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See a sample rate comparisonCPT 95941 Fee Schedule
CPT 95941 is classified under Medicine Services and Procedures, in the Neurology and Neuromuscular Procedures subgroup.
Ionm Remote 1 Pt Or Per Hr, Continuous Intraoperative Neurophysiology Monitoring From Outside The Operating Room Remote Or Nearby Or For Monitoring Of More Than One Case While In The Operating Room Per Hour List Separately In Addition To Code For Primary Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient Hospital 24Ambulatory Surgical Center |
| Common Modifiers | 59Distinct Procedural Service XPSeparate Practitioner |
| Add-on Code For | 9265395822Sign up to view all 29 |
| Common Revenue Codes | 09200740Sign up to view all 3 |
| Medicare Fee Schedule | View Medicare rates for 95941 |
| Medicaid Fee Schedule | $94.30 median of the 8 states in the free previewView Medicaid rates for 95941 |
National average reimbursement for CPT 95941 by major payers:
$220.06
BCBS / Anthem
$255.43
UnitedHealthcare
$382.90
Aetna
$596.76
Cigna
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CPT 95941
2 of 2 sample ratesHigher to lower in this preview
Crosbyton Clinic Hospital
$1,272.00Published rateRam Balasubramanian
$68.73Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 95941 vs. Other Neurology and Neuromuscular Procedures Codes
The table lists codes related to 95941. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 95940-CPT | Ionm In Operatng Room 15 Min, Continuous Intraoperative Neurophysiology Monitoring In The Operating Room One On One Monitoring Requiring Personal Attendance Each 15 Minutes List Separately In Addition To Code For Primary Procedure |
| 95941-CPT | Ionm Remote 1 Pt Or Per Hr, Continuous Intraoperative Neurophysiology Monitoring From Outside The Operating Room Remote Or Nearby Or For Monitoring Of More Than One Case While In The Operating Room Per Hour List Separately In Addition To Code For Primary Procedure |
| 95957-CPT | Computer Analysis Brain Waves, Eeg Recording That Is Analyzed By Computer To Identify The Specific Spiking Type Occurring During An Epileptic Seizure. |
| 95958-CPT | Computer Analysis Brain Waves, Eeg Recording That Is Analyzed By Computer To Identify The Specific Spiking Type Occurring During An Epileptic Seizure. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95941. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95941 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
How can I find out the cost of a medical procedure before I get it?
To get an estimate of a medical procedure's cost, you should first identify the CPT (Current Procedural Terminology) code for the specific service. Then, you can use online tools or contact your insurance provider. For a comprehensive fee schedule lookup tool that allows searching with CPT codes and specific locations, you can use Payerprice. This can help you understand the potential cost before the procedure.
What is a CPT code and why is it important for understanding healthcare costs?
A CPT (Current Procedural Terminology) code is a five-digit numerical code used by healthcare providers to describe medical, surgical, and diagnostic services. These codes are crucial because they standardize the reporting of procedures and services across the healthcare industry, enabling accurate billing and processing by insurance companies. When looking up costs, knowing the CPT code helps you find specific pricing information for that exact service.
Where can I look up specific procedure costs based on a CPT code and my location?
To find specific procedure costs based on a CPT code and your geographic location, you can utilize specialized fee schedule lookup tools. Payerprice offers a tool designed for this purpose, allowing you to search with a CPT code and specific location to get detailed pricing information. This can help you compare costs and make informed decisions.
How do I estimate my out-of-pocket costs for a medical service?
Estimating your out-of-pocket costs involves several steps: 1. **Identify the CPT code:** Ask your doctor or provider for the CPT code of the service. 2. **Determine the fee schedule:** Use a tool like Payerprice to look up the typical cost for that CPT code in your area. 3. **Check your insurance benefits:** Understand your deductible, co-insurance, and co-pay amounts from your insurance plan. 4. **Calculate:** Subtract any deductible you still need to meet, then apply your co-insurance percentage to the remaining amount. Don't forget any co-pays. Combining the fee schedule information with your insurance details will give you a good estimate of your potential out-of-pocket expenses.
What is the difference between a billed charge and a negotiated rate?
The 'billed charge' is the full price that a healthcare provider charges for a medical service, which is often significantly higher than what anyone actually pays. A 'negotiated rate' (or allowed amount) is the discounted price that an insurance company has agreed to pay for that service with in-network providers. Your out-of-pocket costs are typically based on this lower negotiated rate, not the billed charge, after deductibles and co-insurance are applied.
Is CPT 95941 an add-on code?
Yes. CMS add-on code edits list CPT 95941 as an add-on code, billed with a primary code. Its primary codes: including 92653, 95822, 95860, 95861 and 95863.
Which revenue codes are billed with CPT 95941?
Hospital price transparency files list CPT 95941 under these revenue codes: 0920, 0740 and 0922. A revenue code names the hospital department or charge category for the line; it does not change what the service is.