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Costs of sleep studies?

Discussion in 'Sleep Medicine' started by NRAI2001, Mar 13, 2017.

  1. NRAI2001

    NRAI2001 3K Member
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    Hey guys

    I m trying to understand the cost to the patient and the numbers behind private practice.

    How much does a typical sleep study reimburse? I v heard numbers anywhere from $600 to upto $3000. I did a two week sleep rotation but I didn't feel comfortable enough to ask the question. One of the attendings at my residency believes it's probably around the $1200 range?
     
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  3. Shikima

    Physician 10+ Year Member

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    Depends on the region. But iirc, that's about right for an attended study for the technical fee. The reading fee is far less, about $120s or so. I also heard that medicare is going to mandate all sleep labs to be AASM accredited which is not an easy feat.
     
  4. NRAI2001

    NRAI2001 3K Member
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    What would AASM accreditation entail?

    Yes the physician interpretation reimbursement from Medicare is $127.

    Using the CMS website it shows the price for a attended overnight test to be $689 (95810).

    In the real world what is the reimbursement to the clinic more like? Does the center usually get something like $600-700? Seems like it wouldn't be enough to operate a sleep lab and all the overhead?
     
  5. Shikima

    Physician 10+ Year Member

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    You can look it up. Numbers look accurate. Accreditation can be found online - it's long and lengthy.
     
  6. NRAI2001

    NRAI2001 3K Member
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  7. michaelrack

    michaelrack All In at the wrong time
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    hospitals get higher reimbursement for sleep studies (and pretty much everything else) than non-hospital sleep centers
     
  8. danibrittany

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    I agree with Michael Rack; it also depends on the facility. More extensive facilities may do end up getting higher reimbursement for sleep studies. However, it also depends on the type of sleep studies. Some insurance providers do provide cover for sleep studies which can range anywhere from $500 to $3000 for a patient.
     
  9. Katlen

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    I think that in all regions prices are different anyway. Somewhere less somewhere more.
     
  10. bizdr

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    In house, they can be billed up to around $5000. In home ones would be around $500-$1000.
     

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