How Much Does Eeg awake and asleep Cost?
Eeg awake and asleep (CPT 95819) costs $482 at Medicare rates. Hospital outpatient rate: $221.
Cost Comparison by Payer
How much Eeg awake and asleep costs across different settings and payers
Eeg awake and asleep Cost by Location
Medicare-adjusted rates across CMS localities
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| CT — CONNECTICUT | $521 | $677 — $1,041 |
| DC — DC + MD/VA SUBURBS | $566 | $736 — $1,133 |
| DE — DELAWARE | $479 | $623 — $958 |
| KY — KENTUCKY | $435 | $565 — $870 |
| MA — METROPOLITAN BOSTON | $572 | $744 — $1,144 |
| MA — REST OF MASSACHUSETTS | $508 | $661 — $1,016 |
| MD — BALTIMORE/SURR. CNTYS | $519 | $674 — $1,037 |
| MD — REST OF MARYLAND | $490 | $637 — $980 |
| ME — REST OF MAINE | $448 | $582 — $895 |
| ME — SOUTHERN MAINE | $479 | $623 — $959 |
| NH — NEW HAMPSHIRE | $503 | $653 — $1,005 |
| NJ — NORTHERN NJ | $559 | $726 — $1,117 |
| NJ — REST OF NEW JERSEY | $527 | $686 — $1,055 |
| NY — MANHATTAN | $561 | $730 — $1,123 |
| NY — NYC SUBURBS/LONG ISLAND | $574 | $747 — $1,149 |
| NY — POUGHKPSIE/N NYC SUBURBS | $529 | $688 — $1,059 |
| NY — QUEENS | $570 | $741 — $1,139 |
| NY — REST OF NEW YORK | $461 | $600 — $923 |
| OH — OHIO | $446 | $580 — $892 |
| PA — METROPOLITAN PHILADELPHIA | $504 | $656 — $1,009 |
| PA — REST OF PENNSYLVANIA | $448 | $582 — $896 |
| RI — RHODE ISLAND | $500 | $650 — $999 |
| VT — VERMONT | $478 | $622 — $957 |
How to Reduce Your Cost for Eeg awake and asleep
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.
- 3 Shop around — costs vary significantly
Medicare rates for this procedure range from $435 to $574 depending on location. Commercial rates vary even more.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (14.44) x CF ($33.40) = $482
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Eeg awake and asleep cost?
The Medicare facility rate for Eeg awake and asleep is $482. In a hospital outpatient setting, the rate is $221. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Eeg awake and asleep cost without insurance?
Without insurance, the cost of Eeg awake and asleep can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover Eeg awake and asleep?
Most commercial health insurance plans and Medicare cover Eeg awake and asleep when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.