{"procedure":{"code_type":"CPT","code":"95801","lay_name":"Home sleep test measuring heart rate, oxygen and breathing","blurb":"An unattended sleep study done outside a sleep lab that records at least heart rate, blood oxygen level and breathing, without measuring sleep stages and without a technologist present.","slug":"cpt-95801-home-sleep-test-measuring-heart-rate-oxygen-and-breathing","description":"SLP STDY UNATND W/ANAL","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"7","label":"Other diagnostic nervous system procedures","surgery_flag":"neither"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T21:37:34.157880Z","filing_date_min":"2024-01-24","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:07:09.005325Z","checked_through":"2026-09-25T01:14:07.150894Z","n_priced_setters":3956,"n_filed":512,"n_usable":461,"n_not_usable":0,"n_labelled":28,"n_no_cash":23,"n_estimated":0,"n_states":46,"cash_p10":58.0,"cash_p20":72.39,"cash_p25":85.5,"cash_p50":270.11,"cash_p75":504.0,"cash_p80":526.81,"cash_p90":781.36,"cash_mean_trimmed":280.89,"gross_p50":547.0,"cash_to_gross_p50":0.6,"medicare_rate":60.27,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":4.4817,"by_state":[{"state":"AK","n":2,"p20":null,"p50":null,"p80":null},{"state":"AL","n":4,"p20":null,"p50":null,"p80":null},{"state":"AR","n":4,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":6,"p20":null,"p50":null,"p80":null},{"state":"CA","n":37,"p20":270.53,"p50":504.0,"p80":666.0},{"state":"CO","n":8,"p20":null,"p50":null,"p80":null},{"state":"CT","n":4,"p20":null,"p50":null,"p80":null},{"state":"FL","n":21,"p20":318.6,"p50":318.6,"p80":560.95},{"state":"GA","n":9,"p20":null,"p50":null,"p80":null},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":22,"p20":94.4,"p50":214.8,"p80":770.52},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":13,"p20":50.4,"p50":75.0,"p80":498.04},{"state":"IN","n":24,"p20":50.4,"p50":388.94,"p80":585.0},{"state":"KS","n":3,"p20":null,"p50":null,"p80":null},{"state":"KY","n":19,"p20":238.51,"p50":494.4,"p80":810.77},{"state":"LA","n":5,"p20":null,"p50":null,"p80":null},{"state":"MD","n":5,"p20":null,"p50":null,"p80":null},{"state":"ME","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":12,"p20":73.6,"p50":81.12,"p80":255.0},{"state":"MN","n":21,"p20":253.44,"p50":342.46,"p80":1065.34},{"state":"MO","n":7,"p20":null,"p50":null,"p80":null},{"state":"MS","n":6,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":2,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":4,"p20":null,"p50":null,"p80":null},{"state":"NH","n":3,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":14,"p20":65.75,"p50":65.8,"p80":76.63},{"state":"NV","n":4,"p20":null,"p50":null,"p80":null},{"state":"NY","n":24,"p20":70.29,"p50":70.29,"p80":804.95},{"state":"OH","n":9,"p20":null,"p50":null,"p80":null},{"state":"OK","n":14,"p20":48.0,"p50":50.0,"p80":170.22},{"state":"OR","n":10,"p20":243.1,"p50":243.1,"p80":307.5},{"state":"PA","n":16,"p20":58.0,"p50":69.64,"p80":270.5},{"state":"RI","n":1,"p20":null,"p50":null,"p80":null},{"state":"SC","n":6,"p20":null,"p50":null,"p80":null},{"state":"TN","n":20,"p20":55.1,"p50":123.05,"p80":161.7},{"state":"TX","n":35,"p20":107.0,"p50":412.0,"p80":526.81},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":11,"p20":161.7,"p50":201.6,"p80":660.8},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":4,"p20":null,"p50":null,"p80":null},{"state":"WI","n":23,"p20":296.34,"p50":345.74,"p80":450.3},{"state":"WV","n":13,"p20":168.44,"p50":224.83,"p80":530.0},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":380,"p20":70.29,"p50":253.44,"p80":526.81},{"key":"childrens","n":7,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":74,"p20":92.0,"p50":282.0,"p80":526.81}],"ownership":[{"key":"for_profit","n":53,"p20":52.0,"p50":139.0,"p80":492.94},{"key":"government","n":54,"p20":70.29,"p50":214.8,"p80":480.0},{"key":"nonprofit","n":354,"p20":80.51,"p50":285.0,"p80":560.95}],"affiliation":[{"key":"affiliated","n":398,"p20":70.29,"p50":282.0,"p80":553.21},{"key":"independent","n":63,"p20":72.59,"p50":170.22,"p80":387.52}]},"histogram":[{"lo":50.0,"hi":67.89,"n":49},{"lo":67.89,"hi":92.19,"n":49},{"lo":92.19,"hi":125.18,"n":24},{"lo":125.18,"hi":169.97,"n":29},{"lo":169.97,"hi":230.8,"n":33},{"lo":230.8,"hi":313.39,"n":52},{"lo":313.39,"hi":425.53,"n":47},{"lo":425.53,"hi":577.81,"n":82},{"lo":577.81,"hi":784.58,"n":32},{"lo":784.58,"hi":1065.34,"n":23}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T21:37:34.157880Z","filing_date_min":"2025-09-26","filing_date_max":"2026-09-15","checked_from":"2026-09-05T02:07:09.005325Z","checked_through":"2026-09-25T01:13:52.941847Z","n_priced_setters":3956,"n_filed":349,"n_usable":306,"n_not_usable":0,"n_labelled":19,"n_no_cash":24,"n_estimated":0,"n_states":43,"cash_p10":57.5,"cash_p20":94.0,"cash_p25":104.0,"cash_p50":296.34,"cash_p75":504.0,"cash_p80":542.0,"cash_p90":781.36,"cash_mean_trimmed":302.84,"gross_p50":531.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":3,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":3,"p20":null,"p50":null,"p80":null},{"state":"CA","n":31,"p20":440.1,"p50":504.0,"p80":504.0},{"state":"CO","n":5,"p20":null,"p50":null,"p80":null},{"state":"CT","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":18,"p20":318.6,"p50":318.6,"p80":560.95},{"state":"GA","n":8,"p20":null,"p50":null,"p80":null},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":17,"p20":94.4,"p50":150.5,"p80":770.52},{"state":"ID","n":5,"p20":null,"p50":null,"p80":null},{"state":"IL","n":22,"p20":70.2,"p50":81.0,"p80":107.2},{"state":"IN","n":9,"p20":null,"p50":null,"p80":null},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":12,"p20":138.18,"p50":238.51,"p80":494.4},{"state":"LA","n":2,"p20":null,"p50":null,"p80":null},{"state":"MD","n":4,"p20":null,"p50":null,"p80":null},{"state":"ME","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":7,"p20":null,"p50":null,"p80":null},{"state":"MN","n":12,"p20":342.46,"p50":342.46,"p80":1065.34},{"state":"MO","n":2,"p20":null,"p50":null,"p80":null},{"state":"MS","n":2,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":2,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":4,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":6,"p20":null,"p50":null,"p80":null},{"state":"OH","n":8,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":46.8,"p50":48.0,"p80":50.0},{"state":"OR","n":9,"p20":null,"p50":null,"p80":null},{"state":"PA","n":7,"p20":null,"p50":null,"p80":null},{"state":"SC","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":17,"p20":90.95,"p50":161.7,"p80":161.7},{"state":"TX","n":31,"p20":107.0,"p50":498.32,"p80":526.81},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":9,"p20":null,"p50":null,"p80":null},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":3,"p20":null,"p50":null,"p80":null},{"state":"WI","n":15,"p20":296.34,"p50":379.05,"p80":450.3},{"state":"WV","n":5,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":255,"p20":94.2,"p50":307.5,"p80":542.0},{"key":"childrens","n":5,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":46,"p20":92.0,"p50":238.51,"p80":498.32}],"ownership":[{"key":"for_profit","n":36,"p20":50.4,"p50":139.0,"p80":498.32},{"key":"government","n":24,"p20":84.0,"p50":255.0,"p80":494.4},{"key":"nonprofit","n":246,"p20":97.6,"p50":307.5,"p80":560.95}],"affiliation":[{"key":"affiliated","n":273,"p20":94.4,"p50":307.5,"p80":560.95},{"key":"independent","n":33,"p20":70.2,"p50":136.0,"p80":350.93}]},"histogram":[{"lo":50.0,"hi":67.89,"n":25},{"lo":67.89,"hi":92.19,"n":21},{"lo":92.19,"hi":125.18,"n":31},{"lo":125.18,"hi":169.97,"n":23},{"lo":169.97,"hi":230.8,"n":12},{"lo":230.8,"hi":313.39,"n":36},{"lo":313.39,"hi":425.53,"n":29},{"lo":425.53,"hi":577.81,"n":61},{"lo":577.81,"hi":784.58,"n":28},{"lo":784.58,"hi":1065.34,"n":13}],"previous":null}},"related":[{"code_type":"CPT","code":"95810","lay_name":"Overnight sleep study, age 6 and older, in lab","slug":"cpt-95810-overnight-sleep-study-age-6-and-older-in-lab"},{"code_type":"CPT","code":"95811","lay_name":"Sleep study with CPAP setup, age 6 and older, in lab","slug":"cpt-95811-sleep-study-with-cpap-setup-age-6-and-older-in-lab"},{"code_type":"CPT","code":"95805","lay_name":"Daytime nap study for sleepiness or staying awake","slug":"cpt-95805-daytime-nap-study-for-sleepiness-or-staying-awake"},{"code_type":"CPT","code":"95806","lay_name":"Home sleep test measuring airflow, effort and oxygen","slug":"cpt-95806-home-sleep-test-measuring-airflow-effort-and-oxygen"},{"code_type":"CPT","code":"95909","lay_name":"Nerve conduction studies, 5 to 6 nerves tested","slug":"cpt-95909-nerve-conduction-studies-5-to-6-nerves-tested"},{"code_type":"CPT","code":"95910","lay_name":"Nerve conduction studies, 7 to 8 nerves tested","slug":"cpt-95910-nerve-conduction-studies-7-to-8-nerves-tested"},{"code_type":"CPT","code":"95908","lay_name":"Nerve conduction studies, 3 to 4 nerves tested","slug":"cpt-95908-nerve-conduction-studies-3-to-4-nerves-tested"},{"code_type":"CPT","code":"95911","lay_name":"Nerve conduction studies, 9 to 10 nerves tested","slug":"cpt-95911-nerve-conduction-studies-9-to-10-nerves-tested"},{"code_type":"CPT","code":"95907","lay_name":"Nerve conduction studies, 1 to 2 nerves tested","slug":"cpt-95907-nerve-conduction-studies-1-to-2-nerves-tested"},{"code_type":"CPT","code":"95861","lay_name":"Needle muscle and nerve test (EMG) of two arms or legs","slug":"cpt-95861-needle-muscle-and-nerve-test-emg-of-two-arms-or-legs"},{"code_type":"CPT","code":"95912","lay_name":"Nerve conduction studies, 11 to 12 nerves tested","slug":"cpt-95912-nerve-conduction-studies-11-to-12-nerves-tested"},{"code_type":"CPT","code":"95913","lay_name":"Nerve conduction studies, 13 or more nerves tested","slug":"cpt-95913-nerve-conduction-studies-13-or-more-nerves-tested"}]}