CPT 95991 Neurology/EMG
Spin/brain pump refil & main Cost
Body System: Nervous
Medicare Facility Rate
$34
CMS PFS CY2026
Medicare Non-Facility Rate
$116
Office/clinic setting
Hospital Outpatient
$314
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.75
Work RVU
0.19
Facility PE RVU
0.07
Malpractice RVU
3.47
Total RVU
Frequently Asked Questions
How much does Spin/brain pump refil & main cost?
The Medicare facility rate is $34. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $314.
How much does Spin/brain pump refil & main 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 $34.