Average Medicaid Sleep Study (Polysomnography) Payments in Winston Salem, NC: $121.97
Avg. Paid
$121.97
Range
$77.04 – $143.45
Total Claims
1,753
Providers
8
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 Winston Salem, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Andrew Gray Bullard
Medical Center Blvd |
$108.41 | 13 | 13 |
|
Sandhya Rani Kumar
Medical Center Blvd |
$77.33 | 43 | 39 |
|
John Frank Conforti
3001 Lyndhurst Ave |
$77.04 | 48 | 45 |
|
Katherine M Sharkey
791 Jonestown Rd |
$107.00 | 50 | 48 |
|
Arjun Bijoy Chatterjee
Medical Center Boulevard |
$110.18 | 66 | 62 |
|
John Thomas Chewning
2025 Frontis Plaza Blvd |
$130.40 | 302 | 287 |
|
Andrew Michael Namen
Medical Center Blvd |
$143.45 | 528 | 455 |
|
Sheila Maria Maurer
Medical Center Blvd |
$110.44 | 703 | 553 |
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 Winston Salem, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Sleep Study (Polysomnography) in Winston Salem, NC is $121.97 per claim, based on 1,753 claims from 8 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 Winston Salem, NC?
There are 8 Medicaid providers offering Sleep Study (Polysomnography) related services in Winston Salem, NC according to public payment data.
What is the price range for Sleep Study (Polysomnography) in Winston Salem, NC?
Medicaid reimbursement for Sleep Study (Polysomnography) in Winston Salem, NC ranges from $77.04 to $143.45 per claim, with an average of $121.97. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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