CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Verde Valley Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $974
  • Cash Discount Price: $1,604
  • vs. Medicare Baseline: 1.11x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Verde Valley Medical Center is $974. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,604. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.11x the Medicare baseline. Located in 269 South Candy Lane, Cottonwood, AZ.
Cash / Self-Pay
$1,604

Average discount available for prompt cash payment at this facility.

Insurance Median
$974

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: $1,604 (183%)
Insurance Median: $974 (111%)
Cash: $1,604 (183% of Medicare)
Ins. Median: $974 (111% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Health Choice $644 - $1,883 73%
University Of Arizona Health Plans $644 - $1,062 73%
Va Pccc Triwest $654 - $981 75%
Devoted $708 - $1,014 81%
Mercy Care Rhba $891 102%
Health Choice Integrated Care $909 104%
Health Net Federal $916 104%
Ahcccs $923 105%
Ahcccs Other $927 106%
Care 1St $927 106%
Health Choice Arizona $927 106%
Health Net Of Arizona $927 106%
Mercy Care $927 106%
Nhi Out Of State Ahcccs $927 106%
UnitedHealthcare $927 - $2,967 106%
Vvmc Jail $927 106%
Aetna $966 - $2,781 110%
Community Health Center Of Yavapai $966 110%
Humana $966 110%
Medicare (plans) $966 110%
Mercy Care Advantage $966 110%
Snf Vvmc $966 110%
Vvmc 30/70 $966 110%
Wellcare $966 110%
Wellcare By Allwell $966 110%
Ambetter / Centene $1,109 126%
Naphcare $1,145 - $1,963 131%
Gold Kidney $1,159 132%
Pnoa-Provider Network Of America $1,472 168%
Self Pay $1,604 - $3,208 183%
Self-Pay 50% Discount $1,604 183%
Blue Cross Blue Shield $1,868 - $2,335 213%
Workers Comp $2,085 238%
Copperpoint $2,335 266%
Cigna $2,887 329%
Vvmc 90/10 $2,887 329%
Auto Insurance $5,000 570%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 269 South Candy Lane, Cottonwood, AZ 86326
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals