CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Central Peninsula General Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,601
Cash Discount Price: $3,910
vs. Medicare Baseline: 2.96x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Central Peninsula General Hospital is $2,601. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,910. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.96x the Medicare baseline. Located in 250 Hospital Place, Soldotna, AK.

Cash / Self-Pay

$3,910

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,601

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$877.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $877.34 (100%)

Cash / Self-Pay: $3,910 (446%)

Insurance Median: $2,601 (296%)

Cash: $3,910 (446% of Medicare)

Ins. Median: $2,601 (296% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $877.34 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 296% of the Medicare baseline (a markup of 196%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$468 - $5,534	53%
Kenai Peninsula Premera - All Other Plans	$468 - $3,888	53%
Kenai Peninsula School	$804 - $3,888	92%
Moda Cph - All Other Plans	$804 - $3,888	92%
Moda Non-Cph	$1,179 - $5,702	134%
Cigna	$1,205 - $5,826	137%
UnitedHealthcare	$1,206 - $5,832	137%
Rehn - All Plans	$1,246 - $6,026	142%
Aetna	$1,260 - $5,832	144%
Geha - All Plans	$1,300 - $6,286	148%
Multiplan Primary - All Other Plans	$1,300 - $6,286	148%
Vnpn - All Plans	$1,300 - $6,286	148%
First Choice Ppo - All Plans	$1,313 - $6,350	150%
Multiplan Comp	$1,313 - $6,350	150%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,910.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 95810.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Central Peninsula General Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 95810.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.