Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation
Medicare pricing data for 2,818 providers across 52 states
This procedure has a 6.7x markup — hospitals charge $471.54 but Medicare allows only $70.34. Uninsured patients may face bills 6.7 times higher than what insurance negotiates. Prices vary significantly by location — from $43 in South Dakota to $99 in District of Columbia. 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
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation (HCPCS code G0399) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $70.34, but hospitals typically charge $471.54 — a 6.7x 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 $70.34, your out-of-pocket cost would be approximately $14.07. 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 6.7x more than what Medicare allows for this procedure. Medicare actually pays $52.18 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $99 | $476 | 5 | 178 | +40.6% |
| West Virginia | $93 | $990 | 4 | 103 | +32.5% |
| Nevada | $93 | $854 | 18 | 849 | +31.9% |
| Hawaii | $89 | $414 | 4 | 316 | +26.3% |
| Puerto Rico | $88 | $150 | 1 | 29 | +25.6% |
| Delaware | $88 | $742 | 11 | 234 | +25.4% |
| Ohio | $87 | $391 | 89 | 1,519 | +23.4% |
| California | $87 | $825 | 173 | 10,229 | +23.2% |
| New Mexico | $84 | $317 | 5 | 66 | +20.0% |
| Maryland | $83 | $438 | 25 | 893 | +18.7% |
| Kentucky | $83 | $352 | 59 | 2,521 | +18.6% |
| Alabama | $83 | $403 | 13 | 656 | +18.5% |
| Utah | $83 | $358 | 26 | 503 | +17.4% |
| Arizona | $81 | $286 | 211 | 3,358 | +14.6% |
| Wyoming | $78 | $400 | 4 | 111 | +10.8% |
| Florida | $77 | $401 | 217 | 8,842 | +9.4% |
| New Jersey | $77 | $438 | 50 | 1,867 | +9.3% |
| Massachusetts | $77 | $681 | 70 | 2,617 | +9.1% |
| Georgia | $76 | $315 | 120 | 1,149 | +8.2% |
| Nebraska | $76 | $293 | 21 | 1,096 | +7.5% |
| Oregon | $74 | $351 | 55 | 1,531 | +4.6% |
| Colorado | $73 | $297 | 21 | 587 | +3.8% |
| Texas | $73 | $686 | 125 | 2,144 | +3.3% |
| Mississippi | $72 | $307 | 6 | 50 | +2.5% |
| Vermont | $72 | $498 | 4 | 118 | +2.0% |
| Virginia | $71 | $299 | 38 | 889 | +1.3% |
| Alaska | $70 | $1,100 | 6 | 319 | +0.2% |
| Rhode Island | $70 | $326 | 7 | 38 | -0.4% |
| South Carolina | $70 | $393 | 37 | 1,593 | -1.0% |
| Washington | $67 | $381 | 114 | 3,644 | -4.4% |
| Montana | $67 | $252 | 7 | 186 | -5.1% |
| North Carolina | $66 | $693 | 67 | 1,618 | -5.9% |
| Michigan | $64 | $343 | 109 | 2,253 | -9.6% |
| New York | $62 | $411 | 116 | 2,124 | -11.5% |
| Pennsylvania | $61 | $412 | 204 | 4,396 | -13.2% |
| Tennessee | $60 | $306 | 32 | 484 | -14.3% |
| Oklahoma | $59 | $550 | 7 | 106 | -16.5% |
| Minnesota | $58 | $407 | 91 | 618 | -17.9% |
| Louisiana | $58 | $402 | 29 | 956 | -18.2% |
| Kansas | $58 | $480 | 21 | 1,159 | -18.2% |
| Illinois | $56 | $357 | 197 | 3,543 | -20.5% |
| Indiana | $56 | $381 | 80 | 1,865 | -20.5% |
| Maine | $55 | $403 | 4 | 361 | -22.3% |
| Iowa | $54 | $287 | 14 | 1,052 | -22.6% |
| Arkansas | $49 | $458 | 11 | 67 | -29.8% |
| Connecticut | $49 | $261 | 33 | 494 | -30.4% |
| North Dakota | $48 | $224 | 9 | 101 | -31.9% |
| Wisconsin | $48 | $633 | 93 | 2,689 | -32.4% |
| Missouri | $47 | $336 | 74 | 1,538 | -33.9% |
| New Hampshire | $45 | $419 | 26 | 1,026 | -36.0% |
| Idaho | $45 | $175 | 23 | 1,150 | -36.7% |
| South Dakota | $43 | $111 | 22 | 1,252 | -38.4% |
⚠️ 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