CPT 95816 Neurology/EMG
Eeg awake and drowsy Cost
Body System: Nervous
Medicare Facility Rate
$414
CMS PFS CY2026
Medicare Non-Facility Rate
$414
Office/clinic setting
Hospital Outpatient
$221
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.05
Work RVU
11.23
Facility PE RVU
0.10
Malpractice RVU
12.38
Total RVU
Frequently Asked Questions
How much does Eeg awake and drowsy cost?
The Medicare facility rate is $414. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $221.
How much does Eeg awake and drowsy 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 $414.