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.

CPT 95941 Fee Schedule

Last Verified: September 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

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	21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center
Common Modifiers	None 59 - Distinct Procedural Service XP - Separate Practitioner
Complexity Level	Moderate
Medicare Fee Schedule	View Medicare rates for 95941
Medicaid Fee Schedule	View Medicaid rates for 95941

National average reimbursement for CPT 95941 by major payers:

$220.06

$255.43

$382.90

$596.76

Compare published rates across providers.

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CPT 95941

2 of 2 sample ratesHigher to lower in this preview

Crosbyton Clinic Hospital
TXRural Acute Care HospitalNPI 1063500270Tax ID 75-0711276
$1,272.00Published rate
Ram Balasubramanian
ALInterventional Cardiology PhysicianNPI 1831346006Tax ID 82-3898488
$68.73Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 95941 vs. Other Neurology and Neuromuscular Procedures Codes

The CPT 95941 code is part of the Medicine Services and Procedures services used for Neurology and Neuromuscular Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 95941 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
95940-CPT	Low	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	Moderate	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	Moderate	Computer Analysis Brain Waves, Eeg Recording That Is Analyzed By Computer To Identify The Specific Spiking Type Occurring During An Epileptic Seizure.
95958-CPT	Moderate	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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