Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Eeg Phys/Qhp 2-12 Hr Without Video
Low
$1
Average
$114
Median
$81
High
$338
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 3.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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35 hospital rates
iThe hospitals that file a Medicaid rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 2 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 3 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 4 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $234 | $234 | — | — | — | $234 – $234 |
| 5 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 6 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · both | 3 | $90 | $90 | — | — | — | $90 – $90 |
| 7 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 8 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 11 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 12 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $234 | $234 | — | — | — | $234 – $234 |
| 13 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · inpatient | 1 | $370 | $370 | — | — | — | $370 – $370 |
| 14 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · outpatient | 1 | $305 | $305 | — | — | — | $305 – $305 |
| 15 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · inpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 16 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 17 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · inpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 18 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 19 | Montefiore Medical Center Bronx, NY fee schedule · outpatient | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 20 | Montefiore Mount Vernon Hospital Mount Vernon, NY fee schedule · outpatient | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 21 | Montefiore New Rochelle Hospital New Rochelle, NY fee schedule · outpatient | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 22 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 23 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $313 | $313 | — | — | — | $313 – $313 |
| 24 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · inpatient | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 25 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 1 | $63 | $63 | — | — | — | $63 – $63 |
← Payers reporting CPT 95717 · Snapshot 20261113T090226Z-3ce6c0b8