Average Medicaid Sleep Study (Polysomnography) Payments in Washington, DC: $436.87
Avg. Paid
$436.87
Range
$56.89 – $1,239
Total Claims
11,356
Providers
16
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 Washington, DC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Vivek Jain
2150 Pennsylvania Ave Nw |
$333.46 | 2,721 | 2,404 |
|
Howard University Hospital Corp
2041 Georgia Ave Nw |
$850.91 | 1,806 | 1,637 |
|
Jenny P Lew
111 Michigan Ave Nw |
$108.85 | 1,597 | 1,549 |
|
Children'S Hospital
111 Michigan Ave Nw |
$1,239 | 1,206 | 1,161 |
|
National Rehabilitation Hospital Inc
102 Irving St Nw |
$110.56 | 853 | 801 |
|
Allyson Mirabella
700 2Nd St Ne |
$145.98 | 836 | 794 |
|
Oscar Manuel Rodriguez Pineda
111 Michigan Ave Nw |
$102.51 | 561 | 538 |
|
Providence Hospital
1150 Varnum St Ne |
$668.06 | 513 | 474 |
|
Peter Lefort Whitesell
2041 Georgia Ave Nw Main Hospital |
$80.85 | 318 | 290 |
|
Muhammad Shibli
1150 Varnum St Ne |
$306.02 | 272 | 246 |
|
Francisco Hoyos
1150 Varnum St Ne |
$264.27 | 221 | 195 |
|
Zara Martirosyan
2041 Georgia Ave Nw |
$85.46 | 193 | 176 |
|
Marc F. Schlosberg
106 Irving St Nw |
$56.89 | 142 | 119 |
|
Medstar - Georgetown Medical Center, Inc.
3800 Reservoir Rd., Nw |
$380.61 | 59 | 53 |
|
Capital City Sleep Center Llc
1310 Southern Ave Se |
$378.43 | 44 | 36 |
|
Jacob Fredrick Collen
5255 Loughboro Rd Nw |
$93.94 | 14 | 13 |
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 Washington, DC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Sleep Study (Polysomnography) in Washington, DC is $436.87 per claim, based on 11,356 claims from 16 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 Washington, DC?
There are 16 Medicaid providers offering Sleep Study (Polysomnography) related services in Washington, DC according to public payment data.
What is the price range for Sleep Study (Polysomnography) in Washington, DC?
Medicaid reimbursement for Sleep Study (Polysomnography) in Washington, DC ranges from $56.89 to $1,239 per claim, with an average of $436.87. 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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