Price Checker / CPT 95811
CPT 95811 — Polysom 6/>yrs cpap 4/> parm
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$708
What Medicare pays in a hospital/ASC setting
$708
What Medicare pays in a physician's office
$6,214
Based on 138 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 95811
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Vaughan Regional Medical Center Parkway Campus Selma, AL | $24,906 | — | 3419% |
| Cornerstone Specialty Hospitals Huntington Huntington, WV | $22,361 | — | 3059% |
| Cornerstone Specialty Hospitals Huntington , WV | $22,361 | $22,361 | 3059% |
| Ochsner St. Mary Morgan City, LA | $18,859 | — | 2565% |
| Los Alamos Medical Center , NY | $11,139 | — | 1474% |
| Kindred Hospital Albuquerque Albuquerque, NM | $10,605 | — | 1398% |
| Kindred Hospital East New Jersey Passaic, NJ | $10,605 | — | 1398% |
| Kindred Hospital New Jersey - Rahway Rahway, NJ | $10,605 | — | 1398% |
| Brown County Hospital Ainsworth, NE | $4,600 | — | 1200% |
| Genoa Medical Facilities Genoa, NE | $4,497 | — | 1106% |
| Copley Hospital , VT | $8,728 | — | 1072% |
| Watertown Regional Medical Center Watertown, WI | $8,268 | — | 1068% |
| Southwestern Medical Center Lawton, OK | $8,122 | — | 1048% |
| Kindred Hospital Bay Area - St. Petersburg St. Petersburg, FL | $7,828 | — | 1006% |
| Kindred Hospital Bay Area - Tampa Tampa, FL | $7,828 | — | 1006% |
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About CPT 95811
CPT code 95811 refers to “Polysom 6/>yrs cpap 4/> parm”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $708 in a facility (hospital or ambulatory surgery center) and $708in 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
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.