Economic Burden of Sleep Apnea on Healthcare Systems

May 7, 2025

This eBook from Blue Heron Health News

Back in the spring of 2008, Christian Goodman put together a group of like-minded people – natural researchers who want to help humanity gain optimum health with the help of cures that nature has provided. He gathered people who already know much about natural medicine and setup blueheronhealthnews.com.

Today, Blue Heron Health News provides a variety of remedies for different kinds of illnesses. All of their remedies are natural and safe, so they can be used by anyone regardless of their health condition. Countless articles and eBooks are available on their website from Christian himself and other natural health enthusiasts, such as Julissa Clay , Shelly Manning , Jodi Knapp and Scott Davis.

The Stop Snoring And Sleep Apnea Program™ By Christian Goodman The Stop Snoring and Sleep Apnea Program is a well-researched program created to help stop snoring and sleep apnea so that you can have a good night sleep. The techniques that you will learn from this program works immediately. It will only take you 3-7 minutes to perform these simple exercises that the author has recommended but the results that you will get will help you have a good night sleep as soon as tonight. Within a week, snoring will be a thing of the past.

Economic Burden of Sleep Apnea on Healthcare Systems

The economic burden of sleep apnea—specifically, obstructive sleep apnea (OSA)—on healthcare systems is high, both direct and indirect costs. The cost is caused by the diagnosis, treatment, and management of the condition, and indirect costs of lost productivity, accidents, and comorbidities. Awareness of the economic burden of sleep apnea can help in designing more effective policies and interventions for managing the condition.

???? Direct Costs
1. Diagnosis and Screening
Sleep Studies (Polysomnography): The diagnostic cost of sleep apnea can be high, especially when patients are required to take a sleep study (either in-lab or home sleep tests).

In-lab studies typically range from $1,000–$3,000, depending on location and the healthcare center.

Home sleep tests are comparatively lesser in cost but also between $150–$500.

Medical Visits: Specialists like pulmonologists, neurologists, or sleep medicine specialists will have additional fees, with an office visit costing between $150–$500 per visit.

2. Treatment Costs
Continuous Positive Airway Pressure (CPAP) Therapy: Sleep apnea is mainly treated by the use of a CPAP machine, and this involves:

Initial setup: CPAP devices can cost anywhere from $500 to $3,000 for the machine and accessories needed (mask, hoses, etc.).

Continuing costs: Masks and replacement filters, costing $100–$500 annually, must be replaced every few months.

Surgical Procedures: Patients in certain cases will require surgery (e.g., uvulopalatopharyngoplasty, maxillomandibular advancement, or gland resection), which can be expensive, varying from $10,000 to $20,000 depending on the complexity of the procedure.

Medications: Some patients’ medications to manage sleep apnea comorbid conditions such as hypertension, diabetes, or depression can add more direct healthcare costs.

3. Management of Comorbidity
There are numerous comorbid conditions of sleep apnea that must be managed and these incur additional healthcare costs. Some of the prevalent comorbidities include:

Cardiovascular disease: Treatment of hypertension, treatment of heart failure, and treatment of complications of stroke.

Diabetes: Cost of testing blood glucose and insulin treatment.

Obesity: Weight-loss surgery and weight-management programs.

Management of comorbidities contributes to the overall economic cost as sleep apnea patients are at higher risk of developing conditions such as heart attacks, stroke, diabetes, and hypertension.

???? Indirect Costs
1. Lost Productivity
Workplace Absenteeism: People with untreated sleep apnea will be severely sleepy during the day, and this can lead to excessive sick days or work absence. The cost of absenteeism in the United States is conservatively put at several billion dollars annually.

Presenteeism: Although employees with sleep apnea may be at work, they may endure with reduced productivity, lack of concentration, and increased errors. Presenteeism due to sleep apnea has been estimated to cost the U.S. economy billions annually.

Reduced Work Capacity: Fatigue can affect the overall work capacity of individuals, particularly in safety-sensitive jobs like transportation, healthcare, and manufacturing.

2. Accidents and Injuries
Motor Vehicle Crashes: There exists a strong association between sleep apnea and motor vehicle crash risk, and evidence suggests that untreated sleep apnea can significantly increase the likelihood of drowsy driving. Accident cost, injury cost, and cost of lives lost as a result of people with sleep apnea are added to health care system as well as social costs.

Workplace Accidents: Fatigue and sleep deprivation also increase the risk of workplace accidents, particularly in jobs that require attention, coordination, and the use of heavy machinery or vehicles.

3. Healthcare Use
Untreated sleep apnea patients frequently use emergency rooms and urgent care services for complications of high blood pressure, heart disease, or diabetes that are exacerbated by sleep apnea.

Hospitalization as a consequence of sleep apnea complications (e.g., heart attack, stroke) represents a big percentage of economic burden.

???? Global Economic Impact
A 2021 analysis estimated the worldwide economic burden of sleep apnea at $149 billion annually in the United States alone. It includes direct medical costs, along with indirect costs for lost productivity, accidents, and disability. The prevalence of sleep apnea is growing globally, and without treatment, the economic burden of sleep apnea will continue to rise.

???? Potential Economic Benefits of Early Intervention
Early treatment of sleep apnea will avoid much of the condition’s long-term costs. For example:

CPAP therapy will reduce hospitalization, emergency room visits, and severity of accompanying comorbidities, thereby reducing overall healthcare spending.

Occupational interventions for the treatment of sleep apnea (e.g., employer coverage for CPAP therapy, changing work shifts) will reduce lost productivity and absenteeism.

????‍⚖️ Healthcare System Challenges
Insurance Coverage: The majority of sleep apnea sufferers have trouble obtaining insurance coverage for diagnostic testing (e.g., sleep studies) or mandated treatments (e.g., CPAP machines). Inadequate access to effective treatment exacerbates both the patient’s health status and the economic burden on healthcare systems.

Underdiagnosis and Under-treatment: Sleep apnea is underdiagnosed across broad populations, and thus the economic burden of untreated sleep apnea may be greater than projected.

✅ Strategies to Decrease the Economic Burden of Sleep Apnea
Early detection: Increased awareness of sleep apnea among healthcare professionals and the public will lead to increased early diagnosis and treatment.

Workplace programs: Businesses can reduce indirect costs by providing employees with resources to manage sleep apnea, such as the availability of sleep studies or equipment for therapy.

Increased availability of treatment: Removing barriers to the acquisition of CPAP therapy and other treatments could decrease the overall cost of healthcare in the long term.

Financial cost of sleep apnea is a serious matter, but reduction of the long-term costs by timely treatment of the condition through intensified screening, treatment, and workplace accommodations can recover the cost. Do you require information regarding any specific approaches to reducing the sleep apnea cost burden on the healthcare system or to patients?

The economic impacts of sleep apnea on household budgets can also be significant in direct and indirect expenses. The expenses put extra strain on household budgets if the condition is not treated or managed partially. Some of the most common economic impacts caused by sleep apnea may include:

✅ 1. Healthcare Costs
Diagnosis and Ongoing Monitoring: Initial diagnosis of sleep apnea usually involves sleep studies (in a sleep center or home sleep testing), which are expensive. The tests are not always covered by insurance, especially if the individual is underinsured.

Treatment Equipment:

CPAP Machine: The most common treatment for sleep apnea is Continuous Positive Airway Pressure (CPAP) therapy, but a CPAP machine itself may range from $500 to $3,000. Replacement parts, such as masks, tubing, and filters, also carry additional recurring costs, typically between $100–$500 annually.

Other Devices: Other devices like oral appliances or BiPAP machines may be expensive too. Oral appliances, fitted in mild cases, can range from $1,800–$2,500.

Medications: If sleep apnea leads to comorbidities (i.e., heart disease, high blood pressure, depression), the family will incur additional out-of-pocket expenses for ongoing medication and treatment.

✅ 2. Lost Productivity and Work Absenteeism
Workplace Impact: Untreated patients of sleep apnea experience persistent fatigue, resulting in increased time off work. This equates to lost wages for the patient and potential economic strain on the family.

Absenteeism: Families might have to incur the expense of absence from work for doctor’s appointments, sleep tests, or hospitalization.

Reduced Work Performance (Presenteeism): Though physically at work, he/she can be less effective, thus earning a possible reduced income due to poor performance or working fewer hours.

Job Loss or Career Impairment: Serious, untreated sleep apnea leads to job loss or career impairment, significantly affecting household finances. For example, employment requiring alertness, such as driving or operating heavy machinery, is impossible due to safety risks posed by untreated sleep apnea.

✅ 3. Healthcare-Related Emergencies
Emergency Room Visits: Untreated sleep apnea significantly increases the risk of cardiovascular events, including heart attacks and strokes. If these occur, the family will have enormous medical bills for emergency treatment, hospitalization, and ongoing care.

Complications from Comorbidities: Sleep apnea conditions such as diabetes or hypertension can lead to additional hospital visits, surgeries, or long-term treatment costs.

✅ 4. Impact on Family Health
Secondary Health Issues: Sleep apnea affects not only the individual with the condition but also their families. Partners or children could have their sleep disturbed by the loud snoring, affecting their own productivity and health, causing the family to incur extra healthcare costs.

For instance, an affected partner who is sleep deprived and cannot sleep due to snoring excessively may develop their own medical conditions (e.g., increased stress, headaches, or insomnia), incurring additional medical expenses on their part.

Psychological Stress: The ongoing fatigue and mood disorders caused by undiagnosed sleep apnea can lead to psychological issues within the family, including depression or anxiety, which may require therapy, counseling, or medication.

✅ 5. Adherence to Treatment and Cost Burden
Cost of Compliance: It can be cost-prohibitive to follow through with a doctor-prescribed treatment plan for sleep apnea, especially for households that lack adequate health insurance coverage. The requirements of keeping equipment (CPAP machine) maintained, following up regularly, and buying medication or supplements contribute to the cost burden.

Out-of-Pocket Costs: Even if there is coverage by insurance, co-pays for treatments, medications, and physician visits may add up, especially for chronic conditions such as sleep apnea.

Families may have to balance the cost of equipment, the treatment of comorbid conditions, and therapy for related mental issues.

✔ 6. Lost Quality of Life
Social Isolation: Fatigue and crankiness caused by sleep apnea may affect relationships, leading to family conflict and social isolation. This could result in reduced family cohesion and perhaps additional cost for therapy or counseling.

Effect on Parenting: Untreated parents with sleep apnea may be more challenged to play with the children or deal with home responsibilities, leading to potential childcare or other care needs, which increase household expenses.

✅ 7. Long-Term Financial Consequences
Chronic Medical Issues: Unless sleep apnea is treated or treated adequately, the individual is highly likely to develop long-term medical issues, including high blood pressure, diabetes, heart disease, etc., which require continued treatment.

Disability: Should untreated sleep apnea cause the individual to become disabled and unable to work, the family will see their income drastically decreased and may be forced to apply for disability benefits or other forms of government assistance programs.

Summary:
The economic burden of untreated sleep apnea to families is multifaceted, involving direct medical costs, lost wages, and long-term health consequences. The cost is not only monetary but also affects overall quality of life, interpersonal relationships, and family functioning. Early diagnosis, treatment, and ongoing management of sleep apnea can decrease these costs and improve overall family health.

Would you like more information about reducing the economic cost of sleep apnea treatment or suggestions for dealing with the cost within a family?


The Stop Snoring And Sleep Apnea Program™ By Christian Goodman The Stop Snoring and Sleep Apnea Program is a well-researched program created to help stop snoring and sleep apnea so that you can have a good night sleep. The techniques that you will learn from this program works immediately. It will only take you 3-7 minutes to perform these simple exercises that the author has recommended but the results that you will get will help you have a good night sleep as soon as tonight. Within a week, snoring will be a thing of the past.

This eBook from Blue Heron Health News

Back in the spring of 2008, Christian Goodman put together a group of like-minded people – natural researchers who want to help humanity gain optimum health with the help of cures that nature has provided. He gathered people who already know much about natural medicine and setup blueheronhealthnews.com.

Today, Blue Heron Health News provides a variety of remedies for different kinds of illnesses. All of their remedies are natural and safe, so they can be used by anyone regardless of their health condition. Countless articles and eBooks are available on their website from Christian himself and other natural health enthusiasts, such as Julissa Clay , Shelly Manning , Jodi Knapp and Scott Davis.