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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $11.0M |
| 2 | Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children | $9.5M |
| 3 | 1316010952 | $7.2M |
| 4 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $6.7M |
| 5 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $6.6M |
| 6 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $6.0M |
| 7 | Children's Health System Of Texas Plano, TX · General Acute Care Hospital Children | $5.8M |
| 8 | Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children | $5.4M |
| 9 | Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital | $5.4M |
| 10 | 1336245828 | $4.7M |
| 11 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $4.4M |
| 12 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $4.3M |
| 13 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $4.2M |
| 14 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $4.1M |
| 15 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $3.8M |
| 16 | 1225195340 | $3.5M |
| 17 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $3.5M |
| 18 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $2.9M |
| 19 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $2.9M |
| 20 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $2.8M |
Showing top 20 of 2K providers billing this code