Average Medicaid Sleep Study (Polysomnography) Payments in San Antonio, TX: $242.34
Avg. Paid
$242.34
Range
$91.51 – $1,953
Total Claims
5,950
Providers
11
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 San Antonio, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bexar County Hospital District
4502 Medical Dr |
$417.54 | 12 | 12 |
|
Gilbert Ruiz
4775 Hamilton Wolfe Rd Ste 1 |
$93.40 | 12 | 12 |
|
James Michael Andry
5290 Medical Dr |
$261.14 | 14 | 13 |
|
Suhaib W. Haq
919 Locke St |
$811.01 | 15 | 14 |
|
Sahar Heydari
7979 Wurzbach Rd |
$1,953 | 37 | 36 |
|
Rebecca Ann Pena
333 N Santa Rosa St |
$1,666 | 41 | 41 |
|
Shakil Ahmed Khan
3338 Oakwell Ct Ste 160 |
$91.51 | 660 | 627 |
|
Academy Diagnostics Llc
8215 Fredericksburg Rd |
$455.49 | 697 | 691 |
|
Kelly J Smith
333 N Santa Rosa |
$94.57 | 1,020 | 1,009 |
|
Tarak J Patel
4114 Pond Hill Road |
$93.32 | 1,355 | 1,343 |
|
Karen Hentschel-Franks
4502 Medical Dr |
$325.17 | 2,087 | 2,054 |
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 San Antonio, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Sleep Study (Polysomnography) in San Antonio, TX is $242.34 per claim, based on 5,950 claims from 11 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 San Antonio, TX?
There are 11 Medicaid providers offering Sleep Study (Polysomnography) related services in San Antonio, TX according to public payment data.
What is the price range for Sleep Study (Polysomnography) in San Antonio, TX?
Medicaid reimbursement for Sleep Study (Polysomnography) in San Antonio, TX ranges from $91.51 to $1,953 per claim, with an average of $242.34. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Sleep Study (Polysomnography) in Other Cities
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Avg $452.38
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Redding, CA
Avg $261.03
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Avg $468.88
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Avg $282.53
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Hartford, CT
Avg $519.28
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Avg $158.87
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Avg $326.90
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