Measurement of brain wave activity (eeg) outside the brain during surgery
Medicare pricing data for 444 providers across 36 states
This procedure has a 58.1x markup — hospitals charge $3,186 but Medicare allows only $54.86. Uninsured patients may face bills 58.1 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) outside the brain during surgery (HCPCS code 95955) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $54.86, but hospitals typically charge $3,186 — a 58.1x 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 $54.86, your out-of-pocket cost would be approximately $10.97. 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 58.1x more than what Medicare allows for this procedure. Medicare actually pays $43.54 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Texas | $62 | $4,690 | 49 | 5,766 | +13.7% |
| District of Columbia | $57 | $1,113 | 2 | 35 | +4.8% |
| Maryland | $56 | $1,600 | 9 | 534 | +2.6% |
| New York | $56 | $8,172 | 20 | 1,101 | +2.2% |
| Massachusetts | $56 | $1,070 | 9 | 119 | +1.2% |
| Washington | $55 | $2,432 | 10 | 869 | +0.9% |
| California | $55 | $2,273 | 44 | 4,785 | +0.5% |
| Utah | $55 | $3,384 | 6 | 266 | +0.3% |
| Tennessee | $55 | $1,427 | 7 | 1,119 | -0.5% |
| Connecticut | $54 | $1,565 | 3 | 142 | -1.2% |
| New Jersey | $54 | $5,670 | 8 | 603 | -1.9% |
| Hawaii | $54 | $1,870 | 1 | 36 | -2.1% |
| Colorado | $53 | $2,908 | 13 | 1,344 | -3.4% |
| Florida | $52 | $3,598 | 34 | 2,036 | -4.6% |
| New Hampshire | $52 | $441 | 7 | 117 | -5.2% |
| Nevada | $52 | $1,619 | 5 | 2,256 | -5.4% |
| Illinois | $52 | $3,202 | 19 | 143 | -5.6% |
| Pennsylvania | $52 | $5,141 | 18 | 803 | -6.0% |
| Arizona | $51 | $1,748 | 11 | 1,101 | -6.2% |
| Virginia | $51 | $7,090 | 9 | 426 | -6.2% |
| Michigan | $51 | $922 | 7 | 144 | -6.3% |
| Minnesota | $51 | $1,113 | 22 | 206 | -6.6% |
| Georgia | $51 | $4,180 | 12 | 151 | -6.8% |
| Vermont | $51 | $265 | 2 | 50 | -7.1% |
| North Carolina | $51 | $2,411 | 11 | 587 | -7.1% |
| Ohio | $50 | $5,763 | 23 | 658 | -8.1% |
| New Mexico | $50 | $1,870 | 1 | 39 | -8.6% |
| South Carolina | $50 | $1,656 | 4 | 64 | -8.8% |
| Wisconsin | $50 | $4,495 | 9 | 537 | -8.9% |
| Louisiana | $50 | $259 | 10 | 1,908 | -9.2% |
| Alabama | $50 | $143 | 18 | 147 | -9.6% |
| Indiana | $50 | $231 | 5 | 56 | -9.7% |
| Kentucky | $50 | $104 | 8 | 67 | -9.7% |
| Oklahoma | $50 | $100 | 2 | 222 | -9.8% |
| Kansas | $49 | $1,767 | 4 | 154 | -9.8% |
| Nebraska | $49 | $152 | 4 | 40 | -10.2% |
⚠️ 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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