Average Medicaid Sleep Study (Polysomnography) Payments in Sioux Falls, SD: $129.13
Avg. Paid
$129.13
Range
$57.80 – $828.74
Total Claims
802
Providers
4
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 Sioux Falls, SD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sanford Medical Center
1420 W 22Ndst Ste 104 |
$171.67 | 388 | 385 |
|
Avera Mckennan
1301 S. Cliff Ave. |
$57.80 | 221 | 217 |
|
Anthony J. Hericks
810 E 23Rd St Ste 300 |
$74.48 | 180 | 176 |
|
Wilfredo G Veloira
1417 S. Cliff Ave |
$828.74 | 13 | 12 |
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 Sioux Falls, SD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Sleep Study (Polysomnography) in Sioux Falls, SD is $129.13 per claim, based on 802 claims from 4 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 Sioux Falls, SD?
There are 4 Medicaid providers offering Sleep Study (Polysomnography) related services in Sioux Falls, SD according to public payment data.
What is the price range for Sleep Study (Polysomnography) in Sioux Falls, SD?
Medicaid reimbursement for Sleep Study (Polysomnography) in Sioux Falls, SD ranges from $57.80 to $828.74 per claim, with an average of $129.13. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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