Sleep study in sleep lab (6 years or older)
Medicare pricing data for 6,338 providers across 52 states
Prices vary significantly by location — from $117 in New Hampshire to $565 in Alaska. 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 in sleep lab (6 years or older) (HCPCS code 95810) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $302.29, but hospitals typically charge $1,174 — a 3.9x 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 $302.29, your out-of-pocket cost would be approximately $60.46. 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 3.9x more than what Medicare allows for this procedure. Medicare actually pays $234.72 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $565 | $3,704 | 22 | 723 | +86.8% |
| Nevada | $517 | $1,681 | 58 | 2,251 | +71.0% |
| District of Columbia | $512 | $1,115 | 17 | 636 | +69.5% |
| California | $499 | $1,893 | 378 | 16,306 | +65.2% |
| Wyoming | $446 | $1,271 | 4 | 142 | +47.7% |
| Hawaii | $441 | $1,401 | 14 | 298 | +45.9% |
| Puerto Rico | $427 | $445 | 13 | 112 | +41.4% |
| Arizona | $423 | $1,688 | 103 | 4,213 | +39.8% |
| Delaware | $419 | $2,249 | 31 | 1,140 | +38.7% |
| Maryland | $412 | $1,340 | 117 | 4,702 | +36.2% |
| Florida | $390 | $1,212 | 456 | 14,908 | +28.9% |
| Virginia | $369 | $1,112 | 177 | 6,719 | +22.0% |
| Rhode Island | $345 | $1,169 | 15 | 269 | +14.0% |
| Oregon | $340 | $1,067 | 74 | 2,257 | +12.4% |
| Montana | $339 | $948 | 28 | 1,071 | +12.1% |
| New York | $335 | $1,610 | 314 | 7,491 | +10.7% |
| Minnesota | $327 | $1,301 | 132 | 2,426 | +8.1% |
| Utah | $315 | $909 | 50 | 1,864 | +4.3% |
| Texas | $313 | $1,227 | 467 | 14,013 | +3.6% |
| Georgia | $313 | $1,184 | 190 | 4,405 | +3.4% |
| North Carolina | $306 | $1,126 | 255 | 6,985 | +1.1% |
| Washington | $293 | $949 | 140 | 4,224 | -3.2% |
| New Mexico | $292 | $1,303 | 28 | 1,138 | -3.5% |
| South Carolina | $284 | $1,094 | 118 | 4,564 | -6.2% |
| New Jersey | $283 | $1,709 | 202 | 3,607 | -6.4% |
| Tennessee | $267 | $1,144 | 157 | 5,843 | -11.5% |
| Massachusetts | $263 | $920 | 158 | 4,076 | -13.0% |
| Illinois | $262 | $1,316 | 322 | 8,384 | -13.4% |
| Connecticut | $259 | $1,238 | 76 | 1,924 | -14.2% |
| Iowa | $245 | $973 | 44 | 1,805 | -18.8% |
| Michigan | $244 | $707 | 240 | 5,066 | -19.3% |
| West Virginia | $239 | $972 | 61 | 1,180 | -21.0% |
| Mississippi | $238 | $1,425 | 56 | 2,896 | -21.4% |
| Colorado | $226 | $648 | 92 | 2,273 | -25.3% |
| Louisiana | $223 | $960 | 69 | 2,266 | -26.3% |
| Vermont | $220 | $2,066 | 10 | 295 | -27.2% |
| Kansas | $215 | $939 | 49 | 1,413 | -28.9% |
| Alabama | $199 | $614 | 106 | 3,859 | -34.1% |
| Idaho | $194 | $524 | 48 | 1,020 | -35.7% |
| Pennsylvania | $186 | $647 | 305 | 6,687 | -38.4% |
| Missouri | $184 | $788 | 171 | 3,829 | -39.1% |
| North Dakota | $182 | $588 | 18 | 926 | -39.7% |
| Arkansas | $179 | $678 | 46 | 2,678 | -40.7% |
| Ohio | $170 | $850 | 316 | 7,586 | -43.9% |
| Indiana | $167 | $735 | 158 | 4,803 | -44.6% |
| Maine | $167 | $519 | 25 | 696 | -44.7% |
| Oklahoma | $160 | $415 | 59 | 3,018 | -47.0% |
| Kentucky | $159 | $661 | 111 | 2,330 | -47.5% |
| Nebraska | $152 | $430 | 36 | 852 | -49.6% |
| Wisconsin | $149 | $1,534 | 144 | 2,584 | -50.9% |
| South Dakota | $123 | $448 | 21 | 845 | -59.3% |
| New Hampshire | $117 | $709 | 32 | 1,043 | -61.4% |
⚠️ 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