Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels
Medicare pricing data for 337 providers across 31 states
Prices vary significantly by location — from $39 in Nebraska to $238 in Rhode Island. Where you get this procedure matters more than almost any other factor. 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 test (hst) with type iv portable monitor, unattended; minimum of 3 channels (HCPCS code G0400) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $149.49, but hospitals typically charge $384.91 — a 2.6x 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 $149.49, your out-of-pocket cost would be approximately $29.90. 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 2.6x more than what Medicare allows for this procedure. Medicare actually pays $116.34 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Rhode Island | $238 | $450 | 1 | 33 | +59.1% |
| Illinois | $216 | $254 | 10 | 6,785 | +44.4% |
| Minnesota | $186 | $1,155 | 41 | 397 | +24.4% |
| Wisconsin | $177 | $650 | 1 | 68 | +18.5% |
| Massachusetts | $177 | $465 | 3 | 36 | +18.3% |
| Ohio | $162 | $641 | 8 | 184 | +8.3% |
| Maine | $117 | $154 | 6 | 133 | -21.5% |
| Georgia | $109 | $419 | 6 | 202 | -27.0% |
| New Jersey | $100 | $476 | 3 | 27 | -33.0% |
| South Carolina | $99 | $760 | 1 | 64 | -33.7% |
| California | $97 | $648 | 17 | 540 | -35.2% |
| Florida | $86 | $1,319 | 10 | 231 | -42.7% |
| Arizona | $86 | $862 | 20 | 364 | -42.8% |
| Kentucky | $84 | $326 | 2 | 83 | -44.1% |
| Iowa | $82 | $495 | 2 | 153 | -45.1% |
| New Hampshire | $80 | $925 | 3 | 12 | -46.6% |
| New York | $80 | $546 | 22 | 1,162 | -46.7% |
| Nevada | $72 | $440 | 3 | 174 | -52.0% |
| Texas | $67 | $278 | 21 | 558 | -55.3% |
| Missouri | $65 | $192 | 14 | 180 | -56.7% |
| North Carolina | $58 | $303 | 13 | 168 | -61.3% |
| Washington | $58 | $450 | 30 | 434 | -61.3% |
| Michigan | $48 | $799 | 19 | 191 | -67.8% |
| Pennsylvania | $47 | $193 | 17 | 468 | -68.6% |
| Indiana | $44 | $158 | 14 | 443 | -70.5% |
| Virginia | $44 | $128 | 4 | 62 | -70.7% |
| Kansas | $43 | $450 | 1 | 32 | -71.3% |
| North Dakota | $43 | $167 | 16 | 212 | -71.5% |
| Oregon | $41 | $224 | 1 | 86 | -72.8% |
| Idaho | $39 | $86 | 5 | 49 | -73.9% |
| Nebraska | $39 | $111 | 1 | 17 | -74.0% |
⚠️ 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