Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation
Medicare pricing data for 298 providers across 29 states
Prices vary significantly by location — from $35 in Nebraska to $379 in Massachusetts. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation (HCPCS code G0398) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $132.74, but hospitals typically charge $459.26 — a 3.5x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $132.74, your out-of-pocket cost would be approximately $26.55. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.5x more than what Medicare allows for this procedure. Medicare actually pays $101.68 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Massachusetts | $379 | $700 | 1 | 22 | +185.4% |
| New Hampshire | $298 | $594 | 25 | 96 | +124.7% |
| Ohio | $256 | $521 | 9 | 339 | +92.5% |
| Illinois | $207 | $341 | 3 | 197 | +56.3% |
| Wisconsin | $201 | $1,195 | 2 | 38 | +51.1% |
| Wyoming | $167 | $233 | 1 | 26 | +26.1% |
| Georgia | $161 | $693 | 7 | 49 | +21.4% |
| Arizona | $155 | $433 | 18 | 233 | +16.8% |
| Michigan | $155 | $360 | 6 | 14 | +16.7% |
| California | $151 | $1,070 | 21 | 618 | +13.7% |
| Maryland | $149 | $384 | 4 | 36 | +12.5% |
| Virginia | $149 | $492 | 1 | 87 | +12.2% |
| Pennsylvania | $149 | $657 | 25 | 254 | +11.9% |
| Florida | $146 | $527 | 14 | 868 | +9.8% |
| Alabama | $144 | $321 | 2 | 22 | +8.2% |
| Texas | $144 | $407 | 17 | 494 | +8.1% |
| South Carolina | $137 | $311 | 7 | 114 | +3.5% |
| Louisiana | $135 | $539 | 3 | 12 | +1.5% |
| Iowa | $118 | $396 | 2 | 61 | -11.2% |
| Utah | $116 | $434 | 2 | 100 | -12.9% |
| New Jersey | $114 | $252 | 9 | 444 | -14.3% |
| West Virginia | $113 | $597 | 7 | 53 | -14.8% |
| New York | $102 | $205 | 35 | 450 | -23.3% |
| New Mexico | $71 | $140 | 1 | 66 | -46.1% |
| North Carolina | $55 | $254 | 34 | 806 | -58.9% |
| Indiana | $46 | $172 | 8 | 265 | -65.7% |
| Arkansas | $42 | $221 | 8 | 52 | -68.2% |
| Idaho | $39 | $163 | 2 | 16 | -70.5% |
| Nebraska | $35 | $406 | 1 | 24 | -73.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber