Getting a CPAP machine usually happens one of four ways: through a sleep clinic or doctor’s office, from a home medical equipment company (often called a DME), from an online CPAP retailer, or out of pocket from a manufacturer or marketplace. Most people with insurance pay somewhere between nothing and a few hundred dollars after meeting their deductible, while cash buyers typically pay several hundred to over a thousand dollars depending on the machine type. The path you take depends mostly on whether you have a diagnosis and whether your insurance will cover the equipment.
Where To Get A CPAP Machine Options And Costs
There are four main routes, and each has a different cost structure and level of convenience.
Sleep clinic or doctor’s office. This is the most common starting point. After a sleep study confirms obstructive sleep apnea, your doctor writes a prescription for CPAP. The prescription is required in the United States — you cannot legally buy a new CPAP machine without one. The clinic often refers you to a DME supplier they work with.
DME supplier (durable medical equipment company). These companies provide the machine, mask, tubing, filters, and humidifier, and they bill your insurance. You typically pay a monthly rental fee for a set period rather than buying the machine outright. Many insurers require you to use the machine a minimum number of hours per night during the rental period before they will pay for it to become yours. If you do not meet the usage requirement, the supplier may take the machine back.
Online CPAP retailers. Companies that sell directly online often have lower cash prices than local DMEs. Some accept insurance, many do not. You still need a valid prescription to buy a new machine. Online sellers are often faster and carry a wider range of masks and accessories.
Direct cash purchase. You can buy a machine outright from a retailer, a manufacturer’s online store, or a resale marketplace. This is the fastest route and avoids rental paperwork, but you pay the full price yourself.
Cost varies widely. Machines generally fall into a few categories:
- CPAP — fixed pressure, usually the least expensive
- APAP (auto-adjusting) — adjusts pressure breath to breath, mid-range price
- BiPAP/BiLevel — two pressure settings, typically the most expensive
Cash prices for a new machine commonly range from a few hundred dollars for a basic fixed-pressure unit to well over a thousand dollars for a bilevel device. Masks are sold separately and add cost. These are general ranges, not quotes — prices change and vary by brand and seller.
Does Insurance Cover A CPAP Machine?
Most health insurance plans in the United States cover CPAP when it is medically necessary and you have a confirmed diagnosis. Medicare Part B covers CPAP as durable medical equipment, and most private plans follow a similar model.
The coverage usually works as a rental, not a purchase. You pay a monthly amount, and after a set rental period the machine becomes yours if you meet the plan’s usage requirements. Medicare and many insurers require documented use of the machine — generally a minimum number of hours per night over a defined period — before they continue paying. If usage falls below the threshold, coverage can stop.
What you actually pay depends on your deductible, coinsurance, and whether you have met your deductible for the year. If your deductible is high and unmet, the machine may cost you close to full price anyway. It is worth calling your insurer before you commit to a supplier to ask three things: whether CPAP is covered, what your share is, and what usage requirement applies.
One detail people miss: insurance typically covers a new mask and supplies on a replacement schedule, not whenever you want them. Replacing supplies too often can mean paying out of pocket.
Can You Buy A CPAP Machine Without A Prescription?
In the United States, a new CPAP machine requires a prescription. This is a federal requirement, not a store policy. You cannot legally buy a new machine without one, and reputable sellers will ask for it.
What you can buy without a prescription: masks, tubing, filters, humidifier chambers, and most accessories. Some sellers also offer “gently used” or refurbished machines, and the rules around resale are murkier. Buying a used machine raises real concerns — you do not know its hours of use, whether it was cleaned, or whether it was recalled. Some machines have been subject to manufacturer recalls, and a used unit may fall within an affected batch.
If you do not have a prescription yet, the standard path is a sleep study followed by a diagnosis and a prescription from a clinician. Home sleep apnea tests have made this easier and less expensive than it once was, though not everyone is a candidate for a home test.
What Should You Check Before Choosing A Supplier?
The machine matters, but so does the supplier. A few things are worth confirming up front.
- Insurance billing. Confirm the supplier is in-network with your plan. Out-of-network billing can shift a large share of the cost to you.
- Mask fitting and returns. Masks are the part most likely to need changing. Ask whether the supplier lets you exchange a mask if it does not fit or leaks.
- Support and setup. Some suppliers provide in-person fitting and troubleshooting. Online sellers may offer phone or video support only.
- Data and reporting. Many insurers require proof of usage. Confirm the machine reports usage data and that the supplier can send it to your insurer.
- Replacement supplies. Ask about the schedule and cost for new masks, cushions, filters, and tubing.
Local DMEs often provide more hands-on help but can be slower and pricier. Online retailers are usually faster and cheaper but offer less personal support. Neither is universally better — it depends on how much help you want and how your insurance works.
Are There Cheaper Ways To Get A CPAP Machine?
Yes, though each has trade-offs.
Manufacturer assistance programs. Some CPAP manufacturers run programs that help people who cannot afford a machine. Eligibility varies and often depends on income and insurance status.
Payment plans. Many online retailers and some DMEs offer installment payments, which spreads the cost without lowering the total.
Refurbished machines. Some sellers offer refurbished units at lower prices. The risks are the same as buying used — unknown history, possible recalls, and no warranty.
Nonprofit and charitable programs. A few organizations help connect people with donated equipment. Availability is limited and wait times can be long.
What does not work: buying a machine that was never prescribed for you and hoping it fits your needs. CPAP pressure settings are specific to each person. A machine set for someone else’s needs may not treat your apnea, and using the wrong pressure can be uncomfortable or ineffective.
Does The Type Of Machine Change The Cost?
Yes. Fixed-pressure CPAP machines are generally the least expensive. Auto-adjusting machines cost more. Bilevel machines, used for certain breathing patterns and more complex cases, are typically the most expensive. Heated humidifiers, which many people find improve comfort, may be built in or sold separately depending on the model.
Masks are a separate cost and vary widely. A full-face mask usually costs more than a nasal mask or nasal pillows. Since masks wear out and need replacing, this is an ongoing expense worth factoring in, not a one-time purchase.
Frequently Asked Questions
Can I get a CPAP machine without seeing a doctor?
No — a prescription is required in the United States to buy a new CPAP machine. You can buy masks and accessories without one, but the machine itself requires a clinician’s prescription.
How much does a CPAP machine cost out of pocket?
Cash prices commonly range from a few hundred dollars for a basic fixed-pressure machine to well over a thousand dollars for a bilevel device, with masks sold separately. Exact prices vary by brand, model, and seller.
Does Medicare pay for a CPAP machine?
Medicare Part B covers CPAP as durable medical equipment, usually as a rental that becomes yours after a set period if you meet usage requirements. Your actual cost depends on your deductible and coinsurance.
Is it safe to buy a used CPAP machine?
Buying used carries real risks, including unknown hours of use, unclear cleaning history, and possible recalls affecting that model. There is no reliable way to verify a used machine’s condition or settings.

