CPT 95836 Neurology/EMG
Ecog impltd brn npgt <30 d Cost
Body System: Nervous
Medicare Facility Rate
$89
CMS PFS CY2026
Medicare Non-Facility Rate
$107
Office/clinic setting
Hospital Outpatient
$38
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.93
Work RVU
0.56
Facility PE RVU
0.16
Malpractice RVU
3.21
Total RVU
Frequently Asked Questions
How much does Ecog impltd brn npgt <30 d cost?
The Medicare facility rate is $89. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $38.
How much does Ecog impltd brn npgt <30 d 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 $89.