Sleep study including heart rate, breathing, and sleep time
Medicare pricing data for 3,601 providers across 49 states
Prices vary significantly by location — from $39 in Vermont to $176 in Florida. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Sleep study including heart rate, breathing, and sleep time (HCPCS code 95800) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $133.93, but hospitals typically charge $432.46 — a 3.2x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $133.93, your out-of-pocket cost would be approximately $26.79. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.2x more than what Medicare allows for this procedure. Medicare actually pays $100.64 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $176 | $422 | 197 | 20,692 | +31.1% |
| Maryland | $169 | $369 | 144 | 28,527 | +26.5% |
| Connecticut | $155 | $544 | 28 | 479 | +15.9% |
| California | $149 | $736 | 240 | 13,661 | +10.9% |
| Alaska | $146 | $1,016 | 25 | 393 | +9.3% |
| Nevada | $144 | $604 | 55 | 1,597 | +7.9% |
| Delaware | $136 | $355 | 21 | 1,119 | +1.5% |
| District of Columbia | $133 | $444 | 17 | 278 | -0.9% |
| New York | $130 | $615 | 263 | 6,530 | -2.6% |
| Alabama | $130 | $428 | 5 | 22 | -2.8% |
| Virginia | $130 | $467 | 97 | 2,980 | -3.1% |
| Illinois | $128 | $240 | 210 | 12,402 | -4.2% |
| Arizona | $127 | $372 | 122 | 3,364 | -5.1% |
| Rhode Island | $127 | $276 | 4 | 668 | -5.3% |
| Oklahoma | $126 | $236 | 19 | 973 | -5.9% |
| Montana | $124 | $351 | 7 | 86 | -7.2% |
| New Mexico | $121 | $483 | 8 | 327 | -9.8% |
| South Carolina | $119 | $444 | 46 | 901 | -11.3% |
| Missouri | $118 | $348 | 37 | 1,951 | -12.0% |
| Texas | $117 | $442 | 492 | 15,056 | -12.5% |
| Mississippi | $111 | $755 | 31 | 827 | -17.1% |
| West Virginia | $108 | $440 | 4 | 47 | -19.3% |
| Colorado | $104 | $338 | 82 | 2,484 | -22.0% |
| North Carolina | $104 | $373 | 52 | 1,008 | -22.3% |
| Pennsylvania | $103 | $385 | 227 | 6,383 | -23.0% |
| New Jersey | $100 | $480 | 180 | 5,478 | -25.1% |
| Iowa | $99 | $447 | 36 | 1,409 | -25.7% |
| Massachusetts | $99 | $453 | 74 | 6,447 | -25.8% |
| Nebraska | $99 | $221 | 17 | 693 | -26.0% |
| Minnesota | $98 | $513 | 89 | 699 | -27.2% |
| Tennessee | $97 | $301 | 33 | 800 | -27.5% |
| Oregon | $96 | $399 | 51 | 1,127 | -28.5% |
| Louisiana | $94 | $558 | 98 | 1,773 | -30.0% |
| Ohio | $92 | $595 | 31 | 591 | -31.7% |
| Georgia | $91 | $347 | 205 | 5,155 | -32.0% |
| Michigan | $90 | $248 | 72 | 1,171 | -32.9% |
| Kentucky | $88 | $249 | 17 | 146 | -34.2% |
| Kansas | $87 | $347 | 22 | 981 | -34.8% |
| Utah | $85 | $434 | 13 | 147 | -36.7% |
| North Dakota | $71 | $214 | 6 | 255 | -47.2% |
| Wisconsin | $69 | $622 | 50 | 1,460 | -48.3% |
| Idaho | $66 | $287 | 12 | 183 | -50.6% |
| Washington | $65 | $227 | 41 | 730 | -51.8% |
| Indiana | $53 | $194 | 64 | 1,100 | -60.4% |
| Arkansas | $49 | $159 | 17 | 261 | -63.4% |
| New Hampshire | $45 | $300 | 8 | 74 | -66.8% |
| Maine | $42 | $241 | 9 | 330 | -68.7% |
| Hawaii | $40 | $112 | 3 | 141 | -70.2% |
| Vermont | $39 | $259 | 1 | 28 | -70.6% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber