CPT 95783 Neurology/EMG
Polysom <6 yrs cpap/bilvl Cost
Body System: Nervous
Medicare Facility Rate
$1,069
CMS PFS CY2026
Medicare Non-Facility Rate
$1,069
Office/clinic setting
Hospital Outpatient
$877
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.76
Work RVU
28.90
Facility PE RVU
0.35
Malpractice RVU
32.01
Total RVU
Frequently Asked Questions
How much does Polysom <6 yrs cpap/bilvl cost?
The Medicare facility rate is $1,069. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $877.
How much does Polysom <6 yrs cpap/bilvl cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $1,069.