FAQ

How much does a cpap cost without insurance

The first step in getting the most out of your cpap therapy and getting the restful night’s sleep you deserve is buying the machine that’s right for you. cpap, apap and bipap machines adapt to different needs, varying according to the lifestyle factors that matter most to you.

However, when it comes to the different types of machines, cost is the factor that will most likely influence your choice of machine. Although replacement supplies will be required a few months after starting therapy, the only purchases you need to make to start therapy are your cpap machine, cpap mask, and some basic cleaning supplies.

Reading: How much does a cpap cost without insurance

Paying out of pocket without insurance, you can expect to spend $900 to $1400 on average for your initial therapy setup. Paying out of pocket is often the most affordable approach, although there are other variables (such as varying levels of insurance coverage) and more expensive machines to consider which we’ll explore in more detail below.

In this comprehensive price guide for sleep apnea machines, masks and equipment, we’ll dive into:

  • how much does a cpap machine cost with insurance
  • how much does a cpap machine cost without insurance
  • how much do cpap supplies cost and what does insurance cover
  • why buying a cpap online is probably your best option
  • First, let’s talk about the reason behind the recent machine price increases and why 2022 has been a tough year for pricing and availability.

    why are cpap machines so expensive in 2022?

    It is certainly true that cpap machines of all types were more readily available and affordable in years past, and there are quite a few factors that contribute to rising costs. The CPAP shortage dates back to the COVID-19 pandemic we experienced in 2020, or more precisely, the supply chain disruptions that occurred as a result of the pandemic. Then, in June 2021, Philips Respironics issued a voluntary recall affecting between three and four million devices.

    The recall introduced a sudden and large demand for new cpap machines on top of existing supply chain disruptions and an increased need for computer parts for the newly relocated work-from-home workforce. on top of this, a shortage of semiconductor chips that had already been increasing since the end of 2020 was exacerbated by various events around the world. Production was hampered by three separate factory fires and the Russian invasion of Ukraine, which supplied roughly half of the world’s neon gas used to power lasers needed for semiconductor chip production.

    To bring relief to a market in need of cpap devices, resmed revived the airsense 10, this time without a wireless modem. while the airsense 10 card-to-cloud does not pair with resmed’s myair app or transmit data wirelessly, it is a more affordable therapy and an attempt to provide a more affordable machine to those who need it.

    how much does a cpap machine cost in 2022?

    Costs may vary because there are generally two ways to buy a cpap machine:

    • work with your doctor through insurance
    • online through a third-party retailer like cpap.com
    • Let’s break down the costs, advantages and disadvantages of both.

      cost of cpap machine with insurance:

      Let’s start with a potentially surprising idea: If you get your new cpap machine from your insurance company, you may be overpaying. With most insurance companies, your machine is covered only if you met your annual deductible. If you haven’t met your deductible, you’ll have to pay for the cost of the machine, which can be more expensive than buying it yourself online.

      Usually the cost of the device will be spread over a period of 10 months (sometimes longer) and you will pay a fee each month as part of a rental agreement. At the end of the rental term, you will own the machine. This may sound comparable to buying a machine outright, but insurance companies typically pay much more for cpap machines than we can sell them on our site, directly to you.

      And for those looking to purchase a secondary travel machine through their insurance company, you may also run into some hurdles. Insurance companies typically only supply one household unit every five years, so you’ll likely have to pay out of pocket for any additional machines over the five-year period.

      cost of cpap machine without insurance:

      We talked more about renting a cpap machine through insurance, but for now, let’s take a look at what you can expect to pay out of pocket for a cpap machine.

      Standard cpap machines: Without insurance, the average cost of a cpap machine in 2022 is around $750; Fixed pressure cpap machines can usually be found between $600 and $1,000.

      app machines: the average cost of an app in 2022 is about $1,000; these self-adjusting units can be found between $800 and $1,600.

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      bipap machines: a bipap machine costs about $1,600 but can cost more than $3,000 in some cases.

      travel cpap machines: Lastly, travel machines typically cost $600-$900.

      Additional cpap machine costs include the price of a mask, hose, and replacement supplies, including disposable, reusable, and bacterial filters. These additional supplies add convenience, a higher level of efficiency, and cleanliness to your machine setup.

      how much do cpap supplies cost?

      In addition to the cpap machine itself, you should consider the cost of cpap supplies and add-ons, such as a humidifier, mask, hose, and cleaning supplies. supplies are covered by insurance, but coverage levels vary from state to state. When you shop at cpap.com, you can set up subscriptions for commonly used parts like cushions, headgear and air filters to save money on every order.

      cpap masks: cpap masks typically cost between $30 and $160. The cost of your cpap mask will vary depending on the style, features, and quality of materials used.

      The actual frame of your mask (the part where the cushion fits and to which the headgear connects) should be replaced every six to 12 months, but the cushions on your mask should be replaced every three to six months; these typically cost between $15 and $60 depending on your mask.

      cpap helmet: You don’t need to buy a helmet separately when you buy a mask, but it too will wear out over time and should be replaced every six to nine months; you can expect to pay between $15 and $40 for your replacement helmet.

      cpap humidifiers: Humidifiers typically cost between $150 and $250. While CPAP humidifiers are not required, they often make your CPAP therapy more comfortable and tolerable. you will still need to replace the humidifier chamber every six to twelve months; replacement cameras start at around $20 and top out at around $40.

      In the past, cpap humidifiers were often purchased separately, but virtually all modern cpap machines come equipped with a built-in humidifier.

      cpap hoses and tubing: Most standard cpap hoses can be found for less than $15, but specialty non-heated hoses can cost upwards of $40. cpap hoses need to be replaced every six to twelve months. the price difference in hoses lies in the type of hose you choose. heated hoses are more expensive than standard hoses at around $30, with more expensive models around $65.

      With heated hoses, the heating coils reduce the formation of condensation within the hose itself, making for a more comfortable therapy experience.

      cpap supplies: Supplies such as filters range in price from $10 to $40, depending on what your specific machine requires. Almost all cpap machines have different filters that are used to remove atmospheric irritants from the air you breathe.

      The three different types of filters are disposable (fine), reusable (foam), and bacteria. disposable filters are the cheapest and are found in most machines. they cannot be washed and work best when replaced monthly. reusable filters are meant to be cleaned periodically, usually once a month, and are not used on every machine.

      reusable filters range from $9 to $20. Bacteria filters are optional, but they add another level of protection to your cpap setup by filtering out mold, bacteria, and other tiny particles that could get past your machine’s standard defenses. Bacterial filters can be purchased in a pack of five for under $20 or in a pack of ten for under $30.

      How much do cleaning supplies cost?

      Regular cleaning and maintenance of your cpap equipment can increase the longevity of your machine and the quality of your therapy.

      To get the most out of your therapy, clean your cpap with cleaning supplies like:

      • cpap mask wipes – mask wipes cost about $10
      • cpap sanitizers: sanitizers cost about $13
      • cpap tube brushes: tube brushes are around $15
      • cpap soaps: soap for masks and hoses costs about $6
      • cpap cleaning machines like the lumin cost around $240-$250 and offer an easy wait to keep your equipment sanitized.
      • cpap machine rental cost

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        There are a few companies online that specialize in cpap machine rentals, although we don’t recommend this route as a long-term solution. While the low monthly cost—typically $30 to $70 per month for most options—may sound appealing, you’ll actually pay much more over time.

        Insurance typically replaces a cpap machine every five years, which is the average cpap life expectancy. even the cheapest rent we found at $30 a month equates to $1,800 over five years, and that’s not even for a current generation cpap model.

        On average, you can expect to pay about $60 a month to rent a cpap machine, and over the course of five years, you’ll end up paying $3,600, or more than double what you’d pay to buy a new airsense 11 autoset. .

        Renting a cpap can be a great way to try out a new machine or try out a few different features or brands on a short-term basis, but when people talk about renting a cpap machine, they’re really doing it through their insurance provider.

        how much does it cost to rent a cpap machine (through insurance)?

        leasing to own your cpap machine through your insurance company would mean the machine is yours, right? unfortunately, that’s not always the case.

        Although the most common way to start your cpap therapy through your insurance company is to rent your machine, you are often required to use it to maintain it. You read that right: If you don’t regularly use your cpap machine, then your insurance company can take it away from you even if you’ve been paying for it monthly.

        insurance and compliance reports

        Insurance generally requires a basic level of therapy compliance, typically around four hours of use per night for 70% of nights. If you go for a period of time without using your machine, it may indicate to your insurance company that you are not serious about your sleep apnea treatment and they will request that the machine be returned to you.

        The insurance model works well for those who wouldn’t use their machine consistently without insurance to keep tabs on them, but approaching therapy on your own terms can be much more empowering. If you’re someone who gets anxious easily or is concerned about not meeting compliance requirements, chances are you’ll benefit from owning your machine.

        Some of the community members at cpaptalk.com have also pointed out that when you’re dealing with insurance, you tend to pay a “frustration tax” as well. It’s not really about an amount of money, but about your sanity being spent while waiting for replacement supplies to be approved or repairs to your machine if something goes wrong. Instead of just buying new supplies and having them shipped directly to you, you’ll have to go through your insurance first, which requires another level of planning ahead and less flexibility when you need supplies in a pinch.

        ✔️ Buying a cpap machine online means you are always in charge of your therapy. You will have it from day one.

        Do you get the best cpap machine through insurance?

        When getting a cpap machine with insurance, many people assume they will get the best machine, which is not always true. In many cases, the cpap provider recommended by your insurance company receives the same reimbursement regardless of the quality of their machine. therefore, there is no incentive for the cpap provider to provide you with the best machine.

        Also, if the supplier gives you an average, inexpensive machine, then you can pocket more of your insurance company reimbursement rather than giving you a higher quality, more expensive machine.

        ✔️ With cpap.com, you are in control of your cpap therapy. you can choose the machine that best suits your lifestyle and sleep apnea needs.

        You can still file a claim when you shop with cpap.com

        To keep our prices low, cpap.com does not charge insurance for our machines nor does it accept medicare. cpap.com is considered an out-of-network dme or cpap provider, and insurance plans differ in coverage depending on the dme and insurance company.

        ✔️ We can provide you with a reimbursement form that meets your insurance requirements, but we cannot guarantee that your insurance will reimburse you when you shop with us. If you plan to do this, check with your insurance company before your purchase to make sure you will be reimbursed.

        final thoughts

        Getting a good night’s sleep translates to the overall productivity of your day. Without a good night’s sleep, you may experience daytime sleepiness or trouble concentrating, but the dangers of untreated sleep apnea can be much more serious. Successful CPAP therapy can lower your blood pressure and reduce your chances of stroke, cardiovascular disease, diabetes, and even Alzheimer’s.

        While there are many people who simply prefer to let their insurance take care of everything, buying or renting your machine through insurance is often more expensive in the long run. Buying a cpap machine from a reputable dealer like cpap.com puts the power back in your hands, and often at a better price. explore your options at cpap.com to find your ideal machine and the price that fits your lifestyle so you can start experiencing the life-changing benefits of cpap therapy.

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