Costs of sleep studies?

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

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  1. NRAI2001

    NRAI2001 3K Member 10+ Year Member

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    Nov 5, 2001
    Cali
    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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  • Shikima

    Shikima 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.
     
  • NRAI2001

    NRAI2001 3K Member 10+ Year Member

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    Nov 5, 2001
    Cali
    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?
     
  • Shikima

    Shikima 10+ Year Member

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    Oct 15, 2006
    Physician
    You can look it up. Numbers look accurate. Accreditation can be found online - it's long and lengthy.
     

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