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A breakdown of CPAP therapy costs, including average prices for a CPAP machine and necessary supplies.
The average cost of a CPAP machine is about $800 among those we reviewed.
If youve been diagnosed with sleep apnea, your doctor may prescribe a CPAP machine to improve your sleep quality and reduce your risk for health issues that may arise from not getting enough oxygen. Getting input from your care team and considering your budget can help you choose which CPAP machine to buy. The overall cost of a CPAP machine includes the cost of components like replacement and cleaning supplies and the right CPAP mask for your needs and preferences. CPAP therapy can be costly, but there are ways to save money while getting what you need.
The cost of a CPAP machine varies from a few hundred to a few thousand dollars. CPAP prices are determined by what type of therapy it provides, what features are included (like touch screen or Wi-Fi connectivity), and what supplies or accessories the machine requires. CPAP machine costs also vary between retailers, so compare prices online to ensure you get the best deal.
Costs for CPAP vs. BiPAP vs. APAP machines vary. CPAP machines maintain continuous airway pressure at one level, while BiPAP machines have separate pressure settings for inhalation and exhalation. The enhanced capability of BiPAP machines means theyre typically more expensive than CPAP machines. In our review of the best CPAP machines, the prices range from $649$989, while BiPAP machines typically cost double that amount. For example, the ResMed AirCurve 10 costs $1,816 from CPAPsupplies.com. For auto-adjusting positive airway pressure (APAP) machines, prices range from $400 to $, depending on the features youre after.
Its important to remember that more expensive doesnt necessarily mean betterthe right machine for you will depend on your prescription and type of sleep apnea.
Like most technology, CPAP machine models get updates every few years. When a new model replaces an existing model, the old models price typically goes down. For example, the ResMed AirSense 11 costs $1,342.99 on Apriadirect.com when not on sale, while the ResMed AirSense 10 costs $833.99. Looking at older models can be a great way to find a lower-cost CPAP machine.
When a new model is introduced, manufacturers often discontinue the old model. In this case, while the older model is less expensive, it is also likely to be a final sale with no returns allowed.
CPAP equipment rental is available through many CPAP retailers. You usually pay a monthly fee to keep and use the equipment during the rental period. Youll return it to your supplier when you no longer need it or decide to purchase your own.
Many people prefer to own their equipment when possible, but there are a few situations when renting may be preferable over buying:
Using insurance to buy or rent your CPAP therapy equipment can significantly reduce the amount youll have to pay out of pocket. CPAP machines and supplies are considered durable medical equipment, or DME. DME is eligible for coverage by private insurance providers and Medicare, but specific coverage will depend on your needs and plan.
Most insurance plans, including Medicare, offer at least some coverage for CPAP machines and supplies. Specific coverage terms will depend on your insurance plan. Some private insurance plans cover rentals, while some may cover the full purchase of a CPAP machine and related equipment.
For your CPAP device to qualify for insurance coverage, you must submit a proper diagnosis to your insurance provider to prove that your CPAP machine is medically necessary. Diagnosis requires an overnight sleep study, followed by a doctors official diagnosis of sleep apnea and a prescription for CPAP use.
Your insurance provider will require proof that youre using the machine as prescribed to maintain coverage. To do this, the supplier that provided your machine collects usage information from the device and shares it with your insurance provider. As long as you use your CPAP machine regularly and as prescribed, you will not risk losing coverage.
Medicare clearly defines its coverage of CPAP equipment. Like all other insurers, Medicare will first require that you have a proper diagnosis and prescription for CPAP therapy. Medicare covers the rental of a CPAP machine and necessary equipment, starting with a three-month trial period. After the trial period, Medicare will need documentation from your doctor that CPAP therapy is helping to maintain or improve your condition.
With original Medicare, you must meet your deductible before coverage begins. After you meet your deductible, youll be responsible for paying 20% of the Medicare-approved cost of your machine rental and supplies.
If you use it properly and consistently, Medicare will pay for 13 months of equipment rental. After 13 months, you will own your machine.
If you use Medicare, it is important to ensure you get your CPAP therapy equipment and supplies from a Medicare-enrolled supplier. A supplier thats not part of the Medicare program does not have to comply with its coverage terms, and you may have to pay for your machine and supplies out of pocket.
The basic components for proper and effective CPAP therapy include the machine, a mask, water chambers for heaters, tubing, and filters. Masks range from basic to advanced with extra comfort features. Optional upgrades from basic tubing include heated and antimicrobial tubing. For supplies, you can expect to spend the following:
Cleaning your CPAP machine, including all attachments, is essential for preventing bacteria growth and maintaining the integrity of each component. Bacteria thrive in closed, moist environments, so CPAP masks, humidified tubing, and water chambers are ideal for bacterial growth. To keep your CPAP machine and parts clean, they must be disinfected regularly and allowed to dry thoroughly.
You can buy most mask wipes, cleaning solution, and tube cleaning brushes for less than $20. Sanitizing machines can range from $80$350 depending on the features, size, and brand. A lower-cost solution is to use vinegar and water to disinfect CPAP parts.
Depending on your machine, various accessories may be available to enhance your CPAP therapy experience. Options include extra comfort items, add-on functions, or adapters for different power and charging sources. Remember that some accessories are specific to one model or brand, so check your machine to see whats compatible.
A few common accessories to consider include:
If you have difficulty affording a CPAP machine, look for CPAP assistance or credit programs. Alternatively, you can consider purchasing a used or refurbished device to keep CPAP prices down.
CPAP assistance programs exist nationally and locally to help people get necessary CPAP equipment. You can search for nearby CPAP assistance programs online or check out a national organization like the American Sleep Apnea Association. If you qualify for its assistance program, you can get a years worth of suppliesincluding masks, filters, and tubesfor $100 or less.
CareCredit is a credit card program designated for health-related purchases. Youll need to be eligible for the card to be approved, and eligibility depends on your credit score. CPAP machines, devices, and related supplies are considered qualifying purchases if you buy them from a CareCredit-authorized retailer. Some retailers may also offer their own credit or financing options, allowing you to pay for your CPAP machine in monthly installments instead of in full upfront.
If a new machine isnt affordable, you may be able to find a used or refurbished CPAP device from a CPAP supplier. Many retailers offer refurbished devices but may not readily advertise them in-store or online. It is always worth asking your CPAP supplier if it carries any pre-owned equipment. Some retailers, like Second Wind CPAP, specialize in pre-owned equipment, offering various used and refurbished devices. Always purchase from a reputable retailer to ensure your CPAP machine delivers the exact level of air pressure you need to keep airways open, as prescribed by your doctor.
Your sleep quality affects so many areas of your life that its vital to get enough sleep to restore your body and mind. Yet, despite your best efforts, you may still find it challenging to fall or stay asleep. Sleep hygiene, or the behaviors you engage in to support your sleep, is a key factor in improving your sleep quality and quantity. Five ways to improve your sleep include:
Your bedroom should be a peaceful, relaxing place that promotes quieting your mind and resting your body. Blocking out extra light, using a white noise machine to drown out disruptive sounds, and setting your bedroom temperature to a comfortable 65 to 68 degrees Fahrenheit can all support your sleep hygiene. Additionally, if you still find it difficult to find rest in your room, consider if its time for a new mattress. Finding the best mattress to support your bodys changing needs can significantly improve your sleep.
Many aspects of your daily routine can affect how you sleep at night. Waking at the same time every morning and limiting naps to 20 minutes or less allow your body to stay in a routine that automatically signals its time for sleep. Exposing yourself to natural light for at least 30 minutes a day can help support your bodys circadian rhythm, and daily exercise can help you settle down before going to bed.
Sleep apnea and other sleep disorders, stress, anxiety, or pain can all affect your bodys ability to restore itself through quality sleep. Its important to visit your health care professional to address these concerns and receive the help you need to feel better all day and night. If you find yourself tossing and turning due to chronic aches and pains, you may want to look into a mattress designed to support your body better. The best mattresses for back pain provide lumbar support to maintain spinal alignment, while a mattress for hip pain will offer more cushioning for your joints.
If falling and staying asleep have become difficult, it may be time to examine your diet. Eating a big meal, or a meal full of spicy or fatty foods can disrupt your sleep. Additionally, if you enjoy an evening cup of coffee, its worth switching to decaf after 2 pm, so its lingering effects dont leave you wide awake past your designated sleep time. Lastly, while alcohol may make you drowsy, it can lower your sleep quality enough to have you still feeling tired even after a full night of sleep.
Multiple studies examining the effects of sleep position on obstructive sleep apnea show that symptoms are often significantly reduced when sleeping on your side or stomach. While it can be challenging to shift your sleep position, choosing one of the best mattresses for side sleepers can help you find the same comfort on your side that you would on your back.
Getting the device that best fits your needs and prescription is important and can increase the likelihood of sticking to a nightly CPAP routine. Cost can be a major factor in purchasing or renting a CPAP machine and accessories. Before purchasing a CPAP setup, use all available resources and programs to get the best pricing on your supplies.
The average cost of a CPAP machine varies greatly depending on the device. A discontinued CPAP model or refurbished unit can cost as little as $200, while a new BiPAP machine can cost close to $2,000 or more.
Yes, a person can buy their own CPAP machine. You can pay out of pocket for devices and supplies, but a proper prescription and proof of a sleep study is still required to make the purchase.
CPAP machines are considered durable medical equipment, or DME. Most insurance policies provide at least five years of coverage for DME, but the exact amount of coverage will depend on your policy.
You will likely need to make monthly payments if you rent, use credit, use insurance, or finance your CPAP machine. Paying in full for your machine is possible if you pay out of pocket or use private insurance.
No. Authorized and reputable CPAP retailers cannot sell CPAP machines without a prescription, which requires a sleep study to diagnose sleep apnea. Purchasing any CPAP devices or supplies from retailers that do not require documentation is not advisable.
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Key Takeaways
Positive airway pressure (PAP) is one of the most common treatments for sleep apnea, a breathing disorder that affects approximately 10% to 30% Trusted Source UpToDate More than 2 million healthcare providers around the world choose UpToDate to help make appropriate care decisions and drive better health outcomes. UpToDate delivers evidence-based clinical decision support that is clear, actionable, and rich with real-world insights. View Source of the population. The most common PAP treatment is continuous positive airway pressure (CPAP), but bilevel positive airway pressure (BiPAP or BPAP) may be a better option for some people.
While both forms of PAP therapy work in similar ways, their differences mean that each has distinctive benefits and drawbacks to consider. Because of this, the decision to switch PAP treatments should always be made under the advice of your health care team.
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CPAP and BiPAP machines are both forms of positive airway pressure therapy Trusted Source National Library of Medicine, Biotech Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. View Source , which uses compressed air to open and support the upper airway during sleep. A portable machine generates the pressurized air and directs it to the users airway via a hose and mask system. Both systems use similar masks, hoses, and other accessories.
In general, CPAP machines have an adjustable pressure setting that delivers between 4 to 20 cm H2O Trusted Source UpToDate More than 2 million healthcare providers around the world choose UpToDate to help make appropriate care decisions and drive better health outcomes. UpToDate delivers evidence-based clinical decision support that is clear, actionable, and rich with real-world insights. View Source (a measure of air pressure that stands for centimeters of water pressure) regardless of whether the user is inhaling or exhaling. The average setting is between 8 to 10 cm H2O Trusted Source National Library of Medicine, Biotech Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. View Source . While CPAP machines have only one setting, some models now have a pressure relief option that allows for gentler air pressure on the exhale.
BiPAP machines have two pressure settings inhalation positive airway pressure (IPAP) and exhalation positive airway pressure (EPAP) that allow for lower pressure levels during exhalation. Depending on the BiPAP machines settings, the switch between IPAP and EPAP may be timed or automatically based on the users breathing patterns. BiPAP machines have a typical pressure range of 4 to 30 cm H2O. Both BiPAP and CPAP settings must be determined in an overnight sleep study, or polysomnography.
There are portable CPAP machines designed for travel, while BiPAP machines are designed for at-home use. Because BiPAP machines require additional sensors and settings, they are usually more expensive than an otherwise similar CPAP machine.
Different types of PAP therapy work better for different conditions, though there is some overlap Trusted Source National Library of Medicine, Biotech Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. View Source . CPAP therapy is generally recommended for obstructive sleep apnea (OSA), and sleep specialists are unlikely to place someone with OSA on BiPAP unless they cannot tolerate CPAP treatment. While some insurance providers cover both CPAP and BiPAP for OSA, those that do usually require proof that CPAP treatment is inadequate or not tolerated before reimbursing for a BiPAP machine. BiPAP therapy is primarily used to treat central sleep apnea (CSA), as well as heart, lung, and neurological disorders that require structured airway support during sleep.
Both CPAP and BiPAP machines are available with a range of accessories, both integrated and after-market. The most common are data collection features and climate control features like humidifiers and heated tubing.
CPAPBiPAPTypical Cost$500-$$1,700-$3,000Pressure Levels12Typical Pressure Range4 to 20 cm H2O4 to 30 cm H2OInsurance CoverageMay be coveredMay be covered if CPAP therapy fails or is contraindicatedA continuous positive airway pressure (CPAP) machine directs pressurized air usually set between 4 and 20 cm H2O into a users airway Trusted Source National Heart, Lung, and Blood Institute (NHLBI) The NHLBI is the nation's leader in the prevention and treatment of heart, lung, blood and sleep disorders. View Source while they sleep. This pressure keeps air passages open and ensures the user can breathe properly, allowing them to avoid the pauses in breathing (or apneas) that are the primary symptom of sleep apnea.
CPAP machines continuously pump air at one pressure setting rather than varying in pressure between the inhale and exhale, which can cause some people to feel as though they cannot exhale properly or that they are choking. Most users adjust to CPAP relatively quickly, while others find BiPAP easier to tolerate.
Unlike BiPAP machines, CPAP machines are available in a range of sizes. The most common type is intended to be used at home and is slightly smaller than a shoebox, while travel versions may be small enough to fit in the palm of your hand. Travel models sometimes have backup batteries for use while camping, and FAA-approved models are available for use on planes.
Bilevel positive airway pressure machines have distinct air pressure settings for inhalation (IPAP) and exhalation (EPAP). The EPAP setting is usually significantly lighter than the IPAP setting, allowing users to breathe more naturally and not feel as though they are fighting against the machine when they exhale. Most BiPAP machines have a range of approximately 4 to 30 cm H2O.
BiPAP machines have up to three settings for the switch between IPAP and EPAP.
Additionally, BiPAP machines can be fixed or auto-adjusting.
Although CPAP and BiPAP machines may seem similar, their differences can have a significant impact on your treatment. Because of this, the decision to switch from one to another should always be made with your health care team.
CPAP users usually have an adjustment period before they feel comfortable using their machines. Discomfort can be managed by adjusting settings, experimenting with climate control accessories or different mask types, or using a machine that slightly reduces air pressure on the exhale. BiPAP treatment is available for patients who do not tolerate CPAP therapy, but this switch must be decided on and supervised by a sleep specialist.
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