicare Allowed$229.34
Medicare Payment$179.73

Hospitals charge 2.4x more than what Medicare allows for this procedure. Medicare actually pays $179.73 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Hawaii$390$85937829+70.2%
Arizona$334$8091573,553+45.7%
Puerto Rico$334$39257668+45.6%
Maryland$330$5731469,229+43.9%
New York$311$63043410,293+35.7%
Delaware$295$56824468+28.6%
District of Columbia$290$51023845+26.5%
Virginia$279$5181603,933+21.7%
California$277$62559217,807+20.8%
Texas$270$74454314,134+17.7%
Florida$268$70764319,574+17.0%
New Jersey$265$5552345,786+15.5%
West Virginia$264$46530588+15.2%
Wyoming$251$600880+9.6%
Nevada$224$506703,040-2.2%
Louisiana$221$5301112,274-3.5%
Georgia$218$5681983,261-4.8%
Utah$214$45320431-6.7%
Alabama$212$3451284,402-7.6%
Washington$211$4491091,578-7.9%
Colorado$202$714851,352-11.8%
Michigan$198$5132718,267-13.6%
Arkansas$197$59947940-14.1%
South Carolina$196$579771,094-14.4%
North Carolina$165$5632092,229-27.9%
Oklahoma$164$388631,965-28.4%
Rhode Island$162$43423428-29.3%
Montana$154$30722265-32.9%
New Mexico$153$28916280-33.5%
Oregon$139$51067788-39.2%
Illinois$132$4932856,586-42.6%
Pennsylvania$130$4062825,262-43.3%
Tennessee$123$3651391,998-46.4%
Ohio$119$3072223,636-48.3%
Kansas$118$45867836-48.7%
Indiana$117$3221853,080-48.8%
Mississippi$115$28846736-49.7%
Massachusetts$115$3711403,192-49.8%
North Dakota$95$60319184-58.6%
Minnesota$93$591112792-59.6%
Wisconsin$92$5311361,094-59.9%
New Hampshire$85$43446425-62.8%
Kentucky$81$236911,823-64.8%
Connecticut$79$54162858-65.7%
Iowa$78$36141859-66.0%
Nebraska$74$20726542-67.7%
Alaska$69$410657-69.8%
Missouri$62$2701081,964-73.0%
South Dakota$55$15529313-76.2%
Maine$54$23033204-76.3%
Vermont$54$4091186-76.5%
Idaho$52$17419301-77.2%

⚠️ 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