Price Checker / CPT 95783

CPT 95783Polysom <6 yrs cpap/bilvl

2026 Medicare Physician Fee Schedule rates and hospital pricing data

Medicare Rate (Facility)

$1,069

What Medicare pays in a hospital/ASC setting

Medicare Rate (Office)

$1,069

What Medicare pays in a physician's office

Avg Hospital Charge

$5,768

Based on 15 hospital(s) in our database

What do these numbers mean?

The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.

Hospital Charges for CPT 95783

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
Los Alamos Medical Center

, NY

$9,847821%
Watertown Regional Medical Center

Watertown, WI

$7,602611%
Boston Children's Waltham

, MA

$7,881600%
University of Maryland Medical Center - Midtown Campus

, MD

$6,783534%
Kennedy Krieger Institute

Baltimore, MD

$6,610518%
Banner Page Hospital

Page, AZ

$6,563483%
Mt. Washington Pediatric Hospital

Baltimore, MD

$5,580422%
Novant Health Medical Park Hospital

, NC

$5,610409%
Eckerman Health Clinic.

Newberry, MI

$4,292301%
Gibson Family Health Center

Newberry, MI

$4,292301%
Helen Newberry Joy HLTCU Golden Leave Living CTR

Newberry, MI

$4,292301%
Helen Newberry Joy Hospital

Newberry, MI

$4,292301%
HNJH Skilled care

Newberry, MI

$4,292301%
Manistique Lakes Family Clinic

Newberry, MI

$4,292301%
West Mackinac Health Clinic

Newberry, MI

$4,292301%

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About CPT 95783

CPT code 95783 refers to “Polysom <6 yrs cpap/bilvl”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $1,069 in a facility (hospital or ambulatory surgery center) and $1,069in a non-facility (physician's office) setting.

These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.

What to do if you were overcharged

  1. Upload your bill— we'll identify this code and compare it against the rates shown above.
  2. Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
  3. Negotiate or let us handle it — 25% of savings, no savings = no fee.

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