How Much Does a CPAP Machine Cost? Things to Think About Before Buying a CPAP Machine Update 05/2022

Cpap machines may be necessary for those who have been diagnosed as having an issue with their sleep. Adults with sleep apnea make between 2 percent to 9 percent of the population. Due to the obstruction of their airway, people with sleep apnea have difficulty breathing throughout the night. Patients with sleep apnea may not be aware of their condition until a sleep study reveals it.

Sleep apnea disrupts a person’s ability to get a good night’s rest. People who have sleep apnea may suffer from the following symptoms as a result:

  • Excessive slumber during the day.
  • Restlessness.
  • Snoring.
  • Recurring periods of waking up.
  • Anxiety at the start of the day.

For those with sleep apnea, the most frequent treatment is the CPAP machine. Continuous positive airway pressure is the abbreviation for the term CPAP. There is a CPAP machine next to the bed. A tube is inserted into a mask that covers the sleeper’s nose or mouth, and the machine pumps air into the mask. This air prevents the sleeper’s airway from becoming clogged while they are sleeping.
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Patients with sleep apnea are often advised by doctors to get a CPAP machine and use it every night. Cpap machines come in many shapes and sizes. It is possible for the price of a CPAP machine to vary greatly depending on the brand and features that are included in the machine.

How does it work?

The muscles of the neck and throat are strengthened with NightLase therapy, which helps to free up the airways. Using a laser with a temperature of 43-47 degrees Celsius, the collagen in these places is reinforced. Even after only one session, you can go about your day (and get a good night’s sleep!) with no discomfort and no stitches.

NightLase is a low-cost procedure that certain health insurance companies may pay in full.

How Much Does a CPAP Machine Cost?

The cost of a CPAP machine can range from $250 to $1,000 or more, with the more modern units costing the most. However, the majority of CPAP machines cost between $500 and $800. Due to their greater complexity, BiPAP (Bilevel Positive Airway Pressure) equipment tend to be more expensive. There are some BiPAP equipment that can cost as much as $6,000. Accessories are not included with these prices.

Your CPAP machine price will also be affected by your insurance coverage and the level of it. Depending on the policy, some or all of the machine’s cost may be covered by insurance. Prior to insurance, the retail price of CPAP devices can be found in this section.

Machine Type Cost Range
CPAP (Continuous Positive Airway Pressure) $250 to $1,000
BiPAP (Bilevel Positive Airway Pressure) $1,000 to $6,000
Auto CPAP or APAP (Automatic Positive Airway Pressure) $450 to $1,800

The features of a CPAP machine have a significant impact on its price. CPAP machines that are the simplest to use are referred to as “standard” CPAP machines. These CPAP devices are the most affordable on the market. They have to be manually calibrated to a precise air pressure in order to function properly. Standard CPAP machines deliver air at a fixed rate throughout the night, and this rate does not alter.

Standard CPAP machines might be more expensive with additional features. With heated humidifiers, for example, the price of a machine goes up. By using a heated humidifier in conjunction with their CPAP machine, users can increase the temperature of the air they breathe. The CPAP user is less likely to wake up with a sore throat or dry mouth as a result of the heat provided by the machine.

Automated Continuous Positive Airway Pressure (CPAP) devices are more expensive than their syringe-based counterparts. These machines resemble ordinary CPAPs in appearance, but they are far more sophisticated in terms of technology.

CPAP machines with auto-adjustable airflow automatically modify their air delivery rate to match the individual sleeper’s requirements at any given time. During different stages of the sleep cycle, sleepers are more likely to have blockages and need more air. ‘ Other times during the sleep cycle, people are more easily woken up. A sleeper is less likely to be awakened by an Auto CPAP machine since it doesn’t pump out air that is too powerful for the person’s present sleep stage.

Of the three types of equipment, bilevel positive airway pressure (BiPAP) machines are both the most modern and the most expensive. Two distinct air pressures are provided by BiPAP machines, one for inhalation and the other for exhalation. As a result of the lower air pressure, many people find it more comfortable to sleep.

How Much Does a CPAP Machine Cost Without Insurance?

Basic CPAP machines normally cost between $300 and $500 in cash; however, this can vary greatly depending on the features included and the type of CPAP machine. From $800 to more than $1,500, you can get an APAP (autoCPAP) or BiPAP (bilevel) equipment.

A CPAP machine is just one of the many costs involved in CPAP therapy, but they don’t end there.

You’ll need to replace essential supplies on a frequent basis to keep your CPAP machine working properly, effectively, and hygienically. As time passes and normal use continues, these components will degrade or clog, reducing the effectiveness of your sleep apnea treatment. Filters, CPAP mask cushions, tubing, and other components of CPAP therapy are included in this category.

Around:

  • Every 2 to 4 weeks, the CPAP Cushion costs between $10 to $75.
  • A CPAP Mask – $40 to $200 every three months.
  • $30 to $50 every six months for headgear
  • A 3-month supply of tubing costs $10-$35 ($40-$60 for heated hoses).
  • Humidifier Water Chamber – $15 to $70 per six-month period, depending on the model
  • Each two to four weeks, you should replace your filter with a disposable one costing anywhere from $1 to $10.
  • Every six months, a reusable filter costs between $5 and $20.

When you buy your CPAP machine out-of-pocket, these costs are yours to bear, and they can add up rapidly. If you have health insurance, getting a CPAP through them makes sense.

How Much Do CPAP Supplies Cost?

CPAP supplies and add-ons, such as a humidifier, mask, hose, and cleaning materials, must also be taken into account. Insurance covers supplies, although the extent of coverage varies from state to state.

Prices for CPAP masks range from $35 to $150. Every three to six months, it’s recommended that you get a new mask. Style, features, and quality all affect the price of your CPAP mask.

It is not necessary to use a humidifier with a CPAP machine; humidifiers normally cost $150 to $200. CPAP therapy can be made more bearable with the use of a humidifier. In many cases, a humidifier is pre-installed on the machine.

Between $10 and $40, you can buy CPAP hoses and tubing for your machine. It’s recommended that you change your CPAP hoses every six months up to twelve months. The type of hose you select determines the pricing of the hose. The cost of heated hoses is higher than that of regular hoses. As a result, condensation is reduced in heated hoses, making for an even more pleasant therapeutic experience.

Prices for CPAP supplies, such as filters, can range from $10 to $40, depending on the specifications of your machine. The air you breathe is filtered by a variety of filters in nearly every CPAP machine.

Fine, reusable foam, and bacterium are the three types of filters available.

The least expensive and most common type of filter is the disposable one. It’s important to replace them as soon as possible because they can’t be washed. Reusable filters aren’t found in every machine because they’re meant to be cleaned on a regular basis. $9 to $20 for reusable filters. Mold, bacteria, and other microscopic particles can get through your CPAP machine’s regular protections, therefore it’s a good idea to use a bacteria filter. A five-pack of bacteria filters costs over $20.

How Much Do Cleaning Supplies Cost?

Maintaining your CPAP machine can extend its lifespan and improve the efficacy of your therapy.

As a best practice, use cleaning materials like mask wipes and disinfectants as well as tube brushes and soap to thoroughly clean your equipment. Disinfectants cost about $13 and mask wipes about $10. It is not uncommon for a tube brush to cost upwards of $15. Cost of mask and hose soap is about $6.

CPAP Masks and Accessories

All CPAP machines necessitate the usage of additional equipment. CPAP machines and related accessories are typically sold separately by retail establishments. Sets or bundles that include both the CPAP machine and its accessories are available from several retailers.
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As an attachment, the heated humidifier can be purchased for some CPAP machines whereas the humidifier must be purchased independently for other CPAP machines. Standard wall outlets can be used to power most CPAP machines, however some do not.

CPAP users will require the following items in addition to their machine:

  • Air filters for CPAP machines.
  • Accessories for humidifiers.
  • Connectors for tubing and tubing.
  • Accessories, include headgear, such as neck and head straps.
  • A wide variety of masks and mask pillows are available.

Because CPAP accessories need to be updated frequently, they add up over time. Replace the CPAP filters and mask cushions on a monthly basis. Every three months, the tubing needs to be replaced. When other mask components and CPAP machine accessories show signs of wear and tear, it may be time for a new mask or CPAP machine altogether.

There are CPAP air filters that range in price from $5 to $30 per filter. It’s common for headgear and mask sets to cost at least $100. Mask cushions, for example, might cost anywhere from $20 and $100.

Sleepers should check with their healthcare practitioner to see if their insurance covers the cost of CPAP equipment before spending their own money.

CPAP Machines and Health Insurance

CPAP devices and accessories are commonly covered by health insurance plans. Check with your insurance provider before purchasing a CPAP machine with your own money, if you require one.

A CPAP machine is often regarded as “durable medical equipment” by health insurers. Durable medical equipment deductibles and copays are often different from those for doctor’s visits and treatments.

A CPAP machine is usually only covered by a health insurance plan if it is determined to be medically essential. In order to demonstrate medical necessity, a sleep study is typically required, and the patient’s medical provider must confirm to the insurance company that the results of the sleep study suggest that the sleeper would benefit from using the CPAP machine.

If you’re covered by an insurance plan, you may be required to “rent” your computer for a set period of time, such as one year. There is a monthly fee that must be paid by the sleeper for that time period. The CPAP machine will be theirs once the trial period is up.

Where to Buy a CPAP Machine

You can buy a CPAP machine through your insurance plan, at a store, or online, and each has its own advantages and disadvantages, but the choice is up to you.

Through Your Insurance

Most people can save money by purchasing a CPAP machine via their health insurance. Cpap machines and other CPAP-related supplies are generally covered by most insurance plans. Even though this is the least expensive choice, you are limited in your ability to make independent decisions.

The features and brand of the CPAP machine you receive from your insurance company are usually predetermined, so you have no say in whether you want one with a humidifier or data recording capabilities. Going via your insurance is a more convenient option if you’ve recently been diagnosed and aren’t sure what type of CPAP machine you need.

At a Store

This choice is the safest because you can test it out and see what works for you before making a final decision. If you do a fast Google search, you’ll find a slew of medical supply stores in your area. Just bring your prescription with you, and a store employee will walk you through the available options.

In-person CPAP machine shopping might be beneficial because you can view the size and features of each machine. It’s possible to get machines that are more intricate, with touch screens and buttons, while others are simple and easy to use.

In addition, it is easier to choose a mask in person because you can put it on and feel it. There are a variety of masks available, including full-face and nasal masks. There are several different types of masks that you can test on before purchasing a CPAP machine in a retailer.

Buying a CPAP machine from a store may be more convenient, but it will almost always be more expensive than using the one provided by your insurance. In some cases, your insurance carrier may cover some or all of the cost of a new equipment if you inquire about their coverage possibilities in advance.

Online

The most convenient way to get a CPAP machine is to buy it online. Because of the lack of prescription verification, it was impossible to buy CPAP machines online. Prescription verification techniques have made it easier than ever before to buy a CPAP machine online and be confident that it is safe and legal.

Online shopping is convenient since it allows you to quickly and easily find exactly what you’re looking for. Purchasing products online, on the other hand, precludes you from testing them out before making a purchase, necessitating additional time and effort for returns. You may avoid this worry by reading customer evaluations prior to making a purchase.

Types of CPAP Machines

The cost of a CPAP machine varies greatly based on the manufacturer, the features, and how recently it was manufactured. Standard, automated, and small CPAP machines are the three basic types. CPAP machines that are both automatic and compact typically cost more and aren’t covered by insurance.

Standard

One-size-fits-all CPAP devices have a single pressure setting and are ideal for long-term use. They’re not only silent, but they also let you customize your level of comfort by adding humidifiers or heated tubing, if you like.

Automatic

In terms of size and noise, automatic CPAP devices match those of regular machines. However, the pressure can be adjusted on a breath-to-breath basis. When you pick your comfort level, these machines automatically adjust to provide full or reduced pressure. It isn’t uncommon to find automatic machines with additional features; although they tend to be more expensive than conventional machines.

Compact

If you frequently travel to visit family or work on the road, a compact CPAP machine is an excellent choice because it is considerably smaller and lighter than other CPAP models. In addition to regular and automatic pressure settings, most travel machines come with a battery back-up. Portable CPAP devices give the same performance as stationary machines, but are more expensive.

Things to Think About Before Buying a CPAP Machine

There are some downsides to CPAP machines, such as the noise they make or the skin irritations they may cause, even if they are incredibly useful in treating sleep disorders A CPAP machine might cause some discomfort, but there are ways to alleviate some of the symptoms. You need to consider about potential concerns before you buy a machine.

Discomfort

The most prevalent problem with CPAP therapy is that people are not used to sleeping with something covering their face, and hence it can be difficult and uncomfortable to get to sleep at night. To avoid this, experiment with a variety of masks until you discover one that feels right on your face.

It’s no longer necessary to suffer from the discomfort of sleep apnea in order to get the treatment you need. The air pressure on the user’s face and throat can make it difficult to fall asleep, but the ideal solution is to look for devices with ramp characteristics.

To help you fall asleep faster, most machines have a ramp feature that gradually raises air pressure until it reaches the desired setting. Once you’re asleep, the ramp returns air pressure to the original level. Ramp characteristics can be helpful for those who are sensitive to the sensation of being pressed against a surface.

Noise

The noise that the CPAP machine makes while it’s working is a source of irritation for some users. In addition to quieter equipment, cleaning out the filters on a regular basis helps reduce noise.

Runny Nose and Dry Mouth

CPAP machines can cause a runny nose and dry mouth, but the simplest cure is to get a humidifier-equipped CPAP machine. The humidifier will keep the air wet, which will help alleviate the negative effects of the dryness. If you don’t want to spend a fortune on a humidifier, you can use saline spray or a chin strap to keep your lips shut while you sleep.

Skin Irritation

Inevitably, skin irritation at the location where the mask is worn all night may occur. A negative reaction to the mask on the first few nights may be due to acclimatization issues; new masks can be difficult for some people to adjust to. However, if this problem persists, it may be a hint that you’re utilizing the wrong mask size.

When purchasing a CPAP machine, finding a mask that suits you is one of the most critical stages. In order to receive the air you need into your lungs, you need a mask that is both tight and comfortable at the same time.

Is It Cheaper to Purchase Your CPAP Machine Through Insurance?

You may be overpaying for your new CPAP equipment if you purchase it from your insurance company. Even when purchasing a CPAP machine without insurance, the price is often significantly greater. Come on, let’s find out!

If you haven’t met your annual deductible with your insurance company, your machine will be uninsured. For those who haven’t paid their deductible, the cost of the equipment is on them. This can be a lot more expensive than acquiring the unit online.

Insuring a CPAP machine isn’t like paying a copay at the doctor’s office. Rent-to-own plans may be available if you purchase your new CPAP machine via your health insurance, but these plans might cost you significantly more per month in rental fees than the machine itself is worth. If you haven’t paid your deductible, you may be forced to buy the equipment outright. With Medicare, you only have to pony up 20% of the whole price and then rent it for a period of 13 months.

A travel machine through your insurance provider may present you with some difficulties. In most cases, homeowners insurance only covers one dwelling unit.

CPAP.com does not accept Medicare or bill insurance for our equipment in order to keep our pricing low. With your insurance company, you can still make a claim. As a result, we are able to offer you the lowest possible pricing for CPAP machines because we do not work with insurance companies.

Do You Get the Best CPAP Machine Through Insurance?

Many individuals think they’ll get the best CPAP machine when they buy one with insurance, but this isn’t always the case. Your insurance provider may reimburse you the same amount of money regardless of the quality of your CPAP machine in many circumstances. As a result, the CPAP seller has no motivation to deliver you the best machine.

To add insult to injury, it’s easier for the supplier to pocket the insurance company’s money if they provide you with an under-par equipment rather than an overpriced, high-quality one.
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Common Questions

Why are CPAP supplies so expensive?

Due to the fact that CPAP devices must be prescribed by a doctor, they are less accessible and more expensive. Sleep apnea is one of the most common conditions for which they are prescribed, thus there is always a need for them. However, you may be able to locate some more reasonable solutions by shopping about on the internet.

How often does insurance pay for CPAP?

CPAP mask, tube, and filter changes are usually covered by insurance every three months. Based on the recommended frequency of replacement, this is what you should do. A new CPAP machine will be covered by insurance if it has been more than three to five years since the prior one was purchased.

Is it better to rent or buy a CPAP machine?

For those who aren’t quite sure what they’re looking for, renting is an excellent option. However, even if rentals are disinfected after each use, you should always clean your equipment on a regular basis. Obstructive Sleep Apnea (OSA), for example, is often temporary, thus it’s best to rent the machine rather than buy it. For those who suffer from central sleep apnea, purchasing a machine may be more cost-effective.

How can I get a free CPAP machine?

Most people don’t consider insurance coverage for CPAP machines to be “free” because they still have to pay the insurance premiums. Non-profit organisations and charities, however, offer free CPAP equipment to individuals who cannot afford it or who lack access.

Can you buy a CPAP machine without a prescription?

In a strict sense, yes. No, not legally. The CPAP machine requires a prescription from a doctor, however some units can be purchased online without one. A prescription is required if your insurance company reimburses you for the purchase of a CPAP machine.

If My CPAP Supplies Are Covered by Insurance, Why Do I Still Have to Pay Money?

What’s known as “coinsurance” may come into play when your deductible is satisfied. Your coinsurance is the portion of the payment that you are responsible for even if your insurance company pays the majority of it.

A 20% coinsurance policy means that you’ve already met your deductible. In this scenario, you would only have to pay $20 out of pocket for a $100 CPAP mask, with the remaining $80 being covered by your insurance.

Your out-of-pocket maximum would cover the identical CPAP mask at no additional expense to you!

Does CPAP Count Towards My Deductible?

DME, or “durable medical equipment,” includes CPAP machines and supplies such as masks, pillows, and tubing. If you purchase these through your health insurance, they’ll usually contribute toward your deductible.

Because of this, your deductible will not be affected by the purchase of CPAP accessories like as soft wraps, cleaning wipes, or removable battery packs.

Will Insurance Cover a Travel CPAP?

Most insurance companies do not cover travel CPAP machines because they are deemed “secondary” or “backup” devices.

Your Aeroflow Sleep Specialist can help you discover the ideal CPAP machine for travel that balances portability and insurance coverage!

Will My Insurance Require a Sleep Study or Prior Authorization?

A few prerequisites must be met regardless of whether you pay for your CPAP out-of-pocket or have it covered by your health insurance.

  • A doctor’s order. Regardless of the circumstances, you will be required to present a valid prescription.
  • A study of sleep patterns. In order to obtain a prescription, a sleep study is usually required. This is a wonderful thing! While some online CPAP sellers do allow customers to purchase a prescription-free CPAP machine, this is something to be wary about. In order to treat sleep apnea effectively and safely, your CPAP prescription must include an air pressure guideline that is tailored to your unique health needs. A CPAP machine is a medical equipment that is used to treat a potentially life-threatening condition.

Prior authorisation may also be required by some insurance carriers. As soon as this occurs, Aeroflow Sleep will take care of everything! In fact, all of the paperwork will be taken care of by your own personal Sleep Specialist.

Conclusion

Because persistent sleep apnea is the most common type, CPAP equipment are an ongoing expense. Every five years, buy a new machine and every three months, buy a new accessory replacement. Even while CPAP machines and all the accessories they come with can be pricey, the benefits you receive from using them and sleeping better at night make them well worth the cost.

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