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#269 of 11K

95810

Polysomnography, sleep study, 6+ hours

Polysomnography, sleep study, 6+ hours is the #269 most-billed Medicaid procedure code, with $523.1M in payments across 1.3M claims from 2018–2024. The national median cost per claim is $233.73. Costs vary widely — the 90th percentile is $688.14 per claim, 2.9× the median.

Total Paid

$523.1M

0.05% of all spending

Total Claims

1.3M

Providers

2K

Avg Cost/Claim

$398

National Cost Distribution

How much do providers bill per claim for 95810? Based on 2K providers billing this code nationally.

Median

$233.73

Average

$331.21

Std Dev

$348.33

Max

$3,837.50

Percentile Distribution (Cost per Claim)

p10
$63.78
p25
$91.77
Median
$233.73
p75
$469.36
p90
$688.14
p95
$843.04
p99
$1,733.54

50% of providers bill between $91.77 and $469.36 per claim for this code.

90% bill between $63.78 and $688.14.

Top 1% bill above $1,733.54.

About This Procedure

HCPCS code 95810 (Polysomnography, sleep study, 6+ hours) was billed by 2K providers across 1.3M claims, totaling $523.1M in Medicaid payments from 2018–2024. This code was used for 1.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$233.73

Providers Billing

2K

National Spending

$523.1M

Avg/Median Ratio

1.42×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 95810

#ProviderTotal Paid
1Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$11.0M
2Children's Health System Of Texas

Dallas, TX · General Acute Care Hospital Children

$9.5M
31316010952$7.2M
4Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$6.7M
5The Cooper Health System

Camden, NJ · General Acute Care Hospital

$6.6M
6Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$6.0M
7Children's Health System Of Texas

Plano, TX · General Acute Care Hospital Children

$5.8M
8Connecticut Children's Medical Center

Hartford, CT · General Acute Care Hospital, Children

$5.4M
9Newark Beth Israel Medical Center Inc

Newark, NJ · General Acute Care Hospital

$5.4M
101336245828$4.7M
11Childrens Hospital Of The Kings Daughters Inc

Norfolk, VA · Social Worker, Clinical

$4.4M
12Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$4.3M
13The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$4.2M
14The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$4.1M
15Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$3.8M
161225195340$3.5M
17Seattle Children's Hospital

Seattle, WA · Prosthetic/Orthotic Supplier

$3.5M
18Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$2.9M
19Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$2.9M
20State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$2.8M

Showing top 20 of 2K providers billing this code