CPT 95811 Neurology/EMG
Polysom 6/>yrs cpap 4/> parm Cost
Body System: Nervous
Medicare Facility Rate
$708
CMS PFS CY2026
Medicare Non-Facility Rate
$708
Office/clinic setting
Hospital Outpatient
$877
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.54
Work RVU
18.37
Facility PE RVU
0.28
Malpractice RVU
21.19
Total RVU
Frequently Asked Questions
How much does Polysom 6/>yrs cpap 4/> parm cost?
The Medicare facility rate is $708. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $877.
How much does Polysom 6/>yrs cpap 4/> parm 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 $708.