CPT 95813 Neurology/EMG
Eeg extnd mntr 61-119 min Cost
Body System: Nervous
Medicare Facility Rate
$480
CMS PFS CY2026
Medicare Non-Facility Rate
$480
Office/clinic setting
Hospital Outpatient
$221
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.63
Work RVU
12.61
Facility PE RVU
0.12
Malpractice RVU
14.36
Total RVU
Frequently Asked Questions
How much does Eeg extnd mntr 61-119 min cost?
The Medicare facility rate is $480. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $221.
How much does Eeg extnd mntr 61-119 min cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $480.