A new ResMed AirSense 11 AutoSet lists at $1,004 to $1,054 depending on the seller and on whether the humidifier and tubing are in the box. Through Medicare you rent instead of buy, at a national average approved amount of $47.42 a month. Once the Part B deductible is met, your 20 percent share is about $9.48 a month if the supplier accepts assignment; a supplier that does not accept assignment can bill you more than that. After 13 continuous months the machine is yours.
The machine is the smaller half of the bill over time. Masks, cushions, tubing and filters are replaced on a schedule, and that schedule is what most of the long-run cost is made of.
What a new machine lists for
| Machine and seller | Listed price | What the price includes | Prescription |
|---|---|---|---|
| ResMed AirSense 11 AutoSet — CPAP.com | $1,004 (machine on its own) | Machine only. Mask bundles are priced separately on the same page | Required |
| ResMed AirSense 11 AutoSet with heated humidifier — The CPAP Shop | $1,004 (starting price) | Machine with humidifier. Standard tubing is added at no extra charge | Required |
| ResMed AirSense 11 AutoSet with HumidAir and standard tubing — ResMed's own shop | $1,054 (manufacturer's own price) | Machine, HumidAir humidifier and standard tubing | Required |
All three sellers require a prescription. Price and box contents do not move together here: two of these listings both cost $1,004, and only one of them includes a heated humidifier. Read the includes column alongside the price before comparing the numbers.
What the replacement parts list for
| Replacement part | Billing code | Manufacturer's listed price |
|---|---|---|
| AirFit N20 nasal mask, complete system | A7034 | $112 |
| AirFit F20 full face mask, complete system | A7030 | $163 |
| AirFit N20 nasal cushion, replacement only | A7032 | $36 |
| AirFit F20 full face cushion, replacement only | A7031 | $57 |
| AirFit / AirTouch N20 headgear | A7035 | $36 |
| ClimateLineAir heated tubing for AirSense 11 | A4604 | $49 |
| Standard air filters for AirSense 11 | A7038 | $9 (per pack) |
| HumidAir standard water tub, listed for AirSense 10 devices | A7046 | $31 (AirSense 10 part) |
These are the manufacturer's own prices for its own parts. Third-party retailers list the same items lower, and hospital or supplier pricing is a different number again.
How often Medicare will pay for a new one
| Part | Billing code | Most often Medicare will pay for a new one |
|---|---|---|
| Nasal or nasal pillows mask | A7034 | 1 every 3 months |
| Full face mask | A7030 | 1 every 3 months |
| Nasal mask cushion, replacement | A7032 | 2 per month |
| Full face mask cushion, replacement | A7031 | 1 per month |
| Nasal pillows, replacement | A7033 | 2 pairs per month |
| Headgear | A7035 | 1 every 6 months |
| Chinstrap | A7036 | 1 every 6 months |
| Air tubing | A7037 | 1 every 3 months |
| Tubing with an integrated heating element | A4604 | 1 every 3 months |
| Disposable air filter | A7038 | 2 per month |
| Humidifier water chamber, replacement | A7046 | 1 every 6 months |
This is a ceiling, not a recommendation. It is the most Medicare will pay for, and parts are replaced when they need replacing rather than because the calendar allows it. Take the cushion line as the example: two a month at the manufacturer's $36 each would be $864 a year for one small silicone part, which is a good reason to check what your own supplier actually ships you.
What Medicare approves for each item
| Item | Billing code | Average charge billed | Average Medicare-approved amount | Your 20% share |
|---|---|---|---|---|
| CPAP device, one rental month | E0601 | $219.46 | $47.42 (per rental month) | $9.48 |
| Heated humidifier, one rental month | E0562 | $67.12 | $19.17 (per rental month) | $3.83 |
| Nasal or nasal pillows mask | A7034 | $195.27 | $73.87 (national average) | $14.77 |
| Full face mask | A7030 | $319.86 | $121.08 (national average) | $24.22 |
| Nasal mask cushion, replacement | A7032 | $66.91 | $25.2 (national average) | $5.04 |
| Full face mask cushion, replacement | A7031 | $122.84 | $45.69 (national average) | $9.14 |
| Nasal pillows, replacement | A7033 | $50.80 | $19.93 (per pair) | $3.99 |
| Headgear | A7035 | $63.88 | $24.65 (national average) | $4.93 |
| Chinstrap | A7036 | $34.79 | $13.31 (national average) | $2.66 |
| Air tubing | A7037 | $70.53 | $18.96 (national average) | $3.79 |
| Tubing with an integrated heating element | A4604 | $112.00 | $50.79 (national average) | $10.16 |
| Disposable air filter | A7038 | $8.72 | $2.88 (national average) | $0.58 |
| Non-disposable air filter | A7039 | $22.04 | $8.49 (national average) | $1.70 |
| Humidifier water chamber, replacement | A7046 | $40.83 | $16.72 (national average) | $3.34 |
The machine line is per rental month, not per machine. At $47.42 a month your 20% comes to roughly $9.48 when the supplier accepts assignment, and across a full 13-month rental that is on the order of $120, plus the annual deductible if you have not met it. Read that total as approximate: the figure in the table is an average across all rental months billed in the year, and Medicare pays a reduced amount in the later months of a capped rental.
The cushion row is worth a second look. Code A7032 was billed 7,519,268 times in the year, and code A7038 for disposable filters was billed 23,201,087 times, the highest count of any item here. The small parts are where the volume is.
The rules that set your share
| Rule | Amount | What it means |
|---|---|---|
| How long Medicare rents the machine | 13 continuous months, then you own it (a 12-week trial comes first) | Medicare may cover a 12-week trial after an obstructive sleep apnea diagnosis. Continuing beyond it needs an in-person visit that documents the therapy is helping |
| What you pay for the rental and the supplies | 20% of the Medicare-approved amount (if the supplier accepts assignment) | Ask whether the supplier participates in Medicare before you take the equipment. A supplier that does not accept assignment can charge you more |
| Medicare Part B annual deductible, 2026 | $283 (per year) | The 20% share starts only after this is met for the year |
The 12-week trial matters financially as well as clinically. If the follow-up visit does not document that the therapy is helping, coverage does not continue, and the rental stops there.
What a private plan changes
The figures above are Medicare's approved amounts and each seller's listed price. A private plan is a different payer, so none of those numbers is a quote for what you would pay.
What a plan pays toward equipment often turns on four things: the deductible you have left this year, the co-insurance or copay that applies to durable medical equipment, whether the supplier is inside the plan's network, and whether the plan wants approval before the equipment is ordered. The federal marketplace glossary sets out deductible, co-insurance, network and out-of-pocket maximum if you want the wording your own plan uses.
Before ordering, ask the insurer and the supplier the same questions:
- Is this supplier in my plan's network for home medical equipment?
- Is the machine covered as a rental or as a purchase?
- Does the plan need approval before the supplier ships it?
- How much of my deductible is left, and what co-insurance or copay applies after it?
- Does what I pay count toward my out-of-pocket maximum?
- Are the mask, tubing and filters covered, or billed separately?
- Are there conditions for keeping coverage, such as a follow-up visit or documented use?
- If the machine is rented, when do the payments end, and who owns it then?
Ask both the insurer and the supplier for an itemised written estimate, for the same machine and the same rental period, and keep the reference numbers from those calls. Two estimates for the same equipment are easier to compare than two explanations.
The cash prices above are a comparison point, not an estimate of your share.
Buying outright compared with renting
Paying cash gets you the machine on day one, with no adherence reporting and no supplier in the middle. It costs about $1,004 up front, and you pay for every replacement part yourself; those parts are cheaper from third-party sellers than at the manufacturer's list price.
Renting through Medicare spreads the cost, includes the humidifier and the supplies on the same 20% terms, and hands you the machine after 13 months. It requires a diagnosis that meets the coverage criteria, an in-person follow-up visit, and continued use that the supplier reports.
Between them sits the case that catches people out. If you already own a machine from before you joined Medicare, coverage of replacement parts is possible but conditional, and it needs documentation of a qualifying sleep test from before your enrolment. Ask about that before you assume the supplies are covered.
When to raise it with a clinician instead
Cost is not the first question in some situations.
- You have stopped using the machine because it is uncomfortable, and daytime sleepiness has come back
- The pressure feels wrong, or you wake with a dry throat or stomach bloating most mornings
- You have nearly fallen asleep while driving
- Your mask leaks every night and no cushion size has helped
A mask that does not fit is a common reason therapy is abandoned, and it is usually solved by refitting rather than by buying a different machine.
This page organises published prices and public payment data. It is general information, not medical advice. Pressure settings, mask choice and whether CPAP is the right therapy are decisions for the clinician treating you.
Common questions
How much does a CPAP machine cost with insurance?
If you are on Medicare, the machine is a rental rather than a purchase, at a national average approved amount of $47.42 a month. Once the Part B deductible is met, your 20 percent share is about $9.48 a month when the supplier accepts assignment; a supplier that does not accept assignment can charge more. After 13 continuous months the machine is yours. With a private plan the answer depends on the plan, and the list prices above are the cash comparison: $1,004 to $1,054 for a new ResMed AirSense 11 AutoSet depending on what is in the box.
Does Medicare pay for a replacement CPAP machine?
The schedule table above is the replacement-supply schedule, so it does not answer this question. For the machine itself, Medicare pays a rental rather than a purchase: a national average approved amount of $47.42 a month, and after 13 continuous months of rental the machine is yours. What happens if a machine is lost, damaged, or no longer meets your needs depends on your supplier and your plan, and this page does not have a confirmed figure for that case. Ask your supplier before buying a second machine.
Before the equipment, the diagnosis
Both of these come first. What an at-home sleep apnea test costs covers the home route, and what a sleep study costs without insurance covers the overnight in-lab study.
Where these numbers come from
Prices were read from each seller's own page on the date shown. Replacement limits come from the manufacturer's Medicare reimbursement guide, which cites the CMS coverage determination for these devices. Approved amounts are national averages from the CMS public use file for calendar year 2024, and your own locality's amount will differ.
- CPAP.com — ResMed AirSense 11 AutoSet (product page) (verified 2026-08-13)
- The CPAP Shop — ResMed AirSense 11 AutoSet with Heated Humidifier (product page) (verified 2026-08-13)
- ResMed Shop — AirSense 11 CPAP Machine with HumidAir (product page) (verified 2026-08-13)
- ResMed Shop — nasal masks (verified 2026-08-13)
- ResMed Shop — full face masks (verified 2026-08-13)
- ResMed Shop — cushions (verified 2026-08-13)
- ResMed Shop — headgear (verified 2026-08-13)
- ResMed Shop — device accessories (verified 2026-08-13)
- ResMed — Reimbursement fast facts: Accessories (rev. 2026-02) (verified 2026-08-13)
- CMS — Medicare Durable Medical Equipment, Devices & Supplies, by Geography and Service (CY2024) (verified 2026-08-13)
- Medicare.gov — Continuous Positive Airway Pressure (CPAP) therapy coverage (verified 2026-08-13)
- CMS — 2026 Medicare Parts A & B Premiums and Deductibles (verified 2026-08-13)