CPT 95919 Neurology/EMG
Quan puplmtry phy/qhp uni/bi Cost
Body System: Nervous
Medicare Facility Rate
$17
CMS PFS CY2026
Medicare Non-Facility Rate
$17
Office/clinic setting
Hospital Outpatient
$136
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.18
Work RVU
0.30
Facility PE RVU
0.02
Malpractice RVU
0.50
Total RVU
Frequently Asked Questions
How much does Quan puplmtry phy/qhp uni/bi cost?
The Medicare facility rate is $17. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $136.
How much does Quan puplmtry phy/qhp uni/bi 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 $17.