RPSGT-scored
Every study, every time
Any software
We work in your system
From $29/study
Published rates
5 free studies
Try before you commit
The problem with scoring in-house
Scoring is where most labs lose time and money, and it is the least visible part of the operation until something breaks.
You are paying a technologist a salary and benefits whether you run 40 studies this month or 140. When that person is sick, on vacation, or leaves, the backlog builds, and there is no bench. And when a tech scores on the fly while running the study, quality slips in ways nobody catches until an interpreting physician sends it back.
Meanwhile, your referring physicians are noticing. Turnaround is the thing they judge you on. A lab that returns reports consistently keeps referrals that a lab returning them in three weeks does not.
In-house vs. outsourced scoring
| Scoring in-house | Scoring with Opus | |
|---|---|---|
| Cost structure | Fixed — salary and benefits regardless of volume | Variable — you pay per study scored |
| Coverage | One person; volume stops when they are out | A team of 2–4 assigned to your account |
| Turnaround | Depends on that person's week | Under three working days, every time |
| Quality control | Whatever your one tech applies | Every scorer is an RPSGT with current CE |
| Slow months | You pay the same | You pay less |
| Busy months | Backlog | Absorbed by the team |
| Commitment | Payroll | Cancel whenever |
In-house scoring makes sense at high, steady volume with more than one qualified tech on staff. Below that, you are paying for capacity you are not using and carrying risk you do not need to.
How our scoring teams work
Only RPSGTs score your studies. Not techs in training, not unregistered staff working under someone else’s credential. Every scorer holds the registration, and every scorer stays current on scoring rule updates through ongoing continuing education — the rules change, and scoring to a five-year-old standard shows up in your reports.
Our scoring has been used as a reference standard. Device companies pursuing FDA clearance have used our physicians and scoring teams to produce the manually scored comparison against which their technology was measured. That work demands a level of consistency between scorers that routine clinical scoring does not, and it is part of why we staff accounts with teams rather than individuals.
A team, not a person. Two to four technologists are assigned to your account and stay with it. They learn your equipment, your montages, and your physician’s preferences. Nobody is out sick and nobody is your single point of failure.
We work with every sleep software platform. You do not need to switch systems, buy into a portal, or export your studies into a format that happens to suit us. We connect into the setup you already have and score there.
Hospital or independent, we work within your security rules. We remote into your system rather than pulling data out of it, and we do that on your IT department’s terms. Hospital labs run stricter access requirements than independent centers, and we have worked inside both. Whatever your policy is, we meet it rather than asking you to make an exception.
Data is protected in transit. All connections run over VPN, and everything moving between us is encrypted. Our technologists score from a controlled office—not from home over whatever connection they happen to have, which is how much of this industry operates. Between the office environment and encrypted VPN access, patient data stays inside a controlled path from end to end.
We carry cyber liability coverage. Opus holds a cyber liability policy sized for hospital vendor requirements, and we can provide a certificate for a vendor risk review. Most small scoring operations do not carry one, and it is worth asking before you hand anyone access to patient data.
We execute a business associate agreement. We have our own BAA, and we are equally happy to sign yours — hospital systems usually prefer their own form, and that is never a problem.
We score to your standard, not just the default. AASM criteria are the baseline. But interpreting physicians have preferences, and a report scored to someone else’s assumptions costs your physician time re-doing it. Before we start, you complete a short scoring questionnaire that tells us how you want studies handled when you differ from AASM defaults. Our team works directly with your interpreting physician from there.
Turnaround is under three working days. Not an average we hit on good weeks—a standard the team is staffed to meet consistently, including when your volume spikes. If we run past it, you receive a 50% credit on the fee for that study, credited to your next invoice and written into your agreement, rather than left as a promise on a website.
When the clock starts. The business day we receive the study or request. Anything that arrives during normal business hours, Monday through Friday, goes into the queue that same day.
Home sleep studies too. Scored at a lower per-study rate.
What to ask any scoring company
You will find scoring quoted anywhere from about $25 to $80 a study. That spread is not arbitrary — it reflects real differences in who is doing the work and how. Before you sign with anyone, including us, ask these:
- Who actually scores my studies, and what are their credentials? Ask about every scorer, not just the person you are talking to. A lot of scoring outfits are one technologist doing it alongside a full-time job.
- How many people are assigned to my account? One person means no coverage when they are unavailable.
- Where do they score from, and how does my data get to them? Home setups vary enormously in security. Ask whether connections are encrypted, whether anyone is moving patient files onto personal machines, and whether they carry cyber liability coverage.
- Will they work in my software, or do I have to move to theirs? Changing platforms to accommodate a vendor is a cost nobody quotes you.
- Can they meet my hospital’s IT requirements? If you are hospital-based, this ends a lot of conversations early. Better to ask on day one.
- What is the stated turnaround, and what happens when it is missed? An average is not a commitment.
- How do they stay current on scoring rules? Ask specifically about continuing education.
- Will they follow my interpreting physician’s preferences, or only AASM defaults?
- What is the contract term, and how do I get out? Long lock-ins usually signal a company that expects you will want to leave.
- Will they do a free trial? Anyone confident in their work will.
At the low end of that price range you are usually getting a small operation with limited credentials and no coverage. At the high end you are often paying for a portal that distributes your studies to independent scorers across the continent, with little consistency between them. We built our teams to sit in neither place.
Rates
Published, volume-based, and the same for everyone. No quote process.
| Study type and volume | Per study |
|---|---|
| Adult in-lab, 1–100 studies per month | $39 |
| Adult in-lab, 101–300 studies per month | $37 |
| Adult in-lab, 301+ studies per month | $35 |
| Pediatric in-lab studies (age 13 and under) | $55 |
| Home sleep tests | $29 |
Pediatric rates apply to patients aged 13 and under. Rates may vary slightly depending on your sleep equipment. Templated report completion is available for a small additional charge per study. There are no setup fees, minimums, or monthly fees.
Using our interpretation service, too?
Interpretation is 5% cheaper, and your studies are scored and interpreted in seven working days, end to end.
Start with five free studies
Setup is complimentary, and your first five studies are scored at no charge.
That is not a gimmick — it is how both sides find out whether this works. You see our turnaround and quality on your own studies. We learn your equipment, your montages, and your physician’s preferences before anything is at stake. If it is not a fit, you have spent nothing.
How it works:
Tell us about your lab — volume, software, and how your physician likes studies scored.
We get connected — secure VPN access to your system, worked out with your IT team, plus the scoring questionnaire and your assigned scoring team.
Send five studies — scored free, back in under three working days.
Decide — continue at published rates, or don’t. Nothing obliges you either way.
What you sign
Every client signs a short letter of agreement. It is not a lock-in — it exists so both sides know the terms before any patient data moves. It covers:
- Fees and payment terms
- Turnaround and the credit if we miss it
- Non-exclusivity — you are free to use other providers at the same time
- No minimum and no maximum volume
- No monthly maintenance or platform fees
- Operating logistics: access, contacts, and escalation
There is no term commitment and nothing that makes leaving difficult. If it stops working for you, stop sending studies.
Common questions
Let’s talk about your scoring
Whether you are ready to start the free trial or just want to know what this would look like for your volume, we will give you a straight answer — including if outsourcing is not right for your lab.