What does a CPAP machine cost?

Navigating acquisition costs for continuous positive airway pressure devices—from unit pricing to total-of-ownership

A typical CPAP machine costs $700 to $1,300 , though the range depends on device type, features, and whether you purchase, rent, or lease. Standard CPAP machines typically cost between $500 and $1,000, while auto-adjusting APAP machines usually cost between $600 and $1,600, and BiPAP machines generally cost between $1,700 and $3,000 . These upfront costs represent only the beginning: consumable replacements, compliance monitoring, and service contracts significantly inflate the true cost of ownership over a CPAP program's lifespan.

What the typical range is

CPAP machines cost anywhere from $500 to more than $1,000, depending on brand and features like auto-adjusting modes and heated humidification . For procurement officers sourcing devices:

• Standard CPAP (fixed pressure): $500–$1,000

• APAP (auto-adjusting): $600–$1,600

• BiPAP (dual pressure): $1,700–$3,000

• Travel CPAP: $625–$1,000

The ResMed AirSense 11, one of the most popular auto-adjusting models, retails for roughly $950 to $1,100. Its predecessor, the AirSense 10, runs $800 to $1,000 and is still widely available . These prices are manufacturer list prices; actual acquisition costs depend on GPO contracts, volume discounts, and payer models. MedSource does not yet have aggregate quote data for CPAP machines. This article will be updated as procurement quote data accumulates.

What pushes price up—features, certifications, and support

CPAP delivery systems are subject to premarket notification requirements under section 510(k), and are for prescription use only . The FDA classified PAP delivery systems into Class II with special controls, determining that placing the PAP device into a lower device class will enhance patients' access to beneficial innovation by reducing regulatory burdens .

Built-in capabilities increase acquisition price:

• Heated humidifier: Heated humidifiers are considered standard features that reduce dryness and increase comfort, reducing dry mouth or sore throat after therapy . Most devices in the $900+ range include this.
• Connectivity and data logging: ResMed's Smart Comfort program, which received FDA 510(k) clearance, tailors air pressure based on user's particular needs using machine learning trained on more than 100 million real-world sleep recordings . Devices with cloud integration, Bluetooth, and remote monitoring typically cost $200–$400 more than non-connected models.
• Portability: Travel models sacrifice footprint for cost premium—typically $150–$300 above base models.
• Manufacturer warranty: Standard warranties are 1–2 years. Extended warranties cost $100–$250.

Service-level agreements and compliance monitoring add operational cost beyond hardware. Many DME suppliers bundle compliance dashboards, filter replacements, and mask resets into annual support contracts ($200–$500/year per patient).

What pushes price down—refurbished, older generation, and lease models

Refurbished CPAP machines can cost roughly half the price of a new unit. These are previously owned machines that have been inspected, cleaned, and restored to working condition by a supplier . A refurbished AirSense 10 from a reputable seller costs $300–500 less than new and is clinically identical to the current AirSense 11 for most users .

Prior-generation models command discounts:

Slightly older machines like the AirSense 10 or Luna II have similar comfort features for a lower price .

• Entry-level fixed-pressure devices (no auto-adjust, no humidifier) can be found for $250–$350 when purchased in volume.

Rental-to-own models: Medicare Part B covers CPAP machines as a 13-month rental. After you meet your Part B deductible, you pay 20% of the Medicare-approved amount for the machine rental and related supplies. Once Medicare has made rental payments for 13 continuous months, you own the machine . Monthly rental payments under Medicare typically range $50–$80, but this model requires meeting compliance thresholds (see "Hidden Costs" below).

Lease structures: Some health systems and ASCs negotiate institutional leases through group purchasing organizations (GPOs) at 15–25% discounts over list. Contact ResMed, Philips Respironics, and Fisher & Paykel directly for GPO pricing.

Hidden costs—consumables, compliance, and maintenance

The machine cost is deceptive. With the default Medicare replacement schedule, supplies cost roughly $1,058 per year at cash prices .

Mask and interface replacements (largest ongoing expense):

A replacement mask typically costs $50 to $150 depending on the style. Tubing runs $15 to $30, and filters cost a few dollars each. Most suppliers recommend replacing your mask every 3 to 6 months, tubing every 3 months, and filters monthly .

Compliance monitoring and data transmission: Most insurance plans require compliance tracking, meaning you must use the machine for at least 4 hours per night on 70% of nights. Hart Medical Equipment provides support to help you meet these requirements and maintain coverage . In-house or vendor-hosted compliance dashboards require IT infrastructure and staff training ($100–$500 per facility per year).

Preventive maintenance and recalibration: Annual pressure calibration, sensor testing, and humidifier chamber replacement add $200–$400 annually per device.

Power consumption: A CPAP with the humidifier on draws about 60 watts during therapy. At the U.S. average electricity rate, that's around $24 per year .

Warranty and repair costs: Out-of-warranty repairs (motor, control board failures) typically cost $300–$800 per incident. Accidental damage is common; budget $150/device/year for unplanned repairs if warranty is not extended.

How to negotiate—concrete tactics

1. Volume commitment: Request GPO pricing by committing to 50+ units annually. ResMed and Philips Respironics typically offer 15–20% volume discounts on orders >100 units.

2. Dual-sourcing: Negotiate with both ResMed and Philips Respironics. Market competition has narrowed margins; 10–15% savings are realistic.

3. Bundle mask and supplies: Lock supply costs for 12–24 months. Many DME vendors will offer flat-rate consumable pricing (e.g., $200/patient/year for masks, filters, headgear) if you commit to volume.

4. Refurbished fleet for backup: Purchase certified refurbished units at 40–50% discount for backup and travel. Verify repair history and recalibration certification.

5. Compliance data feeds: Require integration with your EHR or cloud dashboard at no additional cost. Vendor lock-in is steep; demand interoperability upfront.

6. Warranty negotiation: Negotiate 3-year extended warranty for $150–$200/unit (retail: $300–$400) if purchasing >50 units. This reduces unplanned replacement costs.

7. Service level agreements (SLAs): Require 48-hour replacement for failed devices under warranty. Many vendors offer this only for contracts >$100k.

When the price feels off—red flags

• Unbranded or unmarked devices: Only purchase from FDA-registered manufacturers. CPAP machines are regulated as Class II medical devices in the United States. A valid prescription is required, even for refurbished or second-hand units .

• Pricing below $400 for standard CPAP: Likely gray-market or counterfeit stock. Verify authenticity through manufacturer direct or authorized distributors.

• Refurbished machines without documentation: Reputable sellers of refurbished durable medical equipment follow strict procedures to ensure that each device is fully functional, professionally disinfected, and compliant with medical hygiene standards. These providers often replace worn parts, test air pressure accuracy, and document the machine's service history . Request service logs and pressure calibration certificates.

• No warranty on new units: All new CPAP machines carry 1–2 year manufacturer warranty. If a vendor offers none, request clarification or walk.

• Compliance monitoring costs not disclosed upfront: Cloud-based compliance dashboards should be included or clearly itemized. Monthly fees >$20/patient are overpriced.

• Travel CPAP priced below $600: Compact devices typically cost more to manufacture. Price below this suggests older inventory or refurbished units sold as new.

Sources

• U.S. Food and Drug Administration. (2018). "Medical Devices; Anesthesiology Devices; Classification of the Positive Airway Pressure Delivery System." Federal Register, October 19, 2018.

• Centers for Medicare & Medicaid Services. "Continuous Positive Airway Pressure (CPAP) therapy." Medicare.gov, accessed May 2026.

• SleepApnea.org. "CPAP Machine Cost: How Much Is a CPAP Machine?" Updated April 2026.

• CPAP Clarity. "How Much Does CPAP Therapy Cost? 5-Year Guide (2026)." Accessed May 2026.

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Note: This article reflects publicly available list pricing, retail pricing, and Medicare-approved amounts as of May 2026. Institutional negotiated rates vary by GPO, volume, and clinical setting. MedSource does not yet have aggregate procurement quote data for CPAP machines and will update pricing estimates as institutional quote submissions accrue. For current negotiated rates at your facility or health system, contact your group purchasing organization or DME supplier directly.