HCPCS G0400

Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels

Current codeSleep Study28 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS G0400 by hospital
Hospital	Medicare Advantage rates (lowest – highest)	Cash price	List price (before discounts)
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$812	$1,161
Olympic Medical CenterPort AngelesFile dated 2026-06-24	$271 – $3485 plans	$482	$603
Providence Regional Medical Center EverettEverettFile dated 2026-04-01	—	$287	$552
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$685	$979
Virginia Mason Medical CenterSeattle	—	$359	$704

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Hospital outpatient payment (national): $221 (APC 5722)