CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Verde Valley Medical Center

Billing Code: 95810 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$856

about 1.0× the $877 Medicare rate · typically $508–$1,610

modeled estimate · not a bill or quote

What this hospital charges insurers

$966

About the fair price

about $110 over the fair price · 1.1× Medicare

Medicare pays $877 Fair price $856 This hospital $966 Cash price $1,604 Hospital's list price $3,208

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

Highest price of the 9 AZ hospitals we have prices for — worth calling around.

Cheapest $246 Priciest $966

Black dot = this hospital, among the 9 AZ hospitals with a price for this procedure. Full list below.

A fair price for a Sleep study (overnight, in lab) is about $856 (about 1.0× the $877 Medicare rate). Verde Valley Medical Center charges insurers about $966, or about $1,604 in cash — about the fair price. Located in Cottonwood, AZ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$927 - $2,967	106%
Blue Cross Blue Shieldmajor	$1,868 - $2,335	213%
Aetnamajor	$966 - $2,781	110%
Cignamajor	$2,887	329%
Humanamajor	$966	110%
Ambetter (Centene)	$1,109	126%
Devoted Health	$708 - $1,014	81%
Health Net	$916 - $927	104%
WellCare	$966	110%
+ 14 smaller / regional plans	$644 - $5,000

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,604), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 95810.

Insurance Before you use insurance

Call your insurance company to confirm Verde Valley Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 95810.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Verde Valley Medical Center

Compare: Sleep study (overnight, in lab) at other AZ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.