Average Medicaid Sleep Study (Polysomnography) Payments in Boston, MA: $636.31
Avg. Paid
$636.31
Range
$23.12 – $1,202
Total Claims
8,147
Providers
21
Typical Payment Range
Typical Medicaid Sleep Study (Polysomnography) payments fall between $70.98 and $347.07 per claim (median: $132.40). The top 10% of payments exceed $577.20.
Based on per-provider averages across all Medicaid claims in this category.
A sleep study monitors brain activity, eye movement, heart rate, breathing, and oxygen levels during sleep to diagnose sleep disorders like sleep apnea.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Sleep Study (Polysomnography) in Boston, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert Clinton Stowe
300 Longwood Ave |
$95.21 | 12 | 12 |
|
Robert Joseph Thomas
330 Brookline Ave |
$62.30 | 12 | 12 |
|
Greg Schumaker
750 Washington St |
$23.12 | 12 | 12 |
|
William A Debassio
725 Albany St |
$93.45 | 13 | 13 |
|
Brigham And Women'S Faulkner Hospital, Inc
1153 Centre St |
$87.95 | 13 | 13 |
|
Clarisse Joy Glen
1493 Cambridge Street |
$53.50 | 13 | 13 |
|
Tufts Medical Center, Inc.
800 Washington St |
$1,202 | 25 | 25 |
|
Naina Limbekar
725 Albany Street |
$67.41 | 26 | 26 |
|
James E Mojica
55 Fruit St |
$69.30 | 27 | 27 |
|
John W. Winkelman
55 Fruit St |
$58.32 | 37 | 37 |
|
Kevin Sylvan Gipson
275 Cambridge St |
$84.24 | 49 | 49 |
|
Thomas Bernard Kinane
275 Cambridge St, Ste 530 |
$88.43 | 66 | 66 |
|
The General Hospital Corporation
55 Fruit St |
$542.05 | 81 | 81 |
|
Patrick D Mabray
725 Albany Street |
$81.75 | 87 | 87 |
|
Kenneth Clayton Sassower
15 Parkman St |
$62.59 | 121 | 95 |
|
Joshua Tyler August
300 Longwood Ave |
$87.49 | 173 | 173 |
|
Mandeep Rana
725 Albany St Ste 8C |
$96.39 | 394 | 394 |
|
Noah S Siegel
800 Huntington Ave |
$57.45 | 451 | 451 |
|
Children'S Hospital Corporation
300 Longwood Ave |
$1,184 | 1,537 | 1,526 |
|
Sanford H Auerbach
725 Albany Street, Suite 7B |
$55.64 | 1,848 | 1,841 |
|
Boston Medical Center Corporation
1 Boston Medical Ctr Pl |
$975.55 | 3,150 | 3,137 |
What to Expect: Sleep Study (Polysomnography)
You'll spend the night at a sleep center. Sensors are attached to your scalp, face, chest, and legs to monitor brain waves, eye movements, heart rate, breathing, and muscle activity. The recording is painless but the sensors and unfamiliar environment may make it harder to fall asleep. A home sleep test is a simpler alternative for some patients. Results are interpreted by a sleep specialist.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 95810 | Polysomnography 6+ hrs | $398.06 | 1,314,196 | 2,740 |
| 95811 | Polysomnography w/CPAP 6+ hrs | $339.75 | 529,598 | 1,666 |
| 95806 | Sleep study unattend cardio | $126.67 | 372,072 | 1,267 |
| 95800 | Sleep study unattended | $195.65 | 162,979 | 564 |
| 95801 | Sleep study unattend w/PAP | $137.59 | 5,008 | 6 |
| 95807 | Sleep study attended | $268.70 | 4,098 | 18 |
| 95808 | Polysomnography attended | $544.05 | 944 | 6 |
| 95805 | Multi sleep latency test | $217.86 | 533 | 13 |
| 95803 | Actigraphy testing | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Sleep Study (Polysomnography) cost in Boston, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Sleep Study (Polysomnography) in Boston, MA is $636.31 per claim, based on 8,147 claims from 21 providers. Typical payments fall between $70.98 and $347.07. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Sleep Study (Polysomnography) in Boston, MA?
There are 21 Medicaid providers offering Sleep Study (Polysomnography) related services in Boston, MA according to public payment data.
What is the price range for Sleep Study (Polysomnography) in Boston, MA?
Medicaid reimbursement for Sleep Study (Polysomnography) in Boston, MA ranges from $23.12 to $1,202 per claim, with an average of $636.31. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Sleep Study (Polysomnography) in Other Cities
Cleveland, OH
Avg $452.38
36,548 claims · 37 providers
Redding, CA
Avg $261.03
33,480 claims · 4 providers
Eunice, LA
Avg $468.88
30,256 claims · 1 providers
Indianapolis, IN
Avg $317.79
25,335 claims · 29 providers
Las Vegas, NV
Avg $282.53
24,445 claims · 10 providers
Hartford, CT
Avg $519.28
23,714 claims · 13 providers
Grand Rapids, MI
Avg $158.87
21,777 claims · 5 providers
Columbus, OH
Avg $326.90
21,120 claims · 27 providers
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